Self-destructive behaviors in nursing home residents.

Abstract:

OBJECTIVES:To validate the Harmful Behaviors Scale (HBS) as a measure of direct and indirect self-destructive behaviors in nursing home residents and to determine the prevalence of self-destructive behaviors and their relationship to other variables. DESIGN:A cross-sectional study. SETTING:Eleven nursing homes in the eastern suburbs of Sydney, Australia. PARTICIPANTS:Six hundred ten nursing home residents aged 65 and older. MEASUREMENTS:Instruments used were the HBS, Behavioral Pathology in Alzheimer's Disease Rating Scale (BEHAVE-AD), Functional Assessment Staging Scale (FAST), Even Briefer Assessment Scale for Depression (EBAS-Dep), and the suicide item from the structured Hamilton Depression Rating Scale. Data on diagnoses of dementia, depression, or psychotic disorder; prescription of psychotropic medication; and demographics were obtained from nursing home records. RESULTS:On the HBS, indirect harmful behaviors occurred at least weekly in 61% of subjects, and direct harmful behaviors occurred in 14% of subjects. The HBS total score was significantly positively correlated with the BEHAVE-AD score (Pearson's r=0.679, P <.001) but not with the EBAS-Dep "wish for death" item and total score. HBS scores were significantly higher in residents scoring greater than zero on the Hamilton suicide item (F=1.380, df=3,325, P=.249). Stepwise multiple linear regression indicated that younger age, chart diagnosis of dementia, greater incapacity as measured by FAST, and a higher Hamilton suicide item score predicted a higher HBS total score. CONCLUSIONS:Self-destructive behaviors are common in nursing home residents and are mostly related to dementia. There was little evidence of a relationship between depression and self-destructive behaviors.

journal_name

J Am Geriatr Soc

authors

Draper B,Brodaty H,Low LF,Richards V,Paton H,Lie D

doi

10.1046/j.1532-5415.2002.50070.x

subject

Has Abstract

pub_date

2002-02-01 00:00:00

pages

354-8

issue

2

eissn

0002-8614

issn

1532-5415

pii

jgs50070

journal_volume

50

pub_type

杂志文章,多中心研究
  • Development and evaluation of a modification of the Fried frailty criteria using population-independent cutpoints.

    abstract:OBJECTIVES:To develop and evaluate a modification of the Fried frailty assessment using population-independent cutpoints and to determine frailty prevalence of community-dwelling elderly people in a German population. DESIGN:Cross-sectional analysis of 8-year follow-up data of a large German cohort study. SETTING:Saa...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2012.04192.x

    authors: Saum KU,Müller H,Stegmaier C,Hauer K,Raum E,Brenner H

    更新日期:2012-11-01 00:00:00

  • Confusion Strongly Associated with Antibiotic Prescribing Due to Suspected Urinary Tract Infections in Nursing Homes.

    abstract:OBJECTIVES:To quantify the prevalence of documented urinary tract infection (UTI), nonspecific symptoms, and antibiotic treatment of suspected UTI in nursing homes (NHs) in the tropics and to describe the typical resident likely to receive antibiotic treatment for suspected UTI and factors associated with the developme...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15179

    authors: Mayne S,Sundvall PD,Gunnarsson R

    更新日期:2018-02-01 00:00:00

  • Racial and Ethnic Disparities in Graft and Recipient Survival in Elderly Kidney Transplant Recipients.

    abstract:OBJECTIVES:To investigate racial and ethnic differences in graft and recipient survival in elderly kidney transplant recipients. DESIGN:Retrospective cohort. SETTING:First-time, kidney-only transplant recipients aged 60 and older of age at transplantation transplanted between July 1996 and October 2010 (N = 44,013). ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13845

    authors: Ilori TO,Adedinsewo DA,Odewole O,Enofe N,Ojo AO,McClellan W,Patzer RE

    更新日期:2015-12-01 00:00:00

  • Extraordinary nutritional support: a case study and ethical analysis.

    abstract::Ethical issues surrounding decisions to limit treatment often focus on dramatic and highly technical interventions, such as mechanical ventilation. Many less dramatic forms of therapy are considered routine, and ethical aspects of their use may be less closely examined. Nutritional support can be crucially important i...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1984.tb02009.x

    authors: Watts DT,Cassel CK

    更新日期:1984-03-01 00:00:00

  • Tools to detect delirium superimposed on dementia: a systematic review.

    abstract:OBJECTIVES:To identify valid tools to diagnose delirium superimposed on dementia. DESIGN:Systematic review of studies of delirium tools that explicitly included individuals with dementia. SETTING:Hospital. PARTICIPANTS:Studies were included if delirium assessment tools were validated against standard criteria, and t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2012.04199.x

    authors: Morandi A,McCurley J,Vasilevskis EE,Fick DM,Bellelli G,Lee P,Jackson JC,Shenkin SD,Marcotrabucchi,Schnelle J,Inouye SK,Ely EW,MacLullich A

