Five-Year Follow-Up Study of Nursing Home Residents Using the Behavioral Rating Scale

Objective: The aim of this study was to determine whether indirect self-destructive behaviors predict mortality in nursing home residents. Method: This cross-sectional study with follow-up after 2 years and 3 months surveyed 593 residents in 10 nursing homes in the eastern suburbs of Sydney, Australia. The following instruments were used: Harmful Behaviors Scale (HBS), Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD), Functional Assessment Staging Scale, Resident Classificatin Index, Cumulative Illness Rating Scale, Even Briefer Assessment Scales for Depression, and the suicide item from the Structured Hamilton Depression Rating Scale. Diagnoses of depression, dementia, and psychosis were obtained from nursing home records. Mortality data were obtained in August 1999. Results: At follow-up, 297 (50.1%) residents were still alive with a mean survival time of 565.4 days. Survival analyses found that mortality was predicted by older age, male gender, lower level of functioning, lower levels of behavioral disturbance on the BEHAVE-AD, and higher scores on the HBS “passive self-harm” factor-based subscale, which includes refusal to eat, drink, or take medication. Discussion: These results suggest that passive self-harm behaviors predict mortality in nursing home residents.

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LB038 NUTRITIONAL STATUS AND MORTALITY OF NURSING HOME RESIDENTS RESULTS OF A 12-MONTH FOLLOW-UP STUDY

Clinical Nutrition Supplements ◽

10.1016/s1744-1161(10)70550-0 ◽

2010 ◽

Vol 5 (2) ◽

pp. 210

Author(s):

R. Kaiser ◽

K. Winning ◽

J.M. Bauer ◽

S. Lesser ◽

P. Stehle ◽

...

Keyword(s):

Nursing Home ◽

Nutritional Status ◽

Nursing Home Residents ◽

Follow Up Study

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Loss of benefits after cessation of exercise interventions in nursing home residents: randomized controlled trial follow-up

Geriatric Nursing ◽

10.1016/j.gerinurse.2021.03.009 ◽

2021 ◽

Vol 42 (3) ◽

pp. 621-627

Author(s):

Ana Rodriguez-Larrad ◽

Haritz Arrieta ◽

Chloe Rezola-Pardo ◽

Izaro Esain ◽

Pablo Mendia-Oria ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Nursing Home ◽

Controlled Trial ◽

Nursing Home Residents ◽

Exercise Interventions ◽

Randomized Controlled

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Neuroleptic Use and Behavioral Disturbance in Nursing Homes: A 1-Year Study

International Psychogeriatrics ◽

10.1017/s1041610295002274 ◽

1995 ◽

Vol 7 (4) ◽

pp. 535-545 ◽

Cited By ~ 10

Author(s):

Lynda C. Burton ◽

Barry W. Rovner ◽

Pearl S. German ◽

Larry J. Brant ◽

Rebecca D. Clark

Keyword(s):

Nursing Home ◽

Problem Behaviors ◽

Rating Scale ◽

Nursing Home Residents ◽

Disruptive Behaviors ◽

Nursing Assistants ◽

Behavioral Disturbance ◽

Nursing Facilities ◽

Medication Knowledge ◽

Skilled Nursing

This article discusses a longitudinal study of change in disruptive behaviors among nursing home residents treated with neuroleptics compared with those not treated with neuroleptics. Observations were made of 201 participants on admission to and after 1 year in eight skilled nursing facilities. Nine disruptive behaviors were measured using the Psychogeriatric Dependency Rating Scale with nursing assistants. Neuroleptic use was documented from medication records. Odds ratios are reported for the association of behavior at baseline and use of neuroleptics on nine problem behaviors. For those who received neuroleptics during the year, there was greater change in both developing and resolving disruptive behaviors than for those not receiving neuroleptics. For both groups, restless or pacing behavior and belligerent behavior manifested by refusing instructions changed the most, both in developing and in apparently resolving. Our results show that change in disruptive behaviors occurs among nursing home residents regardless of neuroleptic use, but it occurs more frequently among those who receive neuroleptic medication. Knowledge of which disruptive behaviors are most likely to resolve or develop is important in training nursing home staff to cope with the behaviors as well as in planning interventions that may modify such behaviors.

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Geriatric Health Experts Validate Oral Neglect Timelines for the Institutionalized Elderly

Journal of Applied Gerontology ◽

10.1177/0733464819880085 ◽

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.

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