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People with dementia living in the community – what can interRAI data tell us? By Michelle Liu, Senior data analyst interRAI
What is interRAI
• Comprehensive clinical assessment instruments• Best practice approach to assessing people’s needs• Standardised and designed for specific groups• Common language, common measures, common concepts • www.interRAI.co.nz
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interRAI = international Resident Assessment Instrument
interRAI assessments used in New Zealand
In the community:• Contact Assessment (CA), a basic
screening assessment for people living in the community
• Community Health Assessment (CHA) and Home Care Assessment (HC) for planning care and services in home and community-based settings
• Palliative Care Assessment (PC) for community-based older adults where a palliative care focus is required.
In aged residential care:• Long Term Care Facilities Assessment
(LTCF) for evaluating the needs, strengths and preferences of those in aged residential care.
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Collect once – use many times
Research data
repository
General information
Services
Policy
Legal aspects
Technical standards
Metadata standards
Quality standards
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What interRAI tells us about people with dementia living in the community
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What we are looking at• Home Care assessments completed in 2017/18• Assessments not clients• Demographic characteristics• Outcome measures
• Outcome scales• Clinical Assessment Protocols (CAPs)
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Demographic characteristics
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• One in four Home Care clients had a diagnosis of Alzheimer’s disease and/or other type of dementia
• 44% of diagnosed Home Care clients are between 75 to 84 years of age
• Men were 12.5% more likely to be diagnosed with dementia (age adjusted)
• Māori (31%) and Pacific people (35%) are more likely to be diagnosed with dementia (age adjusted)
Cognitive performance Scales • This scale combines information on:
1. daily decision making2. short term memory3. making self understood 4. eating performance.
• The score ranges from 0 to 6 – the higher the score, the worse the cognitive impairment.
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Other health conditions
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26%
17%
11%14%
33%
22%
10%
13%
0%
5%
10%
15%
20%
25%
30%
35%
Coronary heart disease Diabetes mellitus Anxiety Depression
Dementia & CPS>=3
No Dementia & CPS<3
Cognitive and mental health
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13%
2% 6%
33% 34%27%
22%
2%
6%
14%
28%
15%
0%
10%
20%
30%
40%
50%
60%
70%
Dementia& CPS>=3
No Dementia& CPS<3
Dementia& CPS>=3
No Dementia& CPS<3
Dementia& CPS>=3
No Dementia& CPS<3
Behaviour CAP Communication CAP Mood CAP
Prevent decline
Facilitate improvement
Activities of daily living (ADL) self-performance hierarchy scale
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16%
6%
10%
5%
8%
5%
2%
0%
0% 5% 10% 15% 20% 25% 30% 35% 40%
Dementia & CPS>=3
No Dementia & CPS<3
3 - Extensive assistance required 4 - Maximal assistance required 5 - Very dependent 6 - Total dependence
Family support
12
0 2 4 6 8 10 12 14 16
Dementia & CPS>=3
No Dementia & CPS<3
# of hours
Average hours of care and monitoring activity in 3 days
Strong relationship with family
13
91%
88%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Dementia & CPS>=3
No Dementia & CPS<3
Strong and supportive relationship with family
Family carers status
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45%
16%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Dementia & CPS>=3
No Dementia & CPS<3
The primary family carer expresses feelings of distress, anger, or depression
Family carers status – cont.
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38%
17%
0% 5% 10% 15% 20% 25% 30% 35% 40%
Dementia & CPS>=3
No Dementia & CPS<3
The primary family carer is unable to continue in caring activities
Advance Care Plan (ACP) and Enduring Power of Attorney (EPOA)
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3%
67%
4%
51%
0%
10%
20%
30%
40%
50%
60%
70%
80%
ACP in place EPOA in place
Dementia & CPS>=3 No Dementia & CPS<3
Like more data?
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www.interrai.co.nz
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