Analyses of the minimum data set: comparisons of nursing home residents with multiple sclerosis to other nursing home residents

2002 ◽  
Vol 8 (6) ◽  
pp. 512-522 ◽  
Author(s):  
R J Buchanan ◽  
S Wang ◽  
H Ju
Keyword(s):  
Multiple Sclerosis ◽  
Nursing Home ◽  
Nursing Homes ◽  
Nursing Home Residents ◽  
Minimum Data Set ◽  
Data Set ◽  
Physically Disabled ◽  
Minimum Data ◽  
Health Status Measures ◽  
Year 2000

This research compares nursing home residents with multiple sclerosis (MS) at admission to other nursing home residents using the minimum data set (MDS). These comparisons include sociodemographic characteristics and health status measures, as well as treatments and procedures received. We analysed 14,009 admission assessments in the MDS for residents with MS between June 22, 1998 and December 31, 2000. We also analysed 440,642 MDS admission assessments for all residents admitted to nursing homes during the year 2000, with any admission assessments for residents with MS excluded from this comparison group. Residents with MS were significantly younger at admission than other recently admitted residents. In addition, residents with MS tended to be significantly more physically disabled and also less cognitively impaired than other residents at admission, based on analyses of several measures of physical disability and cognitive performance. Nursing homes caring for residents with MS should provide services and programs, including mental health care, that address the needs of these younger, more physically disabled, and more cognitively intact residents.

Profiles of nursing home residents with multiple sclerosis using the minimum data set

2001 ◽  
Vol 7 (3) ◽  
pp. 189-200 ◽  
Author(s):  
Robert J Buchanan ◽  
Suojin Wang ◽  
Chunfeng Huang ◽  
David Graber
Keyword(s):  
Multiple Sclerosis ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Well Being ◽  
Limited Range ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data ◽  
Limited Range Of Motion ◽  
Health Status Measures

This paper profiles nursing home residents with multiple sclerosis (MS) at the time of admission, including sociodemographic characteristics, health status measures, and treatments received. Admission assessments from the Minimum Data Set are used to create these profiles of residents with MS. There are 9013 admission assessments in the MDS for residents with MS between June 22, 1998 and January 17, 2000 analyzed for this study. Residents with MS are distinctly younger at admission than most nursing home residents, averaging 57.98 years of age. Recently admitted residents with MS are more physically dependent than other nursing home residents and tend to have limited range of motion and loss of voluntary movement. About one in three newly admitted residents with MS had some degree of impaired cognitive function. Over one third of residents with MS were depressed at admission, yet only 11.7% of recently admitted residents with MS were evaluated by a licensed mental health specialist. This prompts concern about the psychosocial well-being of MS residents in nursing homes.

Nursing home residents with multiple sclerosis and dementia compared to other multiple sclerosis residents

2005 ◽  
Vol 11 (5) ◽  
pp. 610-616 ◽  
Author(s):  
Robert J Buchanan ◽  
Raymond A Martin ◽  
Linda Moore ◽  
Suojin Wang ◽  
Hyunsu Ju
Keyword(s):  
Multiple Sclerosis ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Clinical Analysis ◽  
Minimum Data Set ◽  
Nursing Home Admission ◽  
Nursing Facilities ◽  
Data Set ◽  
Minimum Data ◽  
Significant Symptom

Cognitive impairment may be a significant symptom in multiple sclerosis (MS), affecting about one half of MS patients in study samples similar to the general MS population. An interesting question is what role dementia, of any aetiology, plays in the cognitive ability of people with MS. The objective of this research is to learn more about nursing home residents with MS and dementia, identifying how they differ from other residents with MS. We developed profiles of MS residents with dementia using the Minimum Data Set and compared these profiles to other residents with MS. Nursing home residents with MS and dementia are admitted to nursing facilities at an older age and seem less likely to have physical impairments but more mood and behaviour problems than other MS residents at admission. A cortical variant of MS may be more prevalent than previously suspected and may be a factor responsible leading to nursing home admission in this subgroup of patients. Further clinical analysis of this subgroup would be necessary to support this contention.

