دورية أكاديمية
Dementia and the nursing home: association with care needs.
| العنوان: | Dementia and the nursing home: association with care needs. |
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| المؤلفون: | Aronson MK; Jewish Guild for the Blind, Yonkers, NY 10701., Cox D, Guastadisegni P, Frazier C, Sherlock L, Grower R, Barbera A, Sternberg M, Breed J, Koren MJ |
| المصدر: | Journal of the American Geriatrics Society [J Am Geriatr Soc] 1992 Jan; Vol. 40 (1), pp. 27-33. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Science Country of Publication: United States NLM ID: 7503062 Publication Model: Print Cited Medium: Print ISSN: 0002-8614 (Print) Linking ISSN: 00028614 NLM ISO Abbreviation: J Am Geriatr Soc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : Blackwell Science Original Publication: New York [etc.] |
| مواضيع طبية MeSH: | Nursing Homes*, Dementia/*nursing, Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Female ; Geriatric Assessment ; Humans ; Male ; Middle Aged ; Nursing Assistants ; Prospective Studies ; Time and Motion Studies |
| مستخلص: | Objective: To determine whether RUG reimbursement categories accurately predict requirements for care in nursing homes. Design: Prospective descriptive study of residents in lower reimbursement categories according to RUG. Setting: Three nursing homes in New York City. Participants: Convenience sample of 173 residents who agreed to participate, not significantly different from 201 who did not agree to participate. Main Measures: Chart review; assessment of residents' cognitive and functional abilities; nursing assistants' ratings of residents' functional abilities, behavioral problems, the amount of effort required in care; and time-motion studies of staff-resident interactions. Results: Both the residents' RUG classification (P less than 0.01) and the level of ADL independence (P less than 0.001) had significant impacts on the staff effort required in their care, with more dependent residents requiring greater effort. The residents' level of cognitive impairment also had a significant impact on the staff effort, with the severely impaired requiring greater effort (P less than 0.05). The time-motion analysis indicated that residents within the same RUG category differed in the number of staff-resident interactions based on their level of cognitive impairment. Conclusions: Cognitive impairment is a significant morbidity (or co-morbidity) in determining the quantity of staff effort required by the resident, and behavioral interventions are an important care component. There is marked heterogeneity within lower (RUG) reimbursement categories which translates into strikingly different care requirements. |
| التعليقات: | Comment in: J Am Geriatr Soc. 1992 Jan;40(1):101-2. (PMID: 1727836) |
| تواريخ الأحداث: | Date Created: 19920101 Date Completed: 19920130 Latest Revision: 20190709 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1111/j.1532-5415.1992.tb01825.x |
| PMID: | 1727844 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0002-8614 |
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| DOI: | 10.1111/j.1532-5415.1992.tb01825.x |