Depression is associated with poor functioning in activities of daily living among nursing home residents without cognitive impairment

2011 ◽  
Vol 20 (21-22) ◽  
pp. 3111-3118 ◽  
Author(s):  
Jorunn Drageset ◽  
Geir E Eide ◽  
Anette H Ranhoff
Author(s):  
Peter R. Grant

ABSTRACTAdmission data from 159 residents of four Saskatchewan nursing homes were analysed in order to identify predictors of level of care. Multiple regression analyses showed that a high level of care was assigned to those who were unable to perform various activities of daily living, those who had behavioral problems, and those who had recently experienced a stressful life event; with these variables and a nursing home variable explaining 47.2% of the variance. Appropriately, the most important predictor is activities of daily living. The other major predictor is behavioral problems which, the results suggest, are caused by either an organic psychotic disorder or a high level of stress. It is recommended that, following admission, new residents with behavioral problems caused by stress should be the recipients of programs designed to help them cope with this stress and mitigate their behavioral problems. Then, they should be reassessed and, where appropriate, reassigned to a lower level of care.


2015 ◽  
Vol 55 (Suppl 1) ◽  
pp. S88-S98 ◽  
Author(s):  
Kristine M. C. Talley ◽  
Jean F. Wyman ◽  
Kay Savik ◽  
Robert L. Kane ◽  
Christine Mueller ◽  
...  

2015 ◽  
Vol 36 (12) ◽  
pp. 1453-1470 ◽  
Author(s):  
Katerina Machacova ◽  
Hana Vankova ◽  
Ladislav Volicer ◽  
Petr Veleta ◽  
Iva Holmerova

Late life deterioration of functional status is associated with adverse health outcomes and increased cost of care. This trial was conducted to determine whether dance-based intervention could reverse functional decline among nursing home (NH) residents. A total of 189 residents of seven NHs in the Czech Republic were randomly assigned to intervention and control groups. More detailed data were collected in a subsample of 52 participants. Intervention consisted of 3-month dance-based exercise. Functional status was assessed by the get-up-and-go test, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and senior fitness tests (SFTs). Participants in the control group experienced a significant decline in get-up-and-go test, IADL, and in four of the six SFTs. The intervention proved to be effective in preventing this deterioration and improved chair stand test and chair sit-and-reach test. The findings indicate that a relatively simple dance-based exercise can slow down deterioration of functional status in NH residents.


2018 ◽  
Vol 24 (4) ◽  
pp. 367-375 ◽  
Author(s):  
Myoung Sook Kim

Purpose: This purpose of this study was to examine the effects of self-efficacy and activities of daily living on the level of depression among elderly nursing home residents. Methods: A descriptive study was conducted using a self-reported questionnaires completed by 163 elderly. Data were analyzed using t-test, one-way ANOVA, Scheff? test, Pearson correlation coefficients, and multiple regression analysis using SPSS 20.0. Results: The mean score for depression was 9.24, for self-efficacy 3.19, and for activities of daily living 1.85. Stepwise multiple regression analyses were used to examine the influences of research variables. Activities of daily living and self-efficacy were significant predictors of depression. The model explained 24.0% of the variables. Conclusion: As a result of this study, the activities of daily living and self-efficacy were defined as an important influential on depression. Therefore, the development nursing intervention programs is needed to reduce depression levels in the elderly to enhance daily living activities and self-efficacy.


2018 ◽  
Vol 31 (7) ◽  
pp. 1315-1336 ◽  
Author(s):  
Danilo Bolano ◽  
André Berchtold ◽  
Elisabeth Bürge

Objective: This study investigated the variability in activities of daily living (ADL) trajectories among 6,155 nursing home residents using unique and rich observational data. Method: The impairment in ADL performance was considered as a dynamic process in a multi-state framework. Using an innovative mixture model, such states were not defined a priori but inferred from the data. Results: The process of change in functional health differed among residents. We identified four latent regimes: stability or slight deterioration, relevant change, variability, and recovery. Impaired body functions and poor physical performance were main risk factors associated with degradation in functional health. Discussion: The evolution of disability in later life is not completely gradual or homogeneous. Steep deterioration in functional health can be followed by periods of stability or even recovery. The current condition can be used to successfully predict the evolution of ADL allowing to set and target different care priorities and practices.


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