Much improvements in healthcare have contributed to people living longer and healthier lives so the proportion of adults reaching old age has been increasing worldwide. A clearly negative effect of aging has resulted in an increase in the number of people with dementia. World Health Organization (WHO) estimated a total number of people with dementia worldwide in 2010 was 35.6 million and projected to nearly double every 20 years, and 115.4 million in 20501 (WHO). Dementia commonly symptoms with memory loss at the initial stage and later often followed by the loss of other cognitive functions such as language and perception (Walker, Salek, Bayer, Walker, & Bayer, 1998). The decline in the cognitive, and functional domains eventually brings
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Understanding and responding to the need of people with dementia are of great importance, as unmet needs are a source of reduced quality of life. A range of services are available to take care of the people with dementia from assisted living facilities to nursing homes, residential care, day care center and home care. However, literature suggested that people with dementia and their caregiver prefer to stay at home (Iwarsson et al., 2007). There are challenges to developing more effective home support for people with dementia because it has to respond appropriately and in good time to needs which arise. This support is important for people with dementia and their caregivers to facilitate and augmenting existing coping skills. However, in the later stage of dementia when caregiver unable to provide care, people with dementia have to transfer to nursing home for advance care(Moyle, Mcallister, Venturato, & Adams, 2007). Dementia quality of life literature have reported negative consequences of institutionalization, with depression, sense of loneliness, and a decreased in functional competence, however, other studies have reported that quality of life improvement also depends on the type of care institute and also in some cases remains same (Nikmat, Hawthorne, & Al-Mashoor, 2015). It is unclear which of the living arrangement options is more favorable to enhance the quality of life among people with dementia. This systematic review aims to compare the experience of QOL of those people with dementia who were living at home with those living in nursing
Understanding and responding to the need of people with dementia are of great importance, as unmet needs are a source of reduced quality of life. A range of services are available to take care of the people with dementia from assisted living facilities to nursing homes, residential care, day care center and home care. However, literature suggested that people with dementia and their caregiver prefer to stay at home (Iwarsson et al., 2007). There are challenges to developing more effective home support for people with dementia because it has to respond appropriately and in good time to needs which arise. This support is important for people with dementia and their caregivers to facilitate and augmenting existing coping skills. However, in the later stage of dementia when caregiver unable to provide care, people with dementia have to transfer to nursing home for advance care(Moyle, Mcallister, Venturato, & Adams, 2007). Dementia quality of life literature have reported negative consequences of institutionalization, with depression, sense of loneliness, and a decreased in functional competence, however, other studies have reported that quality of life improvement also depends on the type of care institute and also in some cases remains same (Nikmat, Hawthorne, & Al-Mashoor, 2015). It is unclear which of the living arrangement options is more favorable to enhance the quality of life among people with dementia. This systematic review aims to compare the experience of QOL of those people with dementia who were living at home with those living in nursing