Comments on a Process for Identifying Stages of Dementia in Residents of Nursing Facilities

1994 ◽  
Vol 75 (2) ◽  
pp. 743-746 ◽  
Author(s):  
Robert B. Williams ◽  
Michael B. Swift
Keyword(s):  
Functional Status ◽  
Functional Assessment ◽  
Rating Scale ◽  
Minimum Data Set ◽  
Nursing Facilities ◽  
Medical Conditions ◽  
Nursing Facility ◽  
Data Set ◽  
Minimum Data ◽  
Resident Assessment

This paper gives a description of how items of the Global Deterioration Scale's Brief Cognitive Rating Scale and Functional Assessment Staging can be verified by reviewing specific sections and items of the Minimum Data Set for Nursing Facility Resident Assessment and Care Screening which is completed annually and updated every three months or when significant changes in health occur. A likely outcome of such comparisons is improved understanding of the cognitive and functional status of residents with dementia and other medical conditions.

The Relationship Between Minimum Data Set Ratings and Scores on Measures of Communication and Hearing Among Nursing Home Residents With Dementia

2001 ◽  
Vol 10 (4) ◽  
pp. 370-381 ◽  
Author(s):  
Tammy Hopper ◽  
Kathryn A. Bayles ◽  
Frances P. Harris ◽  
Audrey Holland
Keyword(s):  
Nursing Home ◽  
Rating Scale ◽  
Assessment Tool ◽  
Nursing Home Residents ◽  
Minimum Data Set ◽  
Nursing Facilities ◽  
Data Set ◽  
Minimum Data ◽  
Hearing Function ◽  
The Relationship

The Minimum Data Set (MDS) is a federally mandated assessment tool used to evaluate individuals residing in skilled nursing facilities, a large percentage of whom have dementia. Best described as a rating scale, it comprises items related to 16 domains of functioning, including communication and hearing. Typically, the MDS is completed by a nurse. When a deficit is observed, Resident Assessment Protocols (RAPs) are designed to address the impairment and provide information for appropriate plans of care. The purposes of this study were to: (a) comprehensively assess the communication and hearing function of nursing home residents with dementia, (b) evaluate the relationship between ratings on MDS communication and hearing items and the performance of dementia patients on standardized assessments, and (c) determine the number of residents with MDS-identified deficits who received a referral for further evaluation. Fifty-seven individuals with a medical diagnosis of dementia participated. All exhibited deficits in communication and hearing function; however, the majority of participants were rated as having normal or adequate communication and hearing on the MDS. Of those participants with MDS-identified impairments in communication and hearing, none was referred for further evaluation. Implications for policy and care for nursing home residents with dementia 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.

scholarly journals Effects of Hurricane Katrina on Nursing Facility Resident Mortality, Hospitalization, and Functional Decline

2010 ◽  
Vol 4 (S1) ◽  
pp. S28-S32 ◽  
Author(s):  
David Dosa ◽  
Zhanlian Feng ◽  
Kathy Hyer ◽  
Lisa M. Brown ◽  
Kali Thomas ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Hurricane Katrina ◽  
Functional Decline ◽  
Secondary Data ◽  
Hospitalization Rate ◽  
Minimum Data Set ◽  
Nursing Facility ◽  
Data Set ◽  
Hospitalization Rates ◽  
Minimum Data

ABSTRACTBackground: The study was designed to examine the 30- and 90-day mortality and hospitalization rates among nursing facility (NF) residents in the affected areas of Louisiana and Mississippi following Hurricane Katrina and to assess the rate of significant posthurricane functional decline.Methods: A secondary data analysis was conducted using Medicare claims merged with NF resident data from the Minimum Data Set. Thirty- and 90-day mortality and hospitalization rates for long-stay (>90 days) residents residing in 141 at-risk NFs during Hurricane Katrina were compared to rates for residents residing at the same facilities during the same time period in prior nonhurricane years (2003 and 2004). Functional decline was assessed as a 4+ drop in function using a 28-point Minimum Data Set Activities of Daily Living Scale.Results: There were statistically significant differences (all P < .0001) in mortality, hospitalization, and functional decline among residents exposed to Hurricane Katrina. At 30 days, the mortality rate was 3.88% among the exposed cohort compared with 2.10% and 2.28% for residents in 2003 and 2004, respectively. The 90-day mortality rate was 9.27% compared with 6.71% and 6.31%, respectively. These mortality differences translated into an additional 148 deaths at 30 days and 230 deaths at 90 days. The 30-day hospitalization rate was 9.87% compared with 7.21% and 7.53%, respectively. The 90-day hospitalization rate was 20.39% compared with 18.61% and 17.82%, respectively. Finally, the rate of significant functional decline among survivors was 6.77% compared with 5.81% in 2003 and 5.10% in 2004.Conclusions: NF residents experienced a significant increase in mortality, hospitalization, and functional decline during Hurricane Katrina.(Disaster Med Public Health Preparedness. 2010;4:S28-S32)

scholarly journals Instrumentos desenvolvidos para o gerenciamento e cuidado de idosos em instituições de longa permanência: uma revisão sistemática

