[Are psychiatric illnesses adequately considered in distribution of nursing care levels according to the nursing care insurance law? Evaluation using a new scale for evaluating need for nursing care by senior citizens].

Abstract:

:The object of our study is the evaluation of care needs of senior citizens and the adjustment of certain stage of care according to the German Health Care Act ("Pflegeversicherungsgesetz"). For assessment of care needs we developed a new rating scale (BPS). Factor analysis of the rating scale showed 5 dimensions: (1) "Psychoorganic Syndrome" (Dementia), (2) "Physical Care Needs", (3) "Lack of Social Skills", (4) "Aggressiveness" and (5) "Depression". The sample size is N = 1739, mean age 82.5 years. A statistically significant partial correlation of the extent of care needs as indicated by the stage of care described by BPS dimensions was found only for dimension (2) "Physical Care Needs" (r = 0.50). Cluster analysis resulted in distribution of the whole sample into 6 discriminable groups, according to their syndrome specificity (BPS profiles). Additionally clusters are different regarding the severity of need for care. It is obvious, analyzing the adjustment of stages of care within clusters, that psychiatric relevant disturbances contribute substantially to this adjustment. Nevertheless this finding is valid only for aged people, who receive regular care by ambulant or home services, and can not be transferred to senior citizens cared by their families.

journal_name

Z Gerontol Geriatr

authors

Gutzmann H,Metzler P,Schmidt KH

doi

10.1007/s003910070023

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

488-94

issue

6

eissn

0948-6704

issn

1435-1269

journal_volume

33

pub_type

杂志文章
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    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    doi:10.1007/s00391-010-0148-z

    authors: Genz H,Jenetzky E,Hauer K,Oster P,Pfisterer MH

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    authors: Kopf D,Hummel J

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    authors: Dietz B,Kohl S,Mayer J,Metzger C,Förstl H,Diehl-Schmid J

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    abstract::The incidence and prevalence of chronic renal disease (CKD) in elderly patients are continuously increasing worldwide. Loss of renal function is not only considered to be part of the aging process itself but also reflects the multimorbidity of many geriatric patients. Calculating the glomerular filtration rate using s...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Braun F,Brinkkötter PT

    更新日期:2016-08-01 00:00:00

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    authors: Braun T,Rieckmann A,Grüneberg C,Marks D,Thiel C

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    abstract::The treatment and care of individuals with dementia, who are admitted to general hospitals due to somatic diseases, often leads to crisis situations which not only compromise the therapeutic benefit, but also can be followed by avoidable institutionalization in nursing homes or psychiatric hospitals. With the model pr...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Kirchen-Peters S

    更新日期:2008-12-01 00:00:00

  • [Protein glycation as a pathological mechanism in diabetes].

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    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    doi:10.1007/s00391-011-0282-2

    authors: Simm A,Navarrete-Santos A,Hofmann B,Bushnaq H,Nass N

    更新日期:2012-02-01 00:00:00

  • [Treatment of malignant non-Hodgkin's lymphomas in elderly patients].

    abstract::The number of elderly patients with non-Hodgkin's lymphomas (NHL) is continuously increasing. The diagnostic and staging procedures should be carried out in elderly patients as careful as in younger patients. Furthermore, for treatment decisions geriatric assessment and the patient's preferences concerning therapy are...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910170049

    authors: Späth-Schwalbe E

    更新日期:2001-08-01 00:00:00

  • [Continued training of elderly workers with reference to changes in the organization of continuing vocational training].

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    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910070048

    authors: Schiersmann C

    更新日期:2000-08-01 00:00:00

  • [New oral anticoagulants for prophylaxis of stroke. Results of an expert conference on practical use in geriatric patients].

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    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-016-1027-z

    authors: Bahrmann P,Harms F,Schambeck CM,Wehling M,Flohr J

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  • [Outpatient geriatric rehabilitation - the structural and process quality of a geriatric mobile service team and a community-based outpatient center].

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    doi:10.1007/s00391-002-0065-x

    authors: Meinck M,Freigang K,John B,Keitel C,Puls E,Robra BP

    更新日期:2002-10-01 00:00:00

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    authors: Wolter DK

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    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Baisch S,Kolling T,Rühl S,Klein B,Pantel J,Oswald F,Knopf M

    更新日期:2018-01-01 00:00:00

  • [Active life expectancy in Germany and in the United States. A cohort analysis based on the "German Socio-Economic Panel" (GSOEP) and the "Panel Study of Income Dynamics" (PSID)].

