Factors contributing to nursing home admission because of disruptive behaviour
✍ Scribed by Richard K. Morriss; Barry W. Rovner; Pearl S. German
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 575 KB
- Volume
- 11
- Category
- Article
- ISSN
- 0885-6230
No coin nor oath required. For personal study only.
✦ Synopsis
The key relative of 41 7 nursing home residents was interviewed to determine reasons for admission and patient behaviour before admission using the Psychogeriatric Dependency Rating Scale (PGDRS). Families stated that 25% of new nursing home admissions were due to disruptive behaviour but there were nearly always other reasons for admission as well. A receiver operating characteristic curve and cluster analysis showed that a greater amount of generalized behaviour problems predicted admission in the 74% of new residents. Admission because of disruptive behaviour was associated with greater cognitive impairment, possible Alzheimer's disease, delusions or hallucinations, a psychiatric diagnosis, admission from home, requiring help from others before admission and a permanent move to a nursing home. Both psychiatric and social factors are important determinants of nursing home admission for disruptive behaviour.