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Knowledge of and Attitudes toward Nonpharmacological Interventions for Treatment of Behavior Symptoms Associated with Dementia: A Comparison of Physicians, Psychologists, and Nurse Practitioners
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Cohen-Mansfield, Jiska; Jensen, Barbara; Resnick, Barbara; Norris, Margaret – Gerontologist, 2012
Purpose of the Study: Behavior problems are common in nursing homes. Current guidelines recommend nonpharmacological interventions (NPHIs) as first-line treatment, but pharmacological regimens (PIs) continue to be used. Given differences in background and training of those who treat behavior problems in residents, we compared attitudes of…
Descriptors: Behavior Problems, Psychologists, Physicians, Nurses
The Nursing Home Minimum Data Set Assessment Instrument: Manifest Functions and Unintended Consequences--Past, Present, and Future
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Rahman, Anna N.; Applebaum, Robert A. – Gerontologist, 2009
The Minimum Data Set (MDS) is a uniform instrument used in nursing homes to assess residents. In January 2008, the Centers for Medicare and Medicaid Services published a draft of a new MDS--version 3.0. This article traces the instrument's development and the design decisions that shaped it, discusses the MDS's manifest functions--data collection…
Descriptors: Nursing Homes, Data, Quality of Life, Total Quality Management
The Development of a Conceptual Model for Understanding Elder Self-Neglect
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Iris, Madelyn; Ridings, John W.; Conrad, Kendon J. – Gerontologist, 2010
Purpose: Elder self-neglect (ESN) represents half or more of all cases reported to adult protective services. ESN directly affects older adults and also their families, neighbors, and the larger communities around them. ESN has public health implications and is associated with higher than expected mortality rates, hospitalizations, long-term care…
Descriptors: Concept Mapping, Elder Abuse, Brainstorming, Public Health
MDS-Based State Medicaid Reimbursement and the ADL-Decline Quality Indicator
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Bellows, Nicole M.; Halpin, Helen A. – Gerontologist, 2008
Purpose: We examined the relationship between the quality indicator for decline in activities of daily living (ADL) and the use of the Minimum Data Set (MDS) for determining Medicaid skilled nursing facility reimbursement. Design and Methods: We conducted a cross-sectional analysis using the 2004 National MDS Facility Quality Indicator reports as…
Descriptors: Multiple Regression Analysis, Multidimensional Scaling, Comparative Analysis, Health Insurance
The Minimum Data Set Depression Quality Indicator: Does It Reflect Differences in Care Processes?
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Simmons, S.F.; Cadogan, M.P.; Cabrera, G.R.; Al-Samarrai, N.R.; Jorge, J.S.; Levy-Storms, L.; Osterweil, D.; Schnelle, J.F. – Gerontologist, 2004
Purpose. The objective of this work was to determine if nursing homes that score differently on prevalence of depression, according to the Minimum Data Set (MDS) quality indicator, also provide different processes of care related to depression. Design and Methods. A cross-sectional study with 396 long-term residents in 14 skilled nursing…
Descriptors: Prevention, Intervention, Group Activities, Incidence
The Minimum Data Set Prevalence of Restraint Quality Indicator: Does It Reflect Differences in Care?
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Schnelle, John F.; Bates-Jensen, Barbara M.; Levy-Storms, Lene; Grbic, Valena; Yoshii, June; Cadogan, Mary; Simmons, Sandra F. – Gerontologist, 2004
Purpose: This study investigated whether the use of restraining devices and related measures of care quality are different in nursing homes that score in the upper and lower quartiles on the Minimum Data Set (MDS) "prevalence of restraint" quality indicator, which assesses daily use of restraining devices when residents are out of bed. Design and…
Descriptors: Incidence, Physical Activities, Nursing Homes, Multidimensional Scaling
Toward the Conceptualization and Measurement of Caregiver Burden among Pueblo Indian Family Caregivers.
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John, Robert; Hennessy, Catherine Hagan; Dyeson, Timothy B.; Garrett, Mario D. – Gerontologist, 2001
Evaluates burden as experienced by a group of American Indian primary family caregivers. Analysis of items composing the Caregiver Burden scale indicate that caregiver burden is multidimensional and consists of several types of burden. Finds that caregiver burden is composed of four dimensions: role conflict, negative feelings, lack of caregiver…
Descriptors: Caregiver Role, Family Caregivers, Family Role, Guilt
The Role of Family Functioning in the Stress Process of Dementia Caregivers: A Structural Family Framework
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Mitrani, Victoria B.; Lewis, John E.; Feaster, Daniel J.; Czaja, Sara J.; Eisdorfer, Carl; Schulz, Richard; Szapocznik, Jose – Gerontologist, 2006
Purpose: The purpose of the study was to evaluate the role of family functioning in the stress process in a sample of caregivers of dementia patients by using a structural family framework. The stress-process model of caregiver distress included family functioning as an intervening variable in the relationship between objective burden and…
Descriptors: Family Role, Dementia, Caregivers, Predictor Variables