Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units
dc.contributor.author | King-Kallimanis, Bellinda | en_US |
dc.contributor.author | Schonfeld, Lawrence | en_US |
dc.contributor.author | Molinari, Victor A. | en_US |
dc.contributor.author | Algase, Donna L. | en_US |
dc.contributor.author | Brown, Lisa M. | en_US |
dc.contributor.author | Kearns, William D. | en_US |
dc.contributor.author | Davis, Darlene M. | en_US |
dc.contributor.author | Werner, Dennis H. | en_US |
dc.contributor.author | Beattie, Elizabeth R. A. | en_US |
dc.contributor.author | Nelson, Audrey L. | en_US |
dc.date.accessioned | 2010-02-02T15:31:39Z | |
dc.date.available | 2011-03-01T16:26:44Z | en_US |
dc.date.issued | 2010-02 | en_US |
dc.identifier.citation | King-Kallimanis, Bellinda; Schonfeld, Lawrence; Molinari, Victor A.; Algase, Donna; Brown, Lisa M.; Kearns, William D.; Davis, Darlene M.; Werner, Dennis H.; Beattie, Elizabeth R.; Nelson, Audrey L. (2010). "Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units." International Journal of Geriatric Psychiatry 25(2): 166-174. <http://hdl.handle.net/2027.42/64919> | en_US |
dc.identifier.issn | 0885-6230 | en_US |
dc.identifier.issn | 1099-1166 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/64919 | |
dc.description.abstract | Objectives To explore the extent of and factors associated with male residents who change wandering status post nursing home admission. Design Longitudinal design with secondary data analyses. Admissions over a 4-year period were examined using repeat assessments with the Minimum Data Set (MDS) to formulate a model understanding the development of wandering behavior. Setting One hundred thirty-four Veterans Administration (VA) nursing homes throughout the United States. Participants Included 6673 residents admitted to VA nursing homes between October 2000 and October 2004. Measurements MDS variables (cognitive impairment, mood, behavior problems, activities of daily living and wandering) included ratings recorded at residents' admission to the nursing home and a minimum of two other time points at quarterly intervals. Results The majority (86%) of the sample were classified as non-wanderers at admission and most of these (94%) remained non-wanderers until discharge or the end of the study. Fifty-one per cent of the wanderers changed status to non-wanderers with 6% of these residents fluctuating in status more than two times. Admission variables associated with an increased risk of changing status from non-wandering to wandering included older age, greater cognitive impairment, more socially inappropriate behavior, resisting care, easier distractibility, and needing less help with personal hygiene. Requiring assistance with locomotion and having three or more medical comorbidities were associated with a decreased chance of changing from non-wandering to wandering status. Conclusion A resident's change from non-wandering to wandering status may reflect an undetected medical event that affects cognition, but spares mobility. Copyright © 2009 John Wiley & Sons, Ltd. | en_US |
dc.format.extent | 132608 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | John Wiley & Sons, Ltd. | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Neuroscience, Neurology and Psychiatry | en_US |
dc.title | Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Gay/Lesbian/Bisexual/Transgender Studies | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbsecondlevel | Judaic Studies | en_US |
dc.subject.hlbsecondlevel | Pharmacy and Pharmacology | en_US |
dc.subject.hlbsecondlevel | Psychiatry | en_US |
dc.subject.hlbsecondlevel | Social Work | en_US |
dc.subject.hlbsecondlevel | Women's and Gender Studies | en_US |
dc.subject.hlbtoplevel | Humanities | en_US |
dc.subject.hlbtoplevel | Social Sciences | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | School of Nursing, University of Michigan, Ann Arbor, MI, USA | en_US |
dc.contributor.affiliationother | University of Amsterdam, The Netherlands | en_US |
dc.contributor.affiliationother | Department of Aging and Mental Health Disparities, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA ; Professor and Chair ; Department of Aging and Mental Health Disparities, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA. | en_US |
dc.contributor.affiliationother | Department of Aging and Mental Health Disparities, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA ; Professor | en_US |
dc.contributor.affiliationother | Department of Aging and Mental Health Disparities, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA | en_US |
dc.contributor.affiliationother | Department of Aging and Mental Health Disparities, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL, USA | en_US |
dc.contributor.affiliationother | Home Based Primary Care, James A. Haley Veterans Administration Medical Center, Tampa, FL, USA | en_US |
dc.contributor.affiliationother | Patient Safety Center of Inquiry, James A. Haley Veterans Administration Medical Center, Tampa, FL, USA | en_US |
dc.contributor.affiliationother | School of Nursing, Queensland University of Technology, Brisbane, Australia | en_US |
dc.contributor.affiliationother | Patient Safety Center of Inquiry, James A. Haley Veterans Administration Medical Center, Tampa, FL, USA | en_US |
dc.identifier.pmid | 19603420 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/64919/1/2316_ftp.pdf | |
dc.identifier.doi | 10.1002/gps.2316 | en_US |
dc.identifier.source | International Journal of Geriatric Psychiatry | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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