2016 ◽  
Vol 21 (11) ◽  
pp. 3597-3610
Author(s):  
Paulo Adão de Medeiros ◽  
Artur Rodrigues Fortunato ◽  
Adriana Aparecida da Fonseca Viscardi ◽  
Fabiana Flores Sperandio ◽  
Giovana Zarpellon Mazo
Keyword(s):  
Assessment Instrument ◽  
Minimum Data Set ◽  
Medical Subject Headings ◽  
Data Set ◽  
Minimum Data ◽  
Subject Headings ◽  
Resident Assessment ◽  
Resident Assessment Instrument

Resumo Como a demanda por instituições de longa permanência para idosos (ILPIs) está aumentando, torna-se relevante para os sistemas de saúde pública discutir o processo de avaliação das condições de saúde dos seus residentes. O presente estudo objetivou identificar instrumentos de medida construídos especificamente para o gerenciamento e o cuidado de residentes idosos, em instituições de longa permanência. Realizou-se uma revisão sistemática segundo as recomendações PRISMA, nos bancos de dados Medline e CINAHL, desde a sua criação até maio de 2013, utilizando termos da Medical Subject Headings adequados para a busca. Foram encontrados 1858 artigos e selecionados 30, sendo identificados 28 instrumentos nesses estudos. Os EUA foram o país que mais construiu instrumentos voltados a essa população e o Minimum Data Set/Resident Assessment Instrument (MDS/RAI) foi o mais utilizado nos estudos da presente revisão. As variáveis mais frequentemente avaliadas pelos instrumentos foram a depressão, a cognição e a capacidade funcional. Torna-se urgente a reformulação de políticas públicas que garantam um sistema de avaliação padronizado dos residentes de ILPIs no Brasil, sendo um desafio fazer com que os instrumentos desenvolvidos consigam se difundir e se efetivar no cotidiano dos profissionais dessas instituições.

Reliability Estimates for The Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS)

1995 ◽  
Vol 35 (2) ◽  
pp. 172-178 ◽  
Author(s):  
C. Hawes ◽  
J. N. Morris ◽  
C. D. Phillips ◽  
V. Mor ◽  
B. E. Fries ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Resident ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data ◽  
Reliability Estimates ◽  
Resident Assessment

Minimum Data Set and Resident Assessment Instrument

1999 ◽  
Vol 25 (6) ◽  
pp. 35-43 ◽  
Author(s):  
Marilyn J Rantz ◽  
Lori Popejoy ◽  
Mary Zwygart-Stauffacher ◽  
Deidre Wipke-Tevis ◽  
Victoria T Grando
Keyword(s):  
Assessment Instrument ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data ◽  
Resident Assessment ◽  
Resident Assessment Instrument

Resident Assessment Instrument/Minimum Data Set

2006 ◽  
pp. 1855-1865
Author(s):  
Brant E. Fries ◽  
Catherine Hawes ◽  
John N. Morris ◽  
Roberto Bernabei
Keyword(s):  
Assessment Instrument ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data ◽  
Resident Assessment ◽  
Resident Assessment Instrument

Screening Depression Among Institutionalized Older Chinese Men by Minimum Data Set

2009 ◽  
Vol 24 (4) ◽  
pp. 179-183 ◽  
Author(s):  
Chih-Kuang Liang ◽  
Liang-Kung Chen ◽  
Chia-Fen Tsai ◽  
Tung-Ping Su ◽  
Yuk-Keung Lo ◽  
...  
Keyword(s):  
Rating Scale ◽  
Short Form ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Minimum Data Set ◽  
Geriatric Depression ◽  
Data Set ◽  
Chinese Men ◽  
Minimum Data ◽  
Older Chinese

Objective: To compare the effectiveness of the Minimum Data Set-based Depression Rating Scale (MDS-DRS) and Geriatric Depression Scale (GDS) in screening depression among older institutionalized Chinese men living in Taiwan. Method: MDS Nursing Home 2.1 Chinese version, Mini-Mental State Examination (MMSE), and short form Geriatric Depression Scale (GDS-15) were used among elderly residents in Banciao Veterans Home. Screening results of MDS-DRS and GDS-15, and relationship between 16 MDS Mood and Anxiety symptoms and depression were evaluated. Results: The prevalence of depression defined by MDS-DRS and GDS were 0.2% and 8.7%, respectively. Multiple logistic regression disclosed that E1a (OR: 12.9, 95% CI: 2.8-58.8, p = 0.001), E1k (OR: 15.6, 95% CI: 5.6-43.5, p < 0.001), and E1l (OR: 22.2, 95% CI: 6.1-83.3, p < 0.001) were all independent associative factors for GDS-defined depression but only explained 51.9% of all depressive subjects. Conclusions: The effectiveness of MDS-DRS is limited, and a new MDS-based depression screening instrument is needed.

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