    更新日期:2012-11-01 00:00:00

  • The cross-sectional relationship between body mass index, waist-hip ratio, and cognitive performance in postmenopausal women enrolled in the Women's Health Initiative.

    abstract:OBJECTIVES:To determine whether body mass index (BMI) is independently associated with cognitive function in postmenopausal women and the relationship between body fat distribution as estimated by waist-hip ratio (WHR). DESIGN:Cross-sectional data analysis. SETTING:Baseline data from the Women's Health Initiative (WH...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02969.x

    authors: Kerwin DR,Zhang Y,Kotchen JM,Espeland MA,Van Horn L,McTigue KM,Robinson JG,Powell L,Kooperberg C,Coker LH,Hoffmann R

    更新日期:2010-08-01 00:00:00

  • No old man ever forgot where he buried his treasure: concepts of cognitive impairment in old age circa 1700.

    abstract::Cognitive impairment in old age is one of the most important topics in modern geriatrics. This article discusses the historical dimensions of this phenomenon. To this end, a number of primary sources ranging from antiquity to the modern era are evaluated. Although a physiology and pathology of old age were conceptuali...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1532-5415.2005.53558.x

    authors: Schäfer D

    更新日期:2005-11-01 00:00:00

  • Changes in elderly welfare hotel residents during a one-year period.

    abstract::After a one-year interval, a structured interview designed to assess the quality of life was again conducted with most of the tenants in a single-room occupancy hotel in New York City. Comparisons was made between the two sets of findings. During the year, a program had been in effect to provide social, psychiatric, r...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1975.tb00316.x

    authors: Plutchik R,McCarthy M,Hall BH

    更新日期:1975-06-01 00:00:00

  • The effect of middle- and old-age body mass index on short-term mortality in older people.

    abstract:OBJECTIVES:To determine the effect of body mass index (BMI) at old age and at age 50 on short-term survival among persons age 65 and older. DESIGN:Cross-sectional, using the 4,791 respondents to the community interview of the 1994 National Long Term Care Survey (NLTCS). SETTING:United States of America. PARTICIPANTS...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2001.49259.x

    authors: Taylor DH Jr,Ostbye T

    更新日期:2001-10-01 00:00:00

  • Prolonged mechanical ventilation in 540 seriously ill older adults: effects of increasing age on clinical outcomes and survival.

    abstract:OBJECTIVES:To investigate effects of older age, comorbidities, and physiological measures on outcomes of elderly adults requiring prolonged mechanical ventilation (PMV). DESIGN:Retrospective cohort study. SETTING:Public long-term acute care hospital (LTACH) with an active program for ventilator weaning from PMV. PAR...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12597

    authors: Dermot Frengley J,Sansone GR,Shakya K,Kaner RJ

    更新日期:2014-01-01 00:00:00

  • Prevention of falls in the elderly.

    abstract::To prevent falls effectively, one must first understand the underlying reasons. Although environmental factors are sometimes to blame, the fundamental cause is a decline in postural control which is partly age-related and partly due to pathologic changes in the central nervous system. Dizziness is a common complaint a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb01125.x

    authors: Overstall PW

    更新日期:1980-11-01 00:00:00

  • The neuropsychological differentiation of patients with very mild Alzheimer's disease and/or major depression.

    abstract:OBJECTIVE:To evaluate the usefulness of standardized neuropsychological tests in the psychometric differentiation of patients with very mild or mild Alzheimer's Disease (AD) and/or major depression presenting in a tertiary clinic with memory/attention complaints. DESIGN:Controlled prospective clinicoexperimental desig...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1532-5415.1995.tb07402.x

    authors: desRosiers G,Hodges JR,Berrios G

    更新日期:1995-11-01 00:00:00

  • The epidemiology of skin tears in the institutionalized elderly.

    abstract::While skin tears are a common occurrence in the institutionalized elderly population, nothing has been written about this problem. We retrospectively studied all incident reports during a 1-year period at a large, urban, long-term-care facility to identify residents with skin tears. The overall incidence of skin tears...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1991.tb03599.x

    authors: Malone ML,Rozario N,Gavinski M,Goodwin J

    更新日期:1991-06-01 00:00:00

  • Building a Culturally Competent Workforce to Care for Diverse Older Adults: Scope of the Problem and Potential Solutions.

