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Factors associated with non-use of antipsychotics among older residents with schizophrenia in long-term institutional care
- Authors:
- ALANEN Hanna-Mari, FINNE-SOVERI Harriet, LEINONEN Esa
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(12), December 2008, pp.1261-1265.
- Publisher:
- Wiley
This study aimed to investigate factors associated with non-use of antipsychotics among older schizophrenia residents in long-term institutional care. A retrospective study was designed using cross-sectional data gathered between 1 January and 30 June 2006 in Finland. Data were extracted from the Resident Assessment Instrument (RAI) database, based on Minimum Data Set for long-term care facilities (MDS-LC) assessments. Residents with schizophrenia 65 years or older were included, giving a total of 356 patient assessments. The prevalence of older schizophrenia residents not receiving any antipsychotic medication was 18.5%. Factors independently associated with non-use of antipsychotics in the logistic regression model were: severe degree of functional impairment, severely impaired vision, any diagnosis of dementia and severe underweight. There was a negative association between non-use of antipsychotics and a factor had arrived from a psychiatric hospital. Severe degree of functional impairment and dementia were the main findings associated with non-use of antipsychotics in this resident group.
Nursing home suicides: a psychological autopsy study
- Authors:
- SOUMINEN Kirsi, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(12), December 2003, pp.1095-1101.
- Publisher:
- Wiley
Older adults comprise a fifth of all suicides. Elders are the fastest growing part of the population, thus the number of persons needing nursing home care will increase dramatically in the near future. Little information has been available about suicides in nursing homes. The present study described all suicides among older adults in nursing homes in Finland during a 12-month period emphasizing the factors that have been found to be associated with suicide in the general elderly population. Drawing on data from a psychological autopsy study of all suicides (n=1397) in Finland during one year, all suicides committed by patients in nursing homes were identified. Retrospective DSM-IV consensus diagnoses were assigned. Twelve elderly (aged 60 years or more) nursing home residents who died by suicide, 0.9% of all suicides, were identified. The primary finding of the present study was that nursing home residents who died by suicide had suffered from highly comorbid somatopsychiatric disorders. One or more diagnoses on Axis I were made for all who died by suicide in nursing home. Depressive syndrome was diagnosed in three-quarters of subjects. Only a third of these were identified to have suffered from depressive symptoms before their death. Early recognition and adequate treatment of both somatic diseases and mental disorders, particularly depression, as well as early recognition of suicide risk among nursing home residents, are needed in order to prevent suicide.
Abuse of the elderly: services provided for victims in a Finnish Nursing home, 1992-1993
- Author:
- PERTTU Sirkka
- Journal article citation:
- Journal of Elder Abuse and Neglect, 8(2), 1996, pp.23-31.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Describes the services provided for elder abuse victims in a Finnish nursing home. These services included shelter at the nursing home, a telephone service, and a support group. Results of the study showed the majority of callers and victims were women and the barriers for seeking help in an abuse case were high among the elderly. Recommendations are made for developing the functions of the nursing home and to create services which would prevent domestic violence and help the abused persons free themselves from the abuse and the abusers.
Developing quality in personal social services: concepts, cases and comments
- Editors:
- EVERS Adalbert, et al
- Publisher:
- Ashgate
- Publication year:
- 1997
- Pagination:
- 318p.,bibliog.
- Place of publication:
- Aldershot
Looks at the challenge of introducing business originated concepts of quality assurance into personal social services. Includes papers on: quality development as part of a changing culture of care in personal social services; business and professional approaches to quality improvement; quality management in Finland; the developing role of user involvement in the UK; professionals and quality initiatives in health and social services; measuring quality in personal social services; combining user interests with professionalism in the organisation; quality management and assurance in residential and nursing home care in Britain and Germany; user centred performance indicators in community care in Scotland; developing domiciliary care markets in Britain; management in public care services; user involvement influencing quality in Denmark; quality in home care and nursing; national and local quality strategies in Finland; and quality measurements and some unintended consequences.