We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The Effects of Resident and Nursing Home Characteristics on Activities of Daily Living.
- Authors
Jye Wang; Kane, Robert L.; Eberly, Lynn E.; Virnig, Beth A.; Ling-Hui Chang
- Abstract
Background. Existing studies on the relationships between impairments and activities of daily living (ADLs) in nursing home residents have serious limitations. This study examines the relationships among admission impairments, including pain, depression, incontinence, balance, and falls, and follow-up ADLs, as well as the effect of the nursing home on follow-up ADLs of extended-stay nursing home residents. Methods. This longitudinal cohort study consisted of 4,942 extended-stay residents who were admitted into 377 Minnesota nursing homes during 2004. General linear mixed models were used for all analyses. with 14 resident-level and 8 facility-level control variables. Results, Incontinence and balance function at admission were significantly associated with increases in ADL dependence at follow-up. Individual nursing homes had independent effects on all three ADL models. Similar findings were found after facility-level control variables were added. conclusions. Incontinence predicts subsequent ADL functional levels. The relationship between balance dysfunction and subsequent ADL dependence could be causal. Future studies of the causal relationships between impairments and ADL should examine the effectiveness of impairment interventions on ADL as well as these relationships in different subgroups of nursing home residents.
- Subjects
MINNESOTA; COHORT analysis; SOCIOLOGY of disability; LIFESTYLES; QUALITY of life; DYSFUNCTIONAL families; NURSING care facilities
- Publication
Journals of Gerontology Series A: Biological Sciences & Medical Sciences, 2009, Vol 64A, Issue 4, p473
- ISSN
1079-5006
- Publication type
Article
- DOI
10.1093/gerona/gln040