    abstract::The population of minority older adults is going to explode over the next four decades. Older adults from racial and ethnic minorities face persistent and pervasive health disparities. Health disparities exert a huge fiscal burden on the nation. The national financial cost of health disparities for the years 2002 to 2...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15939

    authors: Periyakoil VS

    更新日期:2019-05-01 00:00:00

  • Quality of life in patients with Alzheimer's disease as reported by patient proxies.

    abstract:OBJECTIVE:To measure behaviors indicative of quality of life (QOL) in patients with Alzheimer's disease and to examine correlates of patient QOL. DESIGN:Cross-sectional investigation. SETTING:Multi-center study. PARTICIPANTS:Sample of 130 diagnosed patients. PRINCIPAL OUTCOME MEASURES: Proxy ratings of (1) the frequ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.1996.tb01405.x

    authors: Albert SM,Del Castillo-Castaneda C,Sano M,Jacobs DM,Marder K,Bell K,Bylsma F,Lafleche G,Brandt J,Albert M,Stern Y

    更新日期:1996-11-01 00:00:00

  • Effect of the Tool to Reduce Inappropriate Medications on Medication Communication and Deprescribing.

    abstract:OBJECTIVES:To examine the effect of the Tool to Reduce Inappropriate Medications (TRIM), a web tool linking an electronic health record (EHR) to a clinical decision support system, on medication communication and prescribing. DESIGN:Randomized clinical trial. SETTING:Primary care clinics at a Veterans Affairs Medical...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jgs.15042

    authors: Fried TR,Niehoff KM,Street RL,Charpentier PA,Rajeevan N,Miller PL,Goldstein MK,O'Leary JR,Fenton BT

    更新日期:2017-10-01 00:00:00

  • Handgrip strength and mortality in older Mexican Americans.

    abstract:OBJECTIVES:To examine the association between handgrip strength and mortality in older Mexican American men and women. DESIGN:A 5-year prospective cohort study. SETTING:Five southwestern states: Texas, New Mexico, Colorado, Arizona, and California. PARTICIPANTS:A population-based sample of 2,488 noninstitutionalized...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50312.x

    authors: Al Snih S,Markides KS,Ray L,Ostir GV,Goodwin JS

    更新日期:2002-07-01 00:00:00

  • Counteracting effect of supine leg resistance exercise on systolic orthostatic hypotension in older adults.

    abstract:OBJECTIVES:To assess the efficacy of a leg exercise performed in supine position to prevent orthostatic hypotension (OH) in older adults. DESIGN:Case-control study. SETTING:Division of Physical Medicine and Rehabilitation, Salvatore Maugeri Foundation, Scientific Institute of Veruno, Veruno, Italy. PARTICIPANTS:Indi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12313

    authors: Galizia G,Abete P,Testa G,Vecchio A,Corrà T,Nardone A

    更新日期:2013-07-01 00:00:00

  • Integrated Memory Care Clinic: Design, Implementation, and Initial Results.

    abstract::The Integrated Memory Care Clinic (IMCC) is a patient-centered medical home as defined by the National Committee for Quality Assurance directed by advanced practice registered nurses (APRNs) caring for persons living with dementia (PLWD); physicians provide specialty consultation but do not direct care or care plannin...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15528

    authors: Clevenger CK,Cellar J,Kovaleva M,Medders L,Hepburn K

    更新日期:2018-12-01 00:00:00

  • Effects of a Safe Transportation Educational Program for Older Drivers on Driving Exposure and Community Participation: A Randomized Controlled Trial.

    abstract:OBJECTIVES:To ascertain whether a safe-transportation program can change driving exposure while maintaining community participation of older drivers. DESIGN:Randomized controlled trial. SETTING:Northwest Sydney. PARTICIPANTS:Drivers aged 75 and older (mean 80 ± 4) (n = 380). INTERVENTION:Intervention group particip...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jgs.14550

    authors: Coxon K,Chevalier A,Brown J,Clarke E,Billot L,Boufous S,Ivers R,Keay L

    更新日期:2017-03-01 00:00:00

  • A plan for regional medical health centers for the geriatric patient.

    abstract::A rough plan is proposed which may facilitate the care of geriatric patients. The plan is to introduce pilot programs of geriatric regional centers attached to Veteran's Administration hospitals. Thus, at minimal cost, the problems of geriatric medicine would be under the supervision of our excellent university medica...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1966.tb03082.x

    authors: Dawson D

    更新日期:1966-05-01 00:00:00

  • Prognostic significance of potential frailty criteria.

    abstract:OBJECTIVES:To determine the independent prognostic effect of seven potential frailty criteria, including five from the Fried phenotype, on several adverse outcomes. DESIGN:Prospective cohort study. SETTING:Greater New Haven, Connecticut. PARTICIPANTS:Seven hundred fifty-four initially nondisabled, community-living p...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2008.02008.x

    authors: Rothman MD,Leo-Summers L,Gill TM

    更新日期:2008-12-01 00:00:00

  • Screening for Alzheimer's disease: the memory impairment screen versus the conventional three-word memory test.

