| |
| |
| |
Centre for Policy on Ageing | |
 | |
|
| Association of the Resident Assessment Instrument (RAI) with changes in function, cognition, and psychosocial status | | Author(s) | Charles D Phillips, John N Morris, Catherine Hawes |
| Journal title | Journal of the American Geriatrics Society, vol 45, no 8, August 1997 |
| Pages | pp 986-993 |
| Keywords | Residents [care homes] ; Nursing homes ; Care homes ; Cognitive processes ; Evaluation ; Well being ; Self care capacity ; Personality ; Correlation ; United States of America. |
| Annotation | More than 2000 nursing home residents in 267 nursing homes in 10 geographic areas were assessed during the pre-RAI (Resident Assessment Instrument) period. In the post-RAI period 2000 new residents in 254 of the same facilities were assessed. All residents were assessed at baseline and at 6 months using the Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS) and its protocols. Implementing the RAI significantly reduced the rate of decline in seven of the nine outcomes measured. Reductions in improvements were also observed in all outcomes. In activities of daily living (ADLs), social engagement, and cognitive function, the reduced decline far outweighed any reductions in improvement. In mood problems, problem behaviours, and understanding others, however, reductions in improvement were greater than any reductions in decline. Changes in the rate of decline and improvement were not uniform across all residents. Whilst RAI may have improved residents' quality of care, the innovation may have generated trade-offs: it may have reduced improvement rates in some areas of function. Staff's attention would also appear to have focused on the needs of particular sub-populations. (RH). |
| Accession Number | CPA-981026006 A |
| Classmark | KX: LHB: KW: DA: 4C: D:F:5HH: CA: DK: 49: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|
|