The effects of a control-enhancing intervention for nursing home residents: Cognition and locus of control as moderators

2003 ◽  
Vol 1 (2) ◽  
pp. 111-120 ◽  
Author(s):  
CAY ANDERSON-HANLEY ◽  
SARAH R. MESHBERG ◽  
MELISSA A. MARSH
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Nursing Home ◽  
Cognitive Function ◽  
Locus Of Control ◽  
Cognitive Functioning ◽  
Comparison Group ◽  
Nursing Home Residents ◽  
Standard Of Care ◽  
Perceived Health

Objective: This study aimed to clarify which older adults benefit most from a control-enhancing intervention; in particular, whether cognitive functioning or locus of control might moderate the benefit derived.Methods: Nursing home residents were randomly assigned to two conditions: (1) a control-enhanced condition that provided the option of caring for a plant (n = 10), and (2) a comparison condition that monitored any change under the standard of care (n = 10). Comparison group participants were subsequently offered the intervention, which led to a total of 17 intervention participants.Results: Cognitive function and locus of control were found to significantly moderate the effects of the control-enhancing intervention on residents' perceived health competency, but not depression or life satisfaction.Significance of results: Interventions for nursing home residents could be tailored to fit specific needs. Screening for cognitive function and locus of control may help predict who is likely to benefit from control-enhancing interventions.

Association of body composition with functional capacity and cognitive function in older adults living in nursing homes

2021 ◽  
Vol 14 ◽  
Author(s):  
Pinelopi Stavrinou ◽  
George Aphamis ◽  
Eleni Andreou ◽  
Marios Pantzaris ◽  
Christoforos Giannaki
Keyword(s):  
Older Adults ◽  
Body Composition ◽  
Nursing Home ◽  
Cognitive Function ◽  
Nursing Homes ◽  
Body Fat ◽  
Functional Capacity ◽  
Handgrip Strength ◽  
Nursing Home Residents ◽  
Sit To Stand

Objective: Older adults living in nursing homes have an increased risk of adverse outcomes. However, the role of body composition in vital health and quality of life parameters such as functional capacity and cognitive function is less studied in this group of older adults compared to community-dwelling counterparts. Objective: The aim of the present study was to examine the association of body composition with functional capacity and cognitive function in nursing home residents. Methods: Fifty-three older adults (82.8±7.3 years) were enrolled in this study and they underwent body composition evaluation, functional capacity and cognitive function measurements. Results: The results showed a high prevalence of obesity accompanied by functional capacity limitations and cognitive impairment in older adults living in nursing homes. Partial correlations, controlling for age, showed that body fat percentage was positively correlated with sit-to-stand-5 (r=0.310, p=0.025) and timed-up-and-go (r=0.331, p=0.017), and negatively correlated with handgrip strength test results (r=-0.431, p<0.001), whereas greater lean body mass was associated with better sit-to-stand-5 (r=-0.410, p=0.003), handgrip strength (r=0.624, p<0.001) and cognitive function performance (r=0.302, p=0.037). Conclusions: These important associations reinforce the need to develop effective healthy lifestyle interventions targeting both lean mass and body fat to combat functional and cognitive decline in nursing home residents.

scholarly journals What Factors Predict Falls in Older Adults Living in Nursing Homes: A Pilot Study

2018 ◽  
Vol 4 (1) ◽  
pp. 3
Author(s):  
Aditi Datta ◽  
Rahul Datta ◽  
Jeananne Elkins
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Cognitive Function ◽  
Significant Relationship ◽  
Gait Speed ◽  
Nursing Home Residents ◽  
Independent Variables ◽  
Environmental Causes ◽  
Mobility Device ◽  
Fear Of Falls

Background: In community-dwelling older adults, slow gait speed is linked to falls; however, little is known about the use of gait speed to predict falls in nursing home residents. The prevalence of risk factors for falls in nursing home residents is multifactorial. Objective: The purpose of this study was to examine the relationship between falls and multiple factors such as age, sex, gait speed, mobility device, fear of falling, cognitive function, medication, and environmental causes in a nursing home setting. Material and Methods: Participants were recruited from a nursing home. Independent variables such as age, sex, gait speed for 40 feet, use of a mobility device, fear of falls, cognitive function, medication, and environmental causes of falls were measured and recorded. The dependent variable was falls. Participants were followed-up for a period of six months for falls. Falls were documented from the computerized medical records at the facility. Results: Five of the 16 participants had falls in the follow-up period. Exact logistic regression, bivariate analysis, showed no significant relationship between falls and the independent variables of age, sex, gait speed, mobility device, fear of falls, cognitive function, and medication. More than 30% of recorded falls had an environmental cause, which was significant at p = 0.0005. Conclusion: Environmental causes had a significant relationship with falls in nursing home participants. Environment hazard monitoring is therefore important to ensure the safety of nursing home residents.

