Preferred Music Listening Intervention in Nursing Home Residents with Cognitive Impairment: A Randomized Intervention Study

Screaming and other types of disruptive vocalization are commonly observed among nursing home residents. Depressive symptoms are also frequently seen in this group, although the relationship between disruptive vocalization and depressive symptoms is unclear. Accordingly, we sought to examine this relationship in older nursing home residents. We undertook a controlled comparison of 41 vocally disruptive nursing home residents and 43 non-vocally-disruptive nursing home residents. All participants were selected to have Mini-Mental State Examination (MMSE) scores of at least 10. Participants had a mean age of 81.0 years (range 63-97 years) and had a mean MMSE score of 17.8 (range 10-29). Nurse ratings of disruptive vocalization according to a semioperationalized definition were validated against the noisy behavior subscale of the Cohen-Mansfield Agitation Inventory. Subjects were independently rated for depressive symptoms by a psychiatrist using the Dementia Mood Assessment Scale, the Cornell Scale for Depression in Dementia, and the Depressive Signs Scale. Vocally disruptive nursing home residents scored significantly higher than controls on each of these three depresion-in-dementia scales. These differences remained significant when the effects of possible confounding variables of cognitive impairment, age, and sex were removed. We conclude that depressive symptoms are associated with disruptive vocalization and may have an etiological role in the generation of disruptive vocalization behaviors in elderly nursing home residents.

Download Full-text

Advanced cognitive impairment among older nursing home residents

BMC Geriatrics ◽

10.1186/s12877-021-02336-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tadeja Gracner ◽

Patricia W. Stone ◽

Mansi Agarwal ◽

Mark Sorbero ◽

Susan L Mitchell ◽

...

Keyword(s):

Risk Factors ◽

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Nursing Home ◽

Cognitive Impairment ◽

Mortality Risk ◽

Advanced Disease ◽

Nursing Home Residents ◽

Functional Score ◽

Data Set

Abstract Background Though work has been done studying nursing home (NH) residents with either advanced Alzheimer’s disease (AD) or Alzheimer’s disease related dementia (ADRD), none have distinguished between them; even though their clinical features affecting survival are different. In this study, we compared mortality risk factors and survival between NH residents with advanced AD and those with advanced ADRD. Methods This is a retrospective observational study, in which we examined a sample of 34,493 U.S. NH residents aged 65 and over in the Minimum Data Set (2011–2013). Incident assessment of advanced disease was defined as the first MDS assessment with severe cognitive impairment (Cognitive Functional Score equals to 4) and diagnoses of AD or ADRD. Demographics, functional limitations, and comorbidities were evaluated as mortality risk factors using Cox models. Survival was characterized with Kaplan-Maier functions. Results Of those with advanced cognitive impairment, 35 % had AD and 65 % ADRD. At the incident assessment of advanced disease, those with AD had better health compared to those with ADRD. Mortality risk factors were similar between groups (shortness of breath, difficulties eating, substantial weight-loss, diabetes mellitus, heart failure, chronic obstructive pulmonary disease, and pneumonia; all p < 0.01). However, stroke and difficulty with transfer (for women) were significant mortality risk factors only for those with advanced AD. Urinary tract infection, and hypertension (for women) only were mortality risk factors for those with advanced ADRD. Median survival was significantly shorter for the advanced ADRD group (194 days) compared to the advanced AD group (300 days). Conclusions There were distinct mortality and survival patterns of NH residents with advanced AD and ADRD. This may help with care planning decisions regarding therapeutic and palliative care.

Download Full-text

Knowledge translation tool to improve pregnant women’s awareness of gestational weight gain goals and risks of gaining outside recommendations: a non-randomized intervention study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-015-0534-z ◽

2015 ◽

Vol 15 (1) ◽

Cited By ~ 8

Author(s):

Sarah D McDonald ◽

Christina K Park ◽

Eleanor Pullenayegum ◽

Keyna Bracken ◽

Wendy Sword ◽

...