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    doi:10.1007/s00391-002-0127-0

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    更新日期:2002-12-01 00:00:00

  • Polypharmacy and older people--the GP perspective.

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    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

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    更新日期:2005-09-01 00:00:00

  • [Support in dying: orientation of expectations and needs of dying patients].

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    更新日期:1995-07-01 00:00:00

  • Vitamin D status and physical function in nursing home residents: a 1-year observational study.

    abstract:OBJECTIVE:Low vitamin D blood levels are highly prevalent in elderly people, particularly in nursing home residents (NHR). A relation between vitamin D levels and physical function (PF) is described in several studies in older adults; however, data on NHR are scarce and there is presently no information on the time cou...

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    更新日期:2013-07-01 00:00:00

  • [Psychological factors and sleep in the lifeworld nursing home from the nursing home residents' perspective. A qualitative study].

    abstract:BACKGROUND:Sleep disorders are common among nursing home residents. However, the possible involvement of psychological factors has been given little attention up until now. We investigated nursing home residents' perspective on psychological factors and sleep disorders within the nursing home environment. MATERIALS AN...

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  • [Trends in participation in nonformal education in the second half of life : Increasing educational participation in retirement].

    abstract:BACKGROUND:Research on nonformal education often focuses on participation within employment. Participation of workers decreases with age; however, recent studies show an increase in participation in nonformal education of older workers. It remains, however, unclear if this trend spills over to retirement. OBJECTIVE:In...

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  • [Assessment of balance in community dwelling older adults: reliability and validity of the German version of the Fullerton Advanced Balance Scale].

    abstract::The purpose of this study was to validate the German translation of the originally English Fullerton Advanced Balance Scale (FAB-D). The 10-item test battery is a performance-based measure that addresses the multiple dimensions of balance. The German FAB-D using a forward-backward procedure was examined by a sample of...

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  • [The degree of Objective Health Burden (OHB) - an expert assessment of the impairment caused by somatic illnesses in geriatric medicine].

    abstract::The degree of Objective Health Burden (OHB) is an expert assessment of the impairment caused by somatic illnesses. It allows an overall clinical rating of the severity of a patient's somatic condition, considering all available information, not only the content or number of diagnoses. The rating on a five point scale ...

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    doi:10.1007/s003910050111

    authors: Schneider G,Nehen HG,Heuft G

    更新日期:1999-08-01 00:00:00

  • [Cognitive training in rehabilitation: a program to treat mild cognitive impairment].

    abstract::As part of a research project, a behavior therapy-oriented cognitive training program, designed to improve the cognitive ability of middle-aged employees (50 to 59 years), was implemented and evaluated. The goal of the training program was to analyze the cognitive, affective and behavior-related conditions of memory d...

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  • Algorithm for anticoagulation management in geriatric hip fracture patients--Surgeons save Blood.

    abstract::During the past decades, the number of hip fractures has been increasing steadily. Perioperative thromboprophylaxis has become a routine aspect in the care of geriatric hip fracture patients. In addition, a large proportion of these patients are already anticoagulated because of internistic comorbidities before they s...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

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    更新日期:2014-02-01 00:00:00

  • [Determining the extent of nursing care need according to the nursing care insurance law in an interdisciplinary comparison].

    abstract::The quantifying of care needed is an important issue of the long-term care insurance act in Germany. In the last three decades limits of self-sufficiency have been defined in the context of law, medicine, social science and nursing science. Following these approaches this study distinguishes between determining the li...

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    doi:

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    更新日期:1996-11-01 00:00:00

  • [Dementia in families with a Turkish migration background. Organization and characteristics of domestic care arrangements].

    abstract:BACKROUND:Until recently public health and health services research has not been concerned with people suffering from dementia with a Turkish migration background as a priority. There is little evidence about the situation of this population; however, it is known that these individuals almost always live with their fam...

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  • [Neuropsychological diagnostics of cognitive deficits : Focus on dementia].

    abstract::Older people often report a decline in their cognitive functions - memory problems and difficulty finding words are frequently mentioned. In this context it is essential to differentiate between age-related cognitive decline and pathological processes as they occur in the context of dementia. Neuropsychological diagno...

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    更新日期:2020-12-01 00:00:00