Applicability of Levenson LoC Scale to the Lives of Geriatric Nursing Home Residents

1996 ◽  
Vol 24 (4) ◽  
pp. 323-333 ◽  
Author(s):  
Laura J. Pankow
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Locus Of Control ◽  
Personality Assessment ◽  
Nursing Home Residents ◽  
Geriatric Nursing ◽  
Relationship Of ◽  
The Relationship

Locus of control (LOC) has been studied as a parameter for personality assessment since its development in 1966. Several studies of the correlation of LOC with such theological components as faith and spirituality have been reported with varying conclusions regarding the relationship of these concepts. However, the question of how theological issues are assessed within the Levenson LOC scale and assessment of the applicability of this instrument to the lives of older adults, as interpreted by members of this population, has not been addressed. This study investigates those two aspects of the Levenson LOC scale and offers suggestions of how these preliminary findings might be applied in counseling this population.

Deficits in Selective Attention Alter Gait in Frail Older Adults

GeroPsych ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 29-36 ◽  
Author(s):  
Véronique Cornu ◽  
Jean-Paul Steinmetz ◽  
Carine Federspiel
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Selective Attention ◽  
Dual Task ◽  
Nursing Home Residents ◽  
Gait Rehabilitation ◽  
Rehabilitation Programs ◽  
Gait Parameters ◽  
Growing Body ◽  
Task Conditions

Abstract. A growing body of research demonstrates an association between gait disorders, falls, and attentional capacities in older adults. The present work empirically analyzes differences in gait parameters in frail institutionalized older adults as a function of selective attention. Gait analysis under single- and dual-task conditions as well as selective attention measures were collected from a total of 33 nursing-home residents. We found that differences in selective attention performances were related to the investigated gait parameters. Poorer selective attention performances were associated with higher stride-to-stride variabilities and a slowing of gait speed under dual-task conditions. The present findings suggest a contribution of selective attention to a safe gait. Implications for gait rehabilitation programs are discussed.

Geriatric Health Experts Validate Oral Neglect Timelines for the Institutionalized Elderly

2019 ◽  
Vol 39 (11) ◽  
pp. 1250-1257
Author(s):  
Sharon M. Casey ◽  
Ralph V. Katz ◽  
Shulamite Huang ◽  
Barbara J. Smith
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Standard Of Care ◽  
Delphi Survey ◽  
Oral Disease ◽  
Oral Diseases ◽  
Term Care ◽  
Institutionalized Elderly

The purpose of this follow-up Delphi survey was to have an expert panel of 31 academic geriatric physicians, geriatric nurses, and medical directors of nursing homes evaluate the original timeline set to avoid oral neglect of nursing home residents. The Oral Neglect in Institutionalized Elderly (ONiIE) timelines defined oral neglect as having occurred when >7 days for acute oral diseases/conditions or >34 days for chronic oral disease/conditions had passed between initial diagnosis and offering access to dental care to the long-term care (LTC) nursing home resident. The results of this follow-up Delphi survey validated those originally defined ONiIE timelines as 90% of this panel agreed with the original timelines. This ONiIE definition adds a broad-based validation for the ONiIE timelines for setting an oral health standard of care for institutionalized elderly residents of nursing homes and should now be used to protect the vulnerable elderly residing in LTC nursing homes.

The Effect of Ceramic Painting on the Life Satisfaction and Cognitive Status of Older Adults Residing in a Nursing Home

2019 ◽  
Vol 35 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Funda Çetinkaya ◽  
Güler Duru Aşiret ◽  
Filiz Direk ◽  
Nilüfer Nazende Özkanlı
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Nursing Home ◽  
Cognitive Status

Relationships among person-centered care, nursing home adjustment, and life satisfaction: a cross-sectional survey study

2018 ◽  
Vol 30 (10) ◽  
pp. 1519-1530 ◽  
Author(s):  
Ju Young Yoon
Keyword(s):  
Life Satisfaction ◽  
Nursing Home ◽  
Home Environment ◽  
Direct Relationship ◽  
Nursing Home Residents ◽  
Relationship Development ◽  
Path Model ◽  
Survey Study ◽  
Person Centered Care ◽  
Centered Care

ABSTRACTBackground:The purpose of this study was to examine whether a perceived person-centered nursing home environment has a direct relationship with nursing home adjustment and life satisfaction, and whether a perceived person-centered nursing home environment has an indirect relationship with life satisfaction through improved nursing home adjustment.Methods:203 nursing home residents who were able to read and speak English and were physically and cognitively able to respond to questionnaires were included in this study. Data were collected from six nursing homes in the Midwestern US.Results:Higher levels of a perceived person-centered nursing home environment had a significantly direct relationship with increased life satisfaction of residents (β= 0.35), and this relationship was mediated by residents’ improved nursing home adjustment (β= 0.10). In-depth exploration using sub-domains of the main variables demonstrated that “safety” and “everydayness” of a person-centered nursing home environment were directly related to higher levels of life satisfaction (β= 0.15 andβ= 0.16, respectively); and “everydayness” was related to three sub-domains of nursing home adjustment: better “relationship development,” “acceptance of the new residence” (β= 0.32 andβ= 0.24, respectively), and lower “depressed mood” (β= 0.05). The positive relationship between “everydayness” and life satisfaction was partially mediated by the “relationship development” sub-domain of nursing home adjustment (β= 0.07).Conclusions:The findings provide new evidence for the positive association between person-centered care and nursing home adjustment. The findings also provide insights into the mechanism through which the specific sub-domains of person-centered care and nursing home adjustment operate in the path model.

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