TY - JOUR
T1 - Care Needs of Higher-Functioning Nursing Home Residents
AU - McNabney, Matthew K.
AU - Wolff, Jennifer L.
AU - Semanick, Lisa M.
AU - Kasper, Judith D.
AU - Boult, Chad
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2007/7
Y1 - 2007/7
N2 - Objectives: To quantify and characterize the chronic conditions of older Americans who live in nursing homes (NHs) but have minimal disability and might be able to live in less restrictive and less expensive settings. Design: Secondary analysis of the 1999 National Nursing Home Survey. Participants: NH staff memebers familiar with the care of residents who were 65 years or older and had resided in the NH for more than 100 days. Measurements: We defined "higher-functioning" residents as those who received help from NH staff in 0-2 activities of daily living. We then classified these higher-functioning residents according to their conditions requiring chronic care: impaired mobility, conditions requiring rehabilitation, mental health disorders, incontinence, severe sensory impairment, and medical conditions (congestive heart failure, chronic obstructive pulmonary disease, diabetes mellitus, Parkinson's disease). Results: One-fifth (19.8%) of the NH residents met the criteria for "higher-functioning" (n=1145). Of these, 64.1% had mental disorders, 40.4% had impaired mobility, 20.6% were incontinent, 18% had conditions requiring rehabilitative therapy, 8.7% had severe sensory impairment, and 43.0% had one or more of the four medical diagnoses. Conclusion: Many higher-functioning long-stay nursing home residents have chronic care needs that are similar to those of older adults who live in private residences. Many such persons may be able to live in community settings.
AB - Objectives: To quantify and characterize the chronic conditions of older Americans who live in nursing homes (NHs) but have minimal disability and might be able to live in less restrictive and less expensive settings. Design: Secondary analysis of the 1999 National Nursing Home Survey. Participants: NH staff memebers familiar with the care of residents who were 65 years or older and had resided in the NH for more than 100 days. Measurements: We defined "higher-functioning" residents as those who received help from NH staff in 0-2 activities of daily living. We then classified these higher-functioning residents according to their conditions requiring chronic care: impaired mobility, conditions requiring rehabilitation, mental health disorders, incontinence, severe sensory impairment, and medical conditions (congestive heart failure, chronic obstructive pulmonary disease, diabetes mellitus, Parkinson's disease). Results: One-fifth (19.8%) of the NH residents met the criteria for "higher-functioning" (n=1145). Of these, 64.1% had mental disorders, 40.4% had impaired mobility, 20.6% were incontinent, 18% had conditions requiring rehabilitative therapy, 8.7% had severe sensory impairment, and 43.0% had one or more of the four medical diagnoses. Conclusion: Many higher-functioning long-stay nursing home residents have chronic care needs that are similar to those of older adults who live in private residences. Many such persons may be able to live in community settings.
KW - care needs
KW - function
KW - nursing home
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U2 - 10.1016/j.jamda.2007.03.001
DO - 10.1016/j.jamda.2007.03.001
M3 - Article
C2 - 17619040
AN - SCOPUS:34347374043
SN - 1525-8610
VL - 8
SP - 409
EP - 412
JO - Journal of the American Medical Directors Association
JF - Journal of the American Medical Directors Association
IS - 6
ER -