Elderly and Dementia in Nepal

DOI
  • Iseki Chifumi
    Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology (DNHMED), Faculty of Medicine, Yamagata University
  • Kimihira Luna
    Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology (DNHMED), Faculty of Medicine, Yamagata University
  • Habazaki Makiko
    Office of Diversity, University of Tsukuba
  • Takahashi Yoshimi
    Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology (DNHMED), Faculty of Medicine, Yamagata University
  • Pant Basant
    Annapurna Neurological Institute, Nepal
  • Kato Takeo
    Department of Neurology, Hematology, Metabolism, Endocrinology, and Diabetology (DNHMED), Faculty of Medicine, Yamagata University

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Other Title
  • ネパールにおける高齢者と認知症

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Abstract

Background<BR>  Dementia is defined as a decline in cognition or behavior in one or more of the following areas: memory, social-interpersonal behaviors etc. It is regarded differently depending on the society of each country. To compare the effect that it has on Japanese society, we started research in Nepal.<BR>Methods<BR>  We asked Medical doctors and nurses in remote areas and the capital city in Nepal about their awareness of dementia. We also examined the elderly in communities and hospitals, using the Mini-Mental State Examination (MMSE) and Hasegawa Dementia Scale Revised (HDS-R), and asked family members about the elderly’s daily life and checked Clinical Dementia Rating (CDR).<BR>Results<BR>  Three out of six medical staff members in remote areas did not know the word “dementia.” However, most medical staff had seen cases of suspected dementia. The averages and deviations of MMSE and HDS-R in 6 elderly in community were 16±4.2 and 17±5.0, respectively. The average of CDR was 0.9.<BR>Conclusions<BR>  There was a lack of awareness about dementia in remote areas. Nepali society was found to be tolerant of aging and dementia.

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