title: A cross-sectional study to compare care needs of individuals with and without dementia in residential homes in the Netherlands.
abstract: BACKGROUND
  Little is known about met and unmet needs of individuals in residential care, many of whom suffer from dementia. Unmet needs are associated with a decreased quality of life, worse mental health, dissatisfaction with services, and increased costs of care. The aim of this study was to compare the number and type of (unmet) needs of people with and without dementia in residential care in the Netherlands.
  
  
  METHODS
  187 individuals in residents care or their relatives were interviewed to identify their care needs on 24 topics using the Camberwell Assessment of Needs for the Elderly (CANE) interview.
  
  
  RESULTS
  Individuals diagnosed with probable dementia reported more needs in total and more unmet needs in comparison with individuals without this diagnosis. More specifically, differences were found for the topics "accommodation", "money", "benefits", "medication management", "incontinence", "memory problems", "inadvertent self-harm", "company" and "daytime activities".
  
  
  CONCLUSIONS
  It seems that the differences in care needs between individuals with and without dementia can be attributed to actual differences in physical and cognitive functioning. Residents with dementia reported more often unmet needs which might imply that care for people with dementia can still be better attuned to their needs.
authors.affiliation: Department of Public Health, Erasmus Medical Centre, Rotterdam, the Netherlands.
authors.forename: Eva S
authors.initials: ES
authors.lastname: van der Ploeg
authors.forename: Dieuwertje
authors.initials: D
authors.lastname: Bax
authors.forename: Marijke
authors.initials: M
authors.lastname: Boorsma
authors.forename: Giel
authors.initials: G
authors.lastname: Nijpels
authors.forename: Hein P J
authors.initials: HP
authors.lastname: van Hout
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D003704:Dementia / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006707:Homes for the Aged / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D012112:Residential Facilities / Q000706:statistics & numerical data*