Analyses of nursing home residents with multiple sclerosis and depression using the Minimum Data Set

2003 ◽  
Vol 9 (2) ◽  
pp. 171-188 ◽  
Author(s):  
Robert J Buchanan ◽  
Suojin Wang ◽  
Ming Tai-Seale ◽  
Hyunsu Ju
Keyword(s):  
Mental Health ◽  
Multiple Sclerosis ◽  
Nursing Home ◽  
Racial Differences ◽  
Nursing Home Residents ◽  
Mental Healthcare ◽  
Minimum Data Set ◽  
Nursing Facilities ◽  
Data Set ◽  
Minimum Data

Depression is the most common psychiatric condition among people with multiple sclerosis (MS). A total of 14 009 people with MS at admission to a nursing facility were analyzed using the Minimum Data Set and 36% also had depression. This study developed profiles of nursing home residents with MS who also had depression and compared them with other residents with MS. MS residents with depression were significantly more likely to be female and younger than other MS residents, with significant racial differences as well. MS residents with depression were significantly more likely than other MS residents to have a history of mental health conditions, exhibit mood indicators, and have unsettled relationships. Both groups of MS residents had high levels of physical disability, although MS residents with depression tended to be slightly less disabled. MS residents with depression were more likely than other MS residents to experience daily pain and more likely to have the diseases common to all residents with MS. This research found that most MS residents with depression did not receive mental health services, demonstrating that nursing facilities must improve the mental healthcare provided to residents with MS with depression.

Profiles of nursing home residents with multiple sclerosis using the minimum data set

2001 ◽  
Vol 7 (3) ◽  
pp. 189-200 ◽  
Author(s):  
R.J. Buchanan ◽  
S. Wang ◽  
C. Huang ◽  
D. Graber
Keyword(s):  
Multiple Sclerosis ◽  
Nursing Home ◽  
Nursing Home Residents ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data

Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD) in adults: Design and pilot study in nursing home residents

2018 ◽  
Vol 27 (4) ◽  
pp. 191-198
Author(s):  
Karen Van den Bussche ◽  
Sofie Verhaeghe ◽  
Ann Van Hecke ◽  
Dimitri Beeckman
Keyword(s):  
Nursing Home ◽  
Pilot Study ◽  
Nursing Home Residents ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data

Characteristics and Care of U.S. Nursing Home Residents with a History of Chronic Mental Illness

2000 ◽  
Vol 19 (S2) ◽  
pp. 1-17 ◽  
Author(s):  
Charles D. Phillips ◽  
Kathleen M. Spry
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Minimum Data Set ◽  
Chronic Mental Illness ◽  
Data Set ◽  
Minimum Data ◽  
Troubles Mentaux ◽  
History Of ◽  
Resident Assessment ◽  
Medicaments Psychotropes

RÉSUMÉTrès peu de recherches ont été effectuées sur les pensionnaires des maisons de soins ayant manifestés des troubles mentaux chroniques sans démence avant leur entrée en institution. Les données du Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) de 1993 ont été utilisées pouranalyser les différences dans les caractéristiques et les soins se rapportant à ce type de pensionnaires par rapport aux autres pensionnaires. Cette enquête portait sur 70 000 pensionnaires du Kansas, du Maine, du Mississippi et du Dakota du Sud. Les caractéristiques des pensionnaires qui éprouvaient ce type de troubles mentaux chroniques étaient plus fréquemment les suivantes: sexe masculin, 65 ans et plus, bénéficiaires de Medicaid, moins médicalement inaptes et niveau plus élevé de problèmes de comportements. Ces pensionnaires reçoivent aussi davantage de médicaments psychotropes et suivant une thérapie, la prévalence de la thérapie étant cependant moins éleveé. Les informations recueillies pourraient laisser croire que les soins accordés à ces pensionnaires ne sont pas des plus appropriés.

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