Longitudinal investigation of wandering behavior in Department of Veterans Affairs nursing home care units.

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.

authors

King-Kallimanis B,Schonfeld L,Molinari VA,Algase D,Brown LM,Kearns WD,Davis DM,Werner DH,Beattie ER,Nelson AL

doi

10.1002/gps.2316

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

166-74

issue

2

eissn

0885-6230

issn

1099-1166

journal_volume

25

pub_type

杂志文章
  • Over- and under-diagnosis of dementia in ethnic minorities: a nationwide register-based study.

    abstract:OBJECTIVE:Among dementia professionals in several European countries, it is believed that dementia is under-diagnosed and under-treated to a greater extent among ethnic minorities than in the native population. It is unknown whether this belief holds true. The objective of this study was to compare the prevalence of re...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2650

    authors: Nielsen TR,Vogel A,Phung TK,Gade A,Waldemar G

    更新日期:2011-11-01 00:00:00

  • Atypical antipsychotic drug use and falls among nursing home residents in Winnipeg, Canada.

    abstract:OBJECTIVE:The purpose of this study is to assess whether atypical antipsychotic drug (AAD) use is associated with increased risk of falling among older (≥65 years) nursing home (NH) residents. METHODS:We conducted a nested case-control study using Resident Assessment Instrument Minimum Data Set 2.0 (RAI-MDS(©)) for NH...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4223

    authors: Bozat-Emre S,Doupe M,Kozyrskyj AL,Grymonpre R,Mahmud SM

    更新日期:2015-08-01 00:00:00

  • Social network types and cognitive decline among older Korean adults: A longitudinal population-based study.

    abstract:OBJECTIVES:Social network (SN) has been known to impact on cognitive function in late life. However, knowledge regarding the link between SN of various types and cognitive decline (CD) is limited. This study's aim was to investigate which types of SN are associated with reduced risk of CD 2 years later among community-...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5200

    authors: Kim YB,Lee SH

    更新日期:2019-12-01 00:00:00

  • Clock drawing test: correlation with linear measurements of CT studies in demented patients.

    abstract:OBJECTIVES:To investigate a presumed correlation between clock drawing ratings and linear measurements of computerized tomography (CT) studies in demented patients. DESIGN:Blinded evaluations of clock drawing tests and CT studies of elderly dementia patients were conducted by a geriatric psychiatrist and a neuroradiol...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/1099-1166(200012)15:12<1130::aid-gps259>3.

    authors: Heinik J,Reider-Groswasser II,Solomesh I,Segev Y,Bleich A

    更新日期:2000-12-01 00:00:00

  • Quantitative EEG in progressing vs stable mild cognitive impairment (MCI): results of a 1-year follow-up study.

    abstract:OBJECTIVE:The study objective is to evaluate the use of qEEG data for the cross-sectional differentiation of mild cognitive impairment (MCI) from mild Alzheimer's disease (AD) and in the longitudinal prediction of cognitive decline in MCI. METHODS:Eighty-eight subjects with MCI and 42 subjects with mild probable AD we...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2042

    authors: Luckhaus C,Grass-Kapanke B,Blaeser I,Ihl R,Supprian T,Winterer G,Zielasek J,Brinkmeyer J

    更新日期:2008-11-01 00:00:00

  • Prevalence and patterns of executive impairment in community dwelling Mexican Americans: results from the Hispanic EPESE Study.

    abstract:INTRODUCTION:Little is known about the prevalence of impaired executive control function (ECF) in community dwelling elderly or minority populations. We have determined the prevalence of cognitive impairment and impaired ECF in a community dwelling Mexican American elderly population, and their associations with functi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1185

    authors: Royall DR,Espino DV,Polk MJ,Palmer RF,Markides KS

    更新日期:2004-10-01 00:00:00

  • Neuroticism predicts fear of falling after hip fracture.

