Table 6. Cognition, mood, and behavioral patterns of older adults residing in a long-term care facility in Ontario based on the presence of hearing and vision impairments and/or cognitive impairments.
Variables | No Impairment | Vision impairment (VI) | Hearing impairment (HI) | Dual sensory impairment (DSI) | Cognitive impairment (CI)a | Cognitive + Sensory Impairment | ||
---|---|---|---|---|---|---|---|---|
CI + Vision impairment | CI + Hearing impairment | CI + DSI | ||||||
N = 6,692 | N = 1,867 | N = 1,637 | N = 1,072 | N = 31,142 | N = 23,142 | N = 14,677 | N = 30,349 | |
% | ||||||||
Problems with short-term memory | 0.0 | 0.0 | 0.0 | 0.0 | 96.2 | 97.2 | 95.8 | 97.4 |
Problems with long-term memory | 0.6 | 1.1 | 0.6 | 0.9 | 78.5 | 85.0 | 74.6 | 85.5 |
Cognitive skills for daily decision-making | ||||||||
Independent/modified independent (0–1) | 100.0 | 100.0 | 100.0 | 100.0 | 22.6 | 13.7 | 26.0 | 13.2 |
Moderate/severely impaired (2–4) | 0.0 | 0.0 | 0.0 | 0.0 | 77.4 | 86.3 | 74.0 | 86.8 |
Indicators of delirium | ||||||||
Easily distracted | 7.3 | 9.1 | 10.3 | 9.8 | 53.0 | 54.4 | 55.7 | 58.2 |
Altered perceptions | 2.6 | 3.9 | 3.7 | 5.5 | 37.2 | 41.7 | 40.7 | 48.3 |
Disorganized speech | 2.1 | 3.1 | 3.4 | 3.3 | 35.5 | 41.6 | 36.7 | 45.9 |
Restlessness | 3.6 | 5.8 | 3.7 | 4.9 | 33.1 | 37.9 | 34.1 | 42.5 |
Lethargy | 9.1 | 10.6 | 11.6 | 14.1 | 30.7 | 36.9 | 34.5 | 43.5 |
Varying mental function | 7.9 | 7.9 | 10.0 | 10.6 | 43.7 | 43.5 | 46.8 | 48.5 |
Cognitive Performance Scale (CPS) | ||||||||
Intact (0) | 100.0 | 100.0 | 100.0 | 100.0 | 0.0 | 0.0 | 0.0 | 0.0 |
Borderline intact (1) | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 | 0.0 |
Mild impairment (2) | 0.0 | 0.0 | 0.0 | 0.0 | 21.5 | 12.9 | 25.1 | 12.6 |
Moderate impairment (3) | 0.0 | 0.0 | 0.0 | 0.0 | 44.6 | 34.0 | 47.0 | 34.2 |
Moderate/severe impairment (4) | 0.0 | 0.0 | 0.0 | 0.0 | 8.4 | 9.8 | 8.7 | 11.5 |
Severe impairment (5) | 0.0 | 0.0 | 0.0 | 0.0 | 13.7 | 17.7 | 12.1 | 17.9 |
Very severe impairment (6) | 0.0 | 0.0 | 0.0 | 0.0 | 11.8 | 25.6 | 7.1 | 23.8 |
Depression Rating Scale (DRS) | ||||||||
No symptoms (0–2) | 78.0 | 75.6 | 74.5 | 75.1 | 65.8 | 67.2 | 60.2 | 62.4 |
Symptoms (3–14) | 22.0 | 24.4 | 25.5 | 24.9 | 34.2 | 32.8 | 39.8 | 37.6 |
a score of 2+ on the CPS was used to determine the presence of CI