33 International Conference of Alzheimer's Disease ...

[Pages:1]33rd International Conference of Alzheimer's Disease International

POSTER ABSTRACTS

Nexus? at Silverado ? IMPACT ON COGNITION AND ADL IN LONG TERM MEMORY CARE OF AN EVIDENCE-BASED MODEL FOR MEMORY CARE

POSTE R

Conclusion: Residents with the lowest MMSE score at baseline drop out (either due to

cognitive decline, death or moving out) before the 2nd assessment. Residents with the highest

MMSE score at baseline survive throughout the period and even increase both their cognitive

functioning and ADL performance over the 2 year period. Results indicate that the NEXUS

program despite dementia can improve cognition and ADL performance among residents with

MMSE score 20 and above at baseline.

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Mette Andresen Mrs*, Nutrition and Rehabilitation, University College Absalon, Naestved, Denmark;Mrs. Kimberly C Butrum, Clinical Services, Silverado, Irvine, CA;Rune Lindahl-Jacobsen Mr, Biodemografy Unit & Institute of Public Health, Research Unit for Epidemiology & Biostatistics, University of Southern Denmark, Odense, Denmark and Chris Michael Mr, Silverado, Silverado, Irvine, CA

Abstract: Objective: Moving into a nursing home is generally significantly associated with lower score in Mini-MentalState Examination (MMSE) between last test before and after moving into a nursing home (Gonzales-Colaco et al, 2014).

In general , dementia has been found to negatively affect the person's ability to both function adequately in everyday life and to perform personal activities of daily living. The worsening of ADL performance has been associated with more severe dementia, higher physical comorbidity, agitation and apathy (Helvik et al, 2014).

Method: All residents who scored 15 or above on the initial MMSE were included in the NEXUS program. Data on cognition (MMSE) and ADL performance (ADCS) were drawn every 6 months with residents from five communities between 9/1/2015-9/1/2017. Statistical significance was assessed using paired t-test.

Result: At baseline 423 residents were enrolled in the NEXUS program of those 91 completed the MMSE and ADCS at assessment 2 (after 6 months in the program). At assessment 3, 68 residents completed both tests and at assessment 4, 18 residents completed both tests. Results show that those who have the highest scores at baseline in MMSE increase their score significantly from 2nd to 3rd assessment. Moreover, the ones with the highest MMSE scores at baseline are those who complete all 4 assessments as well as increase their MMSE and ADCS scores during the period. The same tendency is seen among those who complete 3 assessments. Among those who participate in only 2 assessments there is a decrease in MMSE score between baseline and 2nd assessment.

Nexus is an evidence based program based on 6 pillars of brain health including physical activity( 1), social programs with purpose (2 ), stress reduction (3), cognitive compensation activities (4), a resident support group (5), and a digital brain fitness platform (Brain HQ) (6)

The objective was to measure the impact of the NEXUS program on the level of cognition and ADL performance among residents with mild to moderate dementia in 5 memory care communities in US, CA.

? Ahlskog et al, "Physical exercise as a Preventative or Disease - Modifying Treatment of Dementia or Brain Aging" Mayo Clinic Proceedings, Sept 2011, 86(9), 876-884

? Andrew, M.K., and Rockwood, K. (2010). "Social vulnerability predicts cognitive decline in a prospective cohort of older Canadians." Alzheimer's & Dementia, 6.4 (2010), 319-325

? Innes, Kim E., and Terry Kit Selfe. "Meditation as a Therapeutic Intervention for Adults at Risk for Alzheimer's Disease ? Potential Benefits and Underlying Mechanisms." Frontiers in Psychiatry 5 (2014): 40. PMC

? Snyder, Lisa, et al. "Supportive seminar groups: An intervention for early stage dementia patients." The Gerontologist 35.5 (1995): 691-695

? Barnes, Deborah E., et al. "Computer-based cognitive training for mild cognitive impairment: Results from a pilot randomized, controlled trial." Alzheimer's disease and associated disorders 23.3 (2009): 205

Alzheimer's Disease International

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