Keyword(s):

Weight Gain ◽

Knowledge Translation ◽

Gestational Weight Gain ◽

Intervention Study ◽

Gestational Weight ◽

Randomized Intervention ◽

Randomized Intervention Study

Download Full-text

Improving Nursing Home Residents' Oral Hygiene: Results of a Cluster Randomized Intervention Trial

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2018.09.036 ◽

2018 ◽

Vol 19 (12) ◽

pp. 1086-1091 ◽

Cited By ~ 14

Author(s):

Jane A. Weintraub ◽

Sheryl Zimmerman ◽

Kimberly Ward ◽

Christopher J. Wretman ◽

Philip D. Sloane ◽

...

Keyword(s):

Nursing Home ◽

Oral Hygiene ◽

Nursing Home Residents ◽

Intervention Trial ◽

Randomized Intervention ◽

Cluster Randomized

Download Full-text

Feasibility of the cognitive assessment of nursing home residents with mild-to-moderate cognitive impairment using the intelligent voice-guided digital assistant THALIE: A pilot study

Gerontechnology ◽

10.4017/gt.2020.19.04.390 ◽

2020 ◽

Vol 19 (4) ◽

pp. 1-9

Author(s):

Patricia Sagaspe ◽

Véronique Lespinet-Najib ◽

Sylvie Poulette ◽

Jean-Christophe Vasselon ◽

Amélie Roche ◽

...

Keyword(s):

Nursing Home ◽

Cognitive Impairment ◽

Pilot Study ◽

Cognitive Assessment ◽

Nursing Home Residents ◽

Moderate Cognitive Impairment

Download Full-text

Factors Influencing the Deterioration from Cognitive Decline of Normal Aging to Dementia among Nursing Home Residents

10.21203/rs.3.rs-42680/v2 ◽

2020 ◽

Author(s):

Audai A. Hayajneh ◽

Mohammad Rababa ◽

Alia A. Alghwiri ◽

Dina Masha'al

Keyword(s):

Quality Of Life ◽

Nursing Home ◽

Cognitive Impairment ◽

Mild Cognitive Impairment ◽

Nursing Homes ◽

Nursing Home Residents ◽

Bivariate Analysis ◽

Medical Factors ◽

Moderate Cognitive Impairment

Abstract Background: A dearth of differential research exists regarding the determinants of mild cognitive impairment (MCI) and moderate cognitive impairment or dementia among nursing home residents. This study aimed to identify and examine the association between medical factors (number of comorbidities, hospitalization, disability, depression, frailty and quality of life) and moderate cognitive impairment or dementia in nursing homes residents.Methods: A cross-sectional design was used in this study. Convenience sampling of 182 participants was conducted in nursing homes located in the central part of Jordan. Montreal cognitive assessment (MoCA) was used to screen both MCI and moderate cognitive impairment or dementia. Bivariate analysis, including t-test and ANOVA test, and logistic and linear regression models were used to examine and identify the medical factors associated with moderate cognitive impairment or dementia compared to mild cognitive impairment.Results: Most nursing home residents had MCI (87.4%) compared to a few with moderate cognitive impairment or dementia. Age (t = -2.773), number of comorbidities (t = -4.045), depression (t = -4.809), frailty (t = -4.038), and quality of life physical (t = 3.282) and mental component summaries (t = 2.469) were significantly different between the stages of cognitive impairment. Marital status (t = -4.050, p < 0.001), higher-income (t = 3.755, p < 0.001), recent hospitalization (t = 2.622,p = 0.01), depression (t = -2.737, p = 0.007), and frailty (t = 2.852, p = 0.005) were significantly associated with mental ability scores among nursing home residents.Conclusion: The coexistence of comorbidities and depression among nursing home residents with MCI necessitates prompt management by healthcare providers to combat depressive symptoms in order to delay the dementia trajectory among at-risk residents.Trail registration number: ClinicalTrials.gov Identifier: NCT04589637

Download Full-text