CANE: Camberwell Assessment of Need for the Elderly is a tool for assessing the needs of older people and particularly those with mental health problems. Jan 2, Camberwell Assessment of Need for the Elderly (CANE) – Volume Issue 5 – Tom Reynolds, Graham Thornicroft, Melanie Abas, Bob Woods. The excluded from the study due to potential problems with the verbal Camberwell Assessment of Need for the Elderly (CANE) is one of communications.
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Skip to main content. Log In Sign Up. The Camberwell Assessment of Need for the Elderly questionnaire as a tool for the assessment of needs in elderly individuals living in long-term care institutions.
Accepted 14 October Setting and Participants: The needs of residents were assessed.
The inclusion criteria were age at least Available online xxx 75 years of age and the lack of severe cognitive impairment Mini Mental Scale Examination score of at least 15 points. In all participants, met and unmet needs were assessed by themselves and by the nursing Needs assessment Nursing home staff involved in care activities. However, the average percentage of the agreement between the user and the staff was as high as The areas characterized by the lowest agreement were Company Despite a high percentage of agreement reached between the staff and user assessments of needs in our study, we were able to identify the areas of discrepancies between these two perceptions of needs.
These can be treated as signals pointing to those aspects of care that should be addressed. Published by Elsevier Ireland Ltd. Introduction Demographic changes occurring all over the word are causing an increase in elderly populations, among which there are individuals requiring assistance Who, Wieczorowska-Tobischanges in care systems so that optimal use is made of the available pati.
Talarskaskropins ump. In order to secure the appropriate distribution and jaracz ump. Jaraczstobis gmail. Tobisasuwalska gmail. Suwalskahakach op.
Mazurekagadymek interia. Please cite this article in press as: Archives of Gerontology and Geriatricshttp: Thus, at the beginning, a screening for cognitive Reynolds et al. It was found that the questionnaire both 2. Additionally, screening for depression was conducted by interventions are missing eldetly needs. The comparison of these perspectives allows Folstein et al.
The Fernandes et al. Moreover, individuals scores are between 0 andwith 5-point increments. However, they identi- et al. Thus, caje the perception flr needs can be different in 2. CANE questionnaire users themselves and staff members, it is important to include all points fog view when making care plans Hoe et al.
It was used in a structured interview setting, only tool routinely used to detect needs of the elderly. However, in CANE was translated into proven, in a pilot study, to have good psychometric assessment Polish and the Polish version of the questionnaire was proven, in a properties Rymaszewska et al.
CANE covers 24 areas of social, medical, psychological and The aim of the present study was to evaluate CANE in cne environmental needs and 2 domains for care providers.
For each area, there is a question about a particular need. Responses are rated on a three point scale where 0 means no need, 2. Material and method 1—met need problem receiving proper intervention and 2— unmet need problem awsessment without optimal intervention. Statistical analysis Three long-term care institutions were randomly selected for the study—one in each of the following three big Polish cities: Mean and standard deviations were calculated for all the Poznan, Wroclaw and Lublin.
In each unit inhabitants were analysed characteristics.
Normality in the data distribution was analysed. The inclusion criterion was age 75 years and more. Due to the lack of Individuals with severe and moderately severe dementia were normality, median was also calculated for each variable. The kappa value of 0. Relationships between categorical variables were analysed with the x2 test.
Correlation between two variables was assessed with 3. Comparison of the number of needs reported by the user vs. The mean number of all needs from the user perspective was 9. The mean number of unmet needs was only1. The mean age of the studied subjects was Among the individuals 9. It was higher than in the studied, were female The number of unmet needs was even lower than The mean Barthel index among the subjects was There were individuals with no unmet needs The number of subjects with unmet needs The detailed characteristics of the group studied are presented in both perspectives is presented in Fig.
We found one subject in Table 1. Unmet needs were reported by users most rated by the users and staff, was calculated, the result was negative in only 17 individuals 9. In these individuals, the number of needs from the staff perspective was higher [ 1.
Table 1 Characteristics of studied subjects. In 78 subjects The difference between the number of unmet needs rated by Age 75—79 years 55 Number of subjects with unmet needs as rated by staff and user.
What is more, the number of people aged 75 or more is 3. The number of subjects with needs in individual areas and the In our study both elderly individuals and the staff responsible kappa values for the inter-group agreement are presented in for their care mainly reported met needs. However, it is believed Table 2.
Based on assessmsnt kappa value, the only area with poor that unmet needs provide for the most relevant elrerly about assesment was Deliberate self-harm. However, in this area only 25 the desired improvement in the daily care for elderly individuals individuals rated their needs differently from the staff. On the Orrell cambewell al.
The mean about the presence of unmet needs. The most common unmet kappa value was 0. The rating in individual areas is shown in Table 3. According to the authors, both while the staff—lack of any needs. In the the elderly to make social contacts. In staff was higher than in the users’ opinion. This is in agreement the area of Psychological distress, in 17 out of 51 cases the user did with the study of Fernandes et al.
Other researchers Hancock et al. The usefulness of ble Hancock et al. In our study the number of unmet needs CANE for the assessment of needs in residents of long-term care was higher when rated by the users. Similar results were obtained institutions was proven by Martin et al. Importantly, we analysed all subjects regard- perspectives. In our study, the perspectives of the elderly less of their medical condition. On the other and those with moderate dementia together.
In our study, the overall percentage of agreement in the caamberwell of needs by the user and staff was very good above 5. A poor agreement in our study, we were able to identify the areas of discrepancies these areas was also observed by Orrell et al. They can be treated as subjects with dementia.
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Interestingly, in our study the mean kappa value was 0. Practical statistics for medical research. Age predicts functional outcome in acute stroke patients with rt-PA treatment. To the best of our knowledge, such assessmwnt analysis has never been Fahy, M.
CANE: Camberwell assessment of need for the elderly – Social Care Online
The needs and mental health of older people carried out before. Aging Mental Health, 5 3— Validation study of the Camberwell Assessment of Need evaluated with the Barthel index. Internatonal Psychogeritrics, 21 1 canee, 94— In a study on subjects with Folstein, M.
A practical method for grading the cognitive state of elder,y for the clinician. Journal of dementia, Hoe et al. The needs correlated negatively with the quality of life. Thus, our study points of older people with mental health problems according to the user, the carer, and the staff. International Journal of Geriatric Psychiatry, 18 9—