Psychoanalysis

ORIGINAL ARTICLE Predictors of Nursing Home Admission for Persons with dementia Joseph E. Gaugler, PhD,*† Fang Yu, PhD, AP, RN, GNP-BC, RN,‡ Kathleen Krichbaum, PhD, RN,§ and Jean F. Wyman, PhD, AP, RN, GNP-BC, FAAN¶ tar add up area: The prey of this systematic review was to identify factors that consistently count on nursing home admission (NHA) in persons with dementia. Methods: Studies published in English were retrieved by searching the MEDLINE (1966 2006), PSYCINFO (1950 2006), CINAHL (19822006), and Digital Dissertations (1950 2006) databases. Bibliographies of retrieved studies were also searched. program line on study characteristics and empirical results were extracted using a set out protocol. Results: Of 782 relevant studies identi?ed 80 were selected for review based upon eligibility criteria. The much or less consistent predictors of NHA in persons with dementia included severity of cognitive impairment, Alzheimer disease diagnosis, basic activ ity of daily living dependencies, behavioral symptoms, and depression. Caregivers who indicated greater emotional stress, a desire to institutionalize the component part out recipient, and feelings of being trapped in care responsibilities were more liable(predicate) to admit persons with dementia to nursing homes.

Demographic variables, incontinence, and service habituate did not consistently predict NHA. Conclusions: Several results seemed to challenge formal assumptions of what precipitates NHA among persons with dementia. Caregiver stressors in conjunction with care recipient characteristics are importan t to consider when assessing NHA risk. The ?! ndings emphasize the need to construct more complex models of institutionalization when designing risk measures to tar tucker interventions. Key quarrel: institutionalization, long-term care, Alzheimer disease, nursing home placement (Med Care 2009;47: 191198) t is estimated that 48% to 55% of nursing home (NH) residents cope with from some form of cognitive impairment, with 14% of...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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