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The relationship of demographic factors, locus of control and self-efficacy to successful nursing home adjustment
- Authors:
- JOHNSON Brian D., et al
- Journal article citation:
- Gerontologist, 38(2), April 1998, pp.209-216.
- Publisher:
- Oxford University Press
Presents the findings of one study investigating demographic and psychological predictors of older adults' successful adjustment to a nursing home. Predictors included demographic variables, locus of control, and self-efficacy beliefs. Successful adjustment was defined by activity level and by positive and negative affect. Findings suggest that demographic variables were not effective predictors of successful adjustment. Perceived self-efficacy accounted for more of the unique variance in adjustment than locus of control. Results are discussed in the context of improving resident adjustment to nursing home environments.
Mortality in Alzheimer's disease: a comparative prospective Korean study in the community and nursing homes
- Authors:
- SUH Guk-Hee, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 20(1), January 2005, pp.26-34.
- Publisher:
- Wiley
The aim was to test a hypothesis that Alzheimer's disease (AD) patients in nursing homes have higher mortality rate than do AD patients cared for at home and to investigate the predictors of mortality in AD. A total of 252 subjects (107 in the community, 145 in a nursing home) were longitudinally assessed at baseline, 6 months and 12 months. Mortality rates between groups were compared using Kaplan-Meier curve and log-rank statistics. Relative risks (RRs) were examined by the Cox proportional hazards model. Overall one-year mortality rate in AD was 18.7%. There was no statistically significant difference in AD mortality rates between patients who continued to be cared for at home and AD patients in the nursing home. After controlling for age, group (nursing home or community), severity of dementia, Mini-Mental State Examination (MMSE) score and vascular risk factors, there remained advanced age [risk ratio (RR) 1.06; 95% confidence interval (CI) 1.04-1.09], advanced Global Deterioration Scale (GDS) stage (RR 1.98; 95% CI 1.41-2.77), longer duration of AD (RR 1.07; 95% CI 1.04-1.10), presence of tactile hallucination (RR 1.74; 95% CI 1.08-2.78), wandering (RR 1.89; 95% CI 1.18-3.02) and depression (RR 1.07; 95% CI 1.02-1.10) as independent predictors of mortality in AD. This may be the first study demonstrating presence of tactile hallucination as a strong predictor of mortality in AD. This study does not support the hypothesis of a higher AD mortality rate in nursing homes.
Are health and social care services ready for a surge in Alzheimer's cases?
- Author:
- SALARI Natasha
- Journal article citation:
- Community Care, 28.8.03, 2003, pp.16-17.
- Publisher:
- Reed Business Information
As the population ages, the number of cases of Alzheimer's is expected to grow. Discusses the implications for care and research.
The residential care and nursing home sector for older people: an anlysis of past trends, current and future demand
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 39p.
- Place of publication:
- London
In 2000 the Department of Health initiated an analytical study of nursing home and residential care supply. Where data was available home care was also to be examined. This study was in response to concerns being expressed about the decline in the number of nursing home and residential care home places for older people since March 1998.
Caregiving and institutionalisation of cognitively impaired older people: utilising dynamic predictors of change
- Authors:
- GAUGLER Joseph E., et al
- Journal article citation:
- Gerontologist, 43(2), April 2003, pp.219-229.
- Publisher:
- Oxford University Press
The purpose of this study was to identify reliable predictors of nursing home entry over a 3-year period in a sample of 3,944 persons with dementia who resided in a home setting at baseline. Strengths of the analysis include a multiregional recruitment strategy, incorporation of salient caregiver characteristics, and a 3-year prospective design that allows for the modeling of change in important variables (e.g., care recipient functional status or caregiving indicators) when time to institutionalization is predicted. Data were derived from the control sample of the Medicare Alzheimer's Disease Demonstration Evaluation (MADDE). A Cox proportional hazards model was used to predict time to institutionalization among individuals with dementia (baseline was enrollment into MADDE). Predictors included care recipient demographics, caregiver demographics, and time-varying measurements of care recipient functional status, caregiving indicators, and service utilization. Indicators of change were also incorporated to capitalize on the prospective data available. Although several results were consistent with prior findings, caregiving indicators (i.e., burden and self-rated health) and community-based service use were significant predictors of earlier placement. Change in caregiver instrumental activities of daily living and care recipient activities of daily living were also related to expedited institutionalization. The findings emphasize the importance of incorporating both care recipient and caregiver function and service use patterns when targeting programs designed to prevent or delay institutionalization for people with dementia.