    abstract:OBJECTIVES:To improve screening for Alzheimer's disease (AD) with the Memory Impairment Screen (MIS), a 4-minute, four-item delayed free and cued recall memory test with controlled learning and high discriminative validity. To assess the discriminative validity of the MIS for AD and to compare it with the conventional ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50265.x

    authors: Kuslansky G,Buschke H,Katz M,Sliwinski M,Lipton RB

    更新日期:2002-06-01 00:00:00

  • Kidney function as a predictor of loss of lean mass in older adults: health, aging and body composition study.

    abstract:OBJECTIVES:To assess the association between kidney function and change in body composition in older individuals. DESIGN:Prospective cohort study. SETTING:Two sites, Pittsburgh, Pennsylvania, and Memphis, Tennessee. PARTICIPANTS:Three thousand twenty-six well-functioning, participants aged 70 to 79 in the Health, Ag...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2007.01398.x

    authors: Fried LF,Boudreau R,Lee JS,Chertow G,Kurella-Tamura M,Shlipak MG,Ding J,Sellmeyer D,Tylavsky FA,Simsonick E,Kritchevsky SB,Harris TB,Newman AB,Health, Aging and Body Composition Study.

    更新日期:2007-10-01 00:00:00

  • Incorporating Geriatric Assessment into a Nephrology Clinic: Preliminary Data from Two Models of Care.

    abstract::Older adults with advanced chronic kidney disease (CKD) experience functional impairment that can complicate CKD management. Failure to recognize functional impairment may put these individuals at risk of further functional decline, nursing home placement, and missed opportunities for timely goals-of-care conversation...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14262

    authors: Hall RK,Haines C,Gorbatkin SM,Schlanger L,Shaban H,Schell JO,Gurley SB,Colón-Emeric CS,Bowling CB

    更新日期:2016-10-01 00:00:00

  • Patterns of comorbidity in older adults with heart failure: the Cardiovascular Research Network PRESERVE study.

    abstract:OBJECTIVES:To examine whether the total burden of comorbidity and pattern of co-occurring conditions varies in individuals with heart failure (HF) with preserved left ventricular ejection fraction (LVEF) (HF-P) or HF with reduced LVEF (HF-R). DESIGN:Cross-sectional cohort study. SETTING:Four participating health plan...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 历史文章,杂志文章,多中心研究

    doi:10.1111/jgs.12062

    authors: Saczynski JS,Go AS,Magid DJ,Smith DH,McManus DD,Allen L,Ogarek J,Goldberg RJ,Gurwitz JH

    更新日期:2013-01-01 00:00:00

  • Long-term acute care: a review of the literature.

    abstract::Long-term acute care (LTAC) represents a rapidly growing category of Medicare providers, but little is known about its quality, outcomes, and cost-effectiveness. Its defining characteristic, as set by Medicare, is an average length of stay of greater than 25 days. Modern LTAC emerged in the early 1980s as a setting fo...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2007.01162.x

    authors: Eskildsen MA

    更新日期:2007-05-01 00:00:00

  • Tocopherol in Osteoarthritis: a controlled pilot study.

    abstract::Thirty-two patients entered a simple-blind, cross-over study on the action of tocopherol in osteoarthritis; only 3 did not complete the course. Each patient was randomly assigned either to the tocopherol group (600 mg/day for 10 days) or to the placebo group. After 10 days the groups were transposed. The analgesic and...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.1978.tb01345.x

    authors: Machtey I,Ouaknine L

    更新日期:1978-07-01 00:00:00

  • Physical activity over the life course and its association with cognitive performance and impairment in old age.

    abstract:OBJECTIVE:To determine how physical activity at various ages over the life course is associated with cognitive impairment in late life. DESIGN:Cross-sectional study. SETTING:Four U.S. sites. PARTICIPANTS:Nine thousand three hundred forty-four women aged 65 and older (mean 71.6) who self-reported teenage, age 30, age...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2010.02903.x

    authors: Middleton LE,Barnes DE,Lui LY,Yaffe K

    更新日期:2010-07-01 00:00:00

  • Racial and ethnic disparities in indicators of physical health status: do they still exist throughout late life?

    abstract::Physical health problems become more common as people age and are associated with a great deal of disability. Although racial and ethnic disparities have been reported in physical health, little is known about whether these disparities remain in the latest part of older adulthood. Accordingly, the current study sought...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.03033.x

    authors: August KJ,Sorkin DH

    更新日期:2010-10-01 00:00:00