Wilco P. Achterberg

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The objective of this review was to systematically describe and analyze fear of falling (FoF) in patients after a hip fracture, focusing on measurement instruments for FoF, the prevalence of FoF, factors associated with FoF, and interventions that may reduce FoF. Fifteen relevant studies were found through a systematic literature review, in which the(More)
There have been very few and limited cross-national comparisons concerning pain among residents of long-term care facilities in Europe. The aim of the present cross-sectional study has been to document the prevalence of pain, its frequency and severity as well as its correlates in three European countries: Finland (north), Italy (south) and the Netherlands(More)
There are an estimated 35 million people with dementia across the world, of whom 50% experience regular pain. Despite this, current assessment and treatment of pain in this patient group are inadequate. In addition to the discomfort and distress caused by pain, it is frequently the underlying cause of behavioral symptoms, which can lead to inappropriate(More)
INTRODUCTION The common occurrence of infectious diseases in nursing homes and residential care facilities may result in substantial antibiotic use, and consequently antibiotic resistance. Focusing on these settings, this article aims to provide a comprehensive overview of the literature available on antibiotic use, antibiotic resistance, and strategies to(More)
BACKGROUND Brain areas that are involved in cognition and mood also play a role in pain processing. OBJECTIVE The goal of the present study was to examine the relationship between chronic pain and cognition [executive functions (EF) and memory], while controlling for mood, in cognitively intact older persons and in patients with Alzheimer's disease (AD).(More)
BACKGROUND Although dementia at the end of life is increasingly being studied, we lack prospective observational data on dying patients. In this study symptoms were observed in patients with dementia in the last days of life. METHODS When the elderly care physicians in two Dutch nursing homes expected death within one week, symptoms of (dis)comfort, pain(More)
The present study investigates the validity, reliability, and applicability of the German version of the QUALIDEM, which is used to measure the quality of life of people with dementia in nursing homes. The sample consists of data from 203 people (average age 84 ± 9 years, 74% female) with mild to moderate dementia and 283 persons (average age 86 ± 8 years,(More)
PURPOSE To study the effect of depression (high levels of depressive symptoms) on social engagement. DESIGN AND METHODS In 65 nursing homes in the Netherlands, 562 newly admitted residents were assessed at admission. Social engagement was measured with the MDS Index of Social Engagement. A multivariate logistic regression model was used to study the(More)
The paper explores the meaning of Resident Assessment Instruments. It gives a summary of existing RAI instruments and derived applications. It argues how all of these form the basis for an integrated health information system for "chain care" (home care, home for the elderly care, nursing home care, mental health care and acute care). The primary(More)
INTRODUCTION Pain is common in people with dementia, representing a critical aspect of treatment and care. However, there remain considerable gaps in evidence to support pain assessment and treatment. SOURCES OF DATA An updated literature search focussing on systematic reviews and randomized controlled trials. AREAS OF AGREEMENT There are key areas of(More)