The cost implications of the changing population and characteristics of care homes
- Authors:
- DARTON Robin, NETTEN Ann, FORDER Julien
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(3), March 2003, pp.236-243.
- Publisher:
- Wiley
A survey of care homes for older people was conducted in 21 local authorities in England in 1996. A complete response was obtained for 618 homes (75%) and 11,900 residents. Findings were compared with surveys conducted in 1986 and 1988. Dependency was significantly related to prices, primarily due to the differential payments to nursing and residential homes. Home characteristics were also related to price, the proportion of single rooms having the largest impact. However, prices were most sensitive to local wage rates, particularly in residential homes. Compared with previous surveys levels of dependency had increased, particularly in voluntary residential homes and nursing homes. Independent homes were more likely to be purpose built, and a higher proportion of beds were in single rooms, although only 30% of private residential, dual registered and nursing homes achieved the proposed level of 80% of beds in single rooms. Staffing ratios appeared to have increased, but price rises were modest, particularly for nursing homes.
A comparative study of stress and burnout among staff caregivers in nursing homes and acute geriatric wards
- Authors:
- COCCO Enmio, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(1), January 2003, pp.78-85.
- Publisher:
- Wiley
A cross-sectional survey was conducted in three nursing homes (total of 522 beds, 270 caregivers) and nine geriatric sections of general hospitals (total of 371 beds, 280 caregivers). Staff caregivers were asked to answer a four-part questionnaire made up of socio-demographic data, the General Health Questionnaire (GHQ-12), the Maslach Burnout Inventory (MBI) and the Stressful Events Questionnaire (SEQ). Results appear to show that levels of stress and burnout among staff caregivers are moderate in acute geriatric wards, but significantly higher than in nursing homes.
The impact of rural residence on multiple hospitalisations in nursing facility residents
- Authors:
- COBURN Andrew F., KEITH Robert G., BOLDA Elise J.
- Journal article citation:
- Gerontologist, 42(5), October 2002, pp.661-666.
- Publisher:
- Oxford University Press
This article explores issues surrounding hospitalization rates among rural and urban nursing facility (NF) residents. Rural NF residents were more likely than urban residents to have multiple hospitalizations. Further analysis demonstrated that the effect of rural residence on the probability of multiple hospitalizations is greater among newly admitted rural residents than among rural residents not classified as new admissions. In addition to rural residence, other factors associated with an increased likelihood of multiple hospitalizations included state of residence, diagnosis of congestive heart failure, and no discharge planned at the time of NF admission.
Trouble ahead
- Author:
- WINCHESTER Ruth
- Journal article citation:
- Community Care, 25.7.02, 2002, pp.30-31.
- Publisher:
- Reed Business Information
Discusses the lack of services for people with dementia against the background of an ageing population.
Vertical axes on the long-term care continuum: a comparision of board and care and assisted living
- Author:
- HERD Pamela
- Journal article citation:
- Journal of Aging and Social Policy, 13(1), 2001, pp.37-56.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
As the continuum of long-term care has expanded, public funding has not accompanied new care options. The author details access, provider profits and resources, and care quality in two type of residential care that. These two options provide examples of how limited public funding lead to vertical axes, which represent access to services, the resources providers draw on to give care, and the quality of long-term care services, at each service point on the long-term care continuum.