Citation

Davidson JGS, Guthrie DM. J. Aging Health 2019; 31(1): 85-108.

Affiliation

Wilfrid Laurier University, Waterloo, Ontario, Canada.

Copyright

(Copyright © 2019, SAGE Publishing)

DOI

10.1177/0898264317723407

PMID

28805100

Abstract

OBJECTIVES: Hearing and vision impairment were examined across several health-related outcomes and across a set of quality indicators (QIs) in home care clients with both vision and hearing loss (or dual sensory impairment [DSI]).

METHOD: Data collected using the Resident Assessment Instrument for Home Care (RAI-HC) were analyzed in a sample of older home care clients. The QIs represent the proportion of clients experiencing negative outcomes (e.g., falls, social isolation).

RESULTS: The average age of clients was 82.8 years ( SD = 7.9), 20.5% had DSI and 8.5% had a diagnosis of Alzheimer's disease (AD). Clients with DSI were more likely to have a diagnosis of dementia (not AD), have functional impairments, report loneliness, and have higher rates across 20 of the 22 QIs, including communication difficulty and cognitive decline. Clients with highly impaired hearing, and any visual impairment, had the highest QI rates.

DISCUSSION: Individuals with DSI experience higher rates of adverse events across many health-related outcomes and QIs. Understanding the unique contribution of hearing and vision in this group can promote optimal quality of care.

Language: en

Keywords

Resident Assessment Instrument for Home Care (RAI-HC); cognitive impairment; dual sensory impairment (DSI); hearing impairment; vision impairment