Do Past Experiences Predict Agitation in Nursing Home Residents?

1989 ◽  
Vol 28 (4) ◽  
pp. 285-294 ◽  
Author(s):  
Jiska Cohen-Mansfield ◽  
Marcia S. Marx
Keyword(s):  
Nursing Home ◽  
Mental Disorder ◽  
Leisure Activities ◽  
Nursing Home Residents ◽  
Stressful Events ◽  
Stressful Event ◽  
Stress History ◽  
Life Threatening ◽  
History Of ◽  
Past Experiences

The relationships between the three syndromes of agitated behavior aggressive, physically nonaggressive, and verbally agitated) and three aspects of past personality (exposure to stress, history of a mental disorder, and leisure habits) were examined in 408 nursing home residents. Results showed that residents who had experienced the following stressful events during their lives — a life-threatening experience, separation from spouse, retirement, financial problems, and immigration — exhibited more physically nonaggressive behaviors (such as, pacing). Residents who had not experienced the stressful event of relocation manifested more aggressive (e.g., hitting) and physically nonaggressive behaviors. Neither history of a mental disorder nor past preferences for leisure activities were found to be related to agitated behaviors manifested by nursing home residents. Possible explanations for these results are discussed.

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.

Natural History of Pressure Injury Among Ethnically/Racially Diverse Nursing Home Residents: The Pressure Ulcer Detection Study

2021 ◽  
Vol 47 (3) ◽  
pp. 37-46
Author(s):  
Barbara M. Bates-Jensen ◽  
Kailey Anber ◽  
Maximus M. Chen ◽  
Sierra Collins ◽  
Adriana N. Esparza ◽  
...  
Keyword(s):  
Nursing Home ◽  
Natural History ◽  
Pressure Ulcer ◽  
Nursing Home Residents ◽  
Racially Diverse ◽  
Pressure Injury ◽  
History Of ◽  
Ulcer Detection

scholarly journals Natural History of Feeding-Tube Use in Nursing Home Residents With Advanced Dementia

2009 ◽  
Vol 10 (4) ◽  
pp. 264-270 ◽  
Author(s):  
Sylvia Kuo ◽  
Ramona L. Rhodes ◽  
Susan L. Mitchell ◽  
Vincent Mor ◽  
Joan M. Teno
Keyword(s):  
Nursing Home ◽  
Natural History ◽  
Nursing Home Residents ◽  
Feeding Tube ◽  
Advanced Dementia ◽  
History Of

Natural History of Change in Physical Function Among Long-Stay Nursing Home Residents

2003 ◽  
Vol 52 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Eleanor S. McConnell ◽  
Laurence G. Branch ◽  
Richard J. Sloane ◽  
Carl F. Pieper
Keyword(s):  
Nursing Home ◽  
Natural History ◽  
Physical Function ◽  
Nursing Home Residents ◽  
History Of

scholarly journals Determinants of Urinary Incontinence and Subtypes Among the Elderly in Nursing Homes

2021 ◽  
Vol 9 ◽  
Author(s):  
Hongyan Tai ◽  
Shunying Liu ◽  
Haiqin Wang ◽  
Hongzhuan Tan
Keyword(s):  
Risk Factors ◽  
Urinary Incontinence ◽  
Nursing Home ◽  
Nursing Homes ◽  
Spinal Surgery ◽  
Short Form ◽  
Significant Risk ◽  
Nursing Home Residents ◽  
International Consultation ◽  
History Of

Urinary incontinence (UI) is a common problem among older adults. This study investigated the prevalence of UI in nursing home residents aged ≥75 years in China and examined potential risk factors associated with UI and its subtypes. Data were collected during face-to-face interviews using a general questionnaire, the International Consultation Incontinence Questionnaire Short-Form, and the Barthel Index. A total of 551 participants aged ≥75 years residing in Changsha city were enrolled from June to December 2018. The UI prevalence rate among nursing home residents aged ≥75 years was 24.3%. The most frequent subtype was mixed (M) UI (38.1%), followed by urge (U) UI (35.1%), stress (S) UI (11.9%), and other types (14.9%). In terms of severity, 57.5% had moderate UI, while 35.1% had mild and 7.5% had severe UI. Constipation, immobility, wheelchair use, cardiovascular disease (CVD), and pelvic or spinal surgery were significant risk factors for UI. Participants with a history of surgery had higher risks of SUI (odds ratio [OR] = 4.87, 95% confidence interval [CI]: 1.55–15.30) and UUI (OR = 1.97, 95% CI: 1.05–3.71), those who were immobile or used a wheelchair had higher rates of MUI (OR = 11.07, 95% CI: 4.19–29.28; OR = 3.36, 95% CI: 1.16–9.78) and other UI types (OR = 7.89, 95% CI: 1.99–31.30; OR = 14.90, 95% CI: 4.88–45.50), those with CVD had a higher rate of UUI (OR = 2.25, 95% CI: 1.17–4.34), and those with diabetes had a higher risk of UUI (OR = 2.250, 95% CI: 1.14–4.44). Use of oral antithrombotic agents increased UUI risk (OR = 4.98, 95% CI: 2.10–11.85) whereas sedative hypnotic drug use was associated with a higher risk of MUI (OR = 3.62, 95% CI: 1.25–10.45). Each UI subtype has distinct risk factors, and elderly residents of nursing homes with a history of CVD and pelvic or spinal surgery who experience constipation should be closely monitored. Reducing time spent in bed and engaging in active rehabilitation including walking and muscle strengthening may aid in UI prevention and treatment.

Communicating With Nursing Home Residents About End of Life

2021 ◽  
pp. 104990912110648
Author(s):  
Janet Sopcheck ◽  
Ruth M. Tappen
Keyword(s):  
Nursing Home ◽  
End Of Life ◽  
End Of Life Care ◽  
Family Members ◽  
Secondary Analysis ◽  
Nursing Home Residents ◽  
Future Research ◽  
Life Care ◽  
Older Individuals ◽  
Past Experiences

Approximately 33% of the 1.2 million older individuals residing in nursing homes have the capacity to discuss their preferences for end-of-life care, and 35% will die within their first year in the nursing home. These conversations necessary to promote care consistent with the resident’s preferences are often limited and most often occur when the resident is actively dying. The purpose of this secondary analysis was to understand the resident’s perspectives on end-of-life communication in the nursing home and suggest approaches to facilitate this communication. We interviewed 46 participants (16 residents, 10 family members, and 20 staff) in a Southeast Florida nursing home from January to May 2019. The data were analyzed using descriptive and pattern coding and matrices to decipher preliminary categories and thematic interpretation within and across each participant group. Two themes emerged from this secondary analysis that residents assume others know their end-of-life preferences, and past experiences may predict future end-of-life choices. Residents and family members were willing to discuss end-of-life care. Study findings also suggested that past experiences with the end-of-life and critical illness of another could impact residents’ and family members’ end-of-life care decisions, and that nurses’ recognition of subtle signs of a resident’s decline may trigger provider-initiated end-of-life conversations. Future research should focus on strategies to promote earlier end-of-life discussions to support independent decision-making about end-of-life care in this relatively dependent population of older adults.

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