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Centre for Policy on Ageing | |
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The benefits of psychiatric hospitalization for older nursing home residents | Author(s) | Mark E Kunik, Hernando Ponce, Victor Molinari |
Journal title | Journal of the American Geriatrics Society, vol 44, no 9, September 1996 |
Pages | pp 1062-1065 |
Keywords | Residents [care homes] ; Nursing homes ; Mental disorder ; Admission ; Psychogeriatric units ; Assessment procedures for mental patients ; United States of America. |
Annotation | The demographic characteristics and treatment outcomes of nursing home residents admitted to the geropsychiatric inpatient unit of the Houston Veterans Affairs Medical Center Hospital were examined. Mini-Mental State Examination (MMSE), Brief Psychiatric Rating Scale (BPRS), Hamilton Rating Scale for Depression (HRS-D or HAM-D), Cohen-Mansfield Agitation Inventory (CMAI), Rating Scale for Side Effects (RSSE), and Global Assessment of Functioning were administered on admission and discharge. Paired t-tests comparing change scores revealed significant decreases in general psychiatric symptoms, depression, and agitation; significant improvement in global functioning; and no significant changes in cognitive status or side effects. When patients were subgrouped according to reasons for admission, paired t-tests revealed decreases in violence (CMAI factor 1), psychosis (BPRS thought disorder scale, and hostility sub-scale) and depression (HAM-D). Four patients were discharged to less restrictive environments, all with chronic mental illnesses. The authors conclude that inpatient psychiatric hospitalisation significantly benefits nursing home residents with and without dementia who are admitted for severe behaviour problems. (RH). |
Accession Number | CPA-970812206 A |
Classmark | KX: LHB: E: QKH: LDM: DA:4C: 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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