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Centre for Policy on Ageing | |
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| Nursing home characteristics and the development of pressure sores and disruptive behaviour | | Author(s) | Wee Lock Ooi, John N Morris, Gary H Brandeis |
| Journal title | Age and Ageing, vol 28, no 1, January 1999 |
| Pages | pp 45-52 |
| Keywords | Behaviour disorders ; Wounds ; Nursing homes ; Social surveys ; United States of America. |
| Annotation | The relationship between characteristics of nursing homes and quality of care of residents in a large chain of American nursing homes was studied. Measurement was by incidence of pressure sores and disruptive behaviour in 5518 residents, with other functional and service variables. The overall incidence of pressure sores was 11.4%, and the relative risk was 4.3 times greater in high- than low-risk homes. The incidence of subjectively-assessed disruptive behaviour ranged from 6.7% to 47.7%. Use of restraints was widespread, with a tendency for homes with a lower incidence of pressure sores and disruptive behaviour to use them for "safety" rather than "control" reasons. Those homes with a greater prevalence of pressure sores and disruptive behaviour provided less non-trained staff time, fewer beds, and less rehabilitation than low-risk homes. More homes with a high risk of disruptive behaviour (68%) remained at risk over 4 years, and the best predictor of outcome was a home's previous morbidity level. Quality of care could be improved by more rehabilitation maintenance activities and better access to old-age psychiatry services. (RH). |
| Accession Number | CPA-990427222 A |
| Classmark | EP: CUC: LHB: 3F: 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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