2019 Volume 10 Issue 1 Pages 19-26
In this study, we investigated factors related to aggravation of the level of care for elderly individuals with behavioral and psychological symptoms of dementia (BPSD) requiring support, based on the A City's certification of long-term care needs survey in 2014 and 2016. We investigated the survey contents related to mental and physical function, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) using a multiple logistic regression model. As a result, "own medications," "daily decision-making," and "handling finances" were significantly related to aggravation of the levels of care; "walking" was significantly related to maintenance of and improvements in the levels of care. Our findings suggested that to prevent aggravation of the level of care for elderly individuals with BPSD requiring support, we should prevent degradation in their IADLs, and we must support their decision-making in daily living. It was also suggested that improving walking ability leads to maintenance of and improvements in the levels of care.
