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Effect of the national Resident Assessment Instrument on selected health conditions and problems
Author(s)Brant E Fries, Catherine Hawes, John N Morris
Journal titleJournal of the American Geriatrics Society, vol 45, no 8, August 1997
Pagespp 994-1001
KeywordsResidents [care homes] ; Nursing homes ; Evaluation ; Ill health ; Pain ; Malnutrition ; Dental problems ; Longitudinal surveys ; United States of America.
AnnotationThe effect of implementing the US Resident Assessment Instrument (RAI) was evaluated, using assessments of 2 large samples of nursing home residents pre- and post-implementation with 6-month follow-ups. Of eight health conditions representing poorer health status, dehydration and stasis ulcer had significantly lower prevalence after the implementation of RAI (1993) compared with 1990. At the same time, there was an increase in the prevalence of daily pain. Fewer residents declined over 6 months in nutrition and vision after implementation. Although for these two conditions there were also significantly reduced rates of improvement, there was an overall reduction in the 6-month rate of decline for all residents. Pain also demonstrated a decline in the post-implementation rate of improvement. The combined eight conditions (other items: dental status, dehydration, falls, and decubitus) showed reductions in the rates of both decline and improvement. Although changes might be ascribed otherwise, they support the premise that the RAI has directly contributed to improved outcomes for nursing home residents. (RH).
Accession NumberCPA-981026007 A
ClassmarkKX: LHB: 4C: CH: CT7: CSM: BLA: 3J: 7T

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