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Centre for Policy on Ageing | |
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| Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units | | Author(s) | Bellinda King-Kallimanis, Lawrence Schonfeld, Victor A Molinari, |
| Journal title | International Journal of Geriatric Psychiatry, vol 25, no 2, February 2010 |
| Pages | pp 166-174 |
| Source | http://www.interscience.wiley.com/journal/gps doi: 10.1002/gps.2316 |
| Keywords | Wandering ; Older men ; Residents [care homes] ; Nursing homes ; Longitudinal surveys ; United States of America. |
| Annotation | This longitudinal study explored the extent of, and factors associated with, male residents who change wandering status post nursing home admission. Admissions over a 4-year period were examined, using repeat assessments with the Minimum Data Set (MDS) to formulate a model understanding the development of wandering behaviour. Participants were 6673 residents admitted to Veterans Administration (VA) nursing homes between October 2000 and October 2004. MDS variables (cognitive impairment, mood, behaviour problems, activities of daily living and wandering) included ratings recorded at residents' admission to the nursing home and a minimum of two other time points at quarterly intervals. The majority (86%) of the sample were classified as non-wanderers at admission, and most of these (94%) remained non-wanderers until discharge or the end of the study. 51% of the wanderers changed status to non-wanderers, with 6% of these residents fluctuating in status more than twice. Admission variables associated with an increased risk of changing status from non-wandering to wandering included older age, greater cognitive impairment, more socially inappropriate behaviour, resisting care, easier distractibility, and needing less help with personal hygiene. Requiring assistance with locomotion and having three or more medical comorbidities were associated with a decreased chance of changing from non-wandering to wandering status. A resident's change from non-wandering to wandering status may reflect an undetected medical event that affects cognition, but spares mobility. (KJ/RH). |
| Accession Number | CPA-100309510 A |
| Classmark | EPC: BC: KX: LHB: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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