    abstract:OBJECTIVES:Fear of falling (FoF) is common and associated with poorer functional outcomes after hip fracture. We sought to differentiate patterns of FoF at 4 and 12 weeks after surgical repair for hip fracture and examine predictors of FoF. METHODS/DESIGN:Secondary analysis of existing data from a 52-week prospective ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5261

    authors: Bower ES,Wetherell JL,Petkus AJ,Lenze EJ

    更新日期:2020-05-01 00:00:00

  • Current awareness

    abstract::In order to keep subscribers up-to-date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Books, ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:

    authors: Arai Y

    更新日期:2000-04-01 00:00:00

  • Early parental death and psychosocial risk factors for dementia: A case-control study in Europe.

    abstract:OBJECTIVES:To assess the association between early parental death and the risk of dementia in adult life and to examine the risk factors associated with early parental death in people with and without dementia. METHODS/DESIGN:A population-based case-control study of a sample of 65 997 participants from the Survey of H...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.5328

    authors: Conde-Sala JL,Garre-Olmo J

    更新日期:2020-09-01 00:00:00

  • An in-home geriatric programme for vulnerable community-dwelling older people improves the detection of dementia in primary care.

    abstract:BACKGROUND/OBJECTIVE:Dementia is under-diagnosed in primary care. This study investigated whether an in-home geriatric assessment and management programme could improve the identification of patients with dementia in primary care. METHODS:A secondary analysis was performed, using data of a randomised controlled trial ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/gps.2128

    authors: Perry M,Melis RJ,Teerenstra S,Drasković I,van Achterberg T,van Eijken MI,Lucassen P,Rikkert MG

    更新日期:2008-12-01 00:00:00

  • A follow-up study of change in quality of life among persons with dementia residing in a long-term care facility.

    abstract:BACKGROUND:Dementia is a major public health problem. Increased attention is being paid to the quality of life (QOL) of people with this chronic disease. There have been no longitudinal studies of QOL change in dementia. METHOD:Longitudinal study of a cohort of 47 persons with dementia residing in a long-term care fac...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.796

    authors: Lyketsos CG,Gonzales-Salvador T,Chin JJ,Baker A,Black B,Rabins P

    更新日期:2003-04-01 00:00:00

  • Cross validation of the Montreal Cognitive Assessment in community dwelling older adults residing in the Southeastern US.

    abstract:OBJECTIVE:Cross validation study of the MoCA for the detection of Alzheimer's disease (AD) and Mild Cognitive Impairment (MCI) in a community-based cohort residing in the Southeastern United States. METHODS:One hundred and eighteen English-speaking older adults, who underwent diagnostic evaluation as part of an on-goi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2101

    authors: Luis CA,Keegan AP,Mullan M

    更新日期:2009-02-01 00:00:00

  • Diagnosing dementia in a developing nation: an evaluation of the GMS-AGECAT algorithm in an older Korean population.

    abstract:BACKGROUND:Numbers of older people are increasing rapidly in many developing nations and there is a pressing need for epidemiological studies of psychiatric morbidity, particularly dementia. Valid methods for case identification are an important first step. The Geriatric Mental State (GMS) is a widely used diagnostic i...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.834

    authors: Kim JM,Stewart R,Prince M,Shin IS,Yoon JS

    更新日期:2003-04-01 00:00:00

  • Lay perceptions regarding the competence of persons with Alzheimer's disease.

    abstract:OBJECTIVE:The aim of the present study was to assess lay persons' perceptions about the competence of a person with AD and its relationship to social distance. METHODS:Face-to-face interviews were conducted with a total of 206 Jewish Israeli adults (mean age = 59.7) using an experimental vignette methodology, varying ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.1546

    authors: Werner P

    更新日期:2006-07-01 00:00:00

  • Norms for the Mini-Mental State Examination from a sample of Sri Lankan older people.

    abstract:OBJECTIVE:To derive norms for the Mini Mental State Examination (MMSE) based on age, gender and level of formal education among the elderly in Sri Lanka. METHOD:A validated Sinhalese version of the MMSE was administered to people aged 55 years and above residing in 14 randomly selected elders' homes. Effects of age, g...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2168

    authors: De Silva R,Disanayaka S,De Zoysa N,Sanjeewanie N,Somaratne S,Foster J,Srikanth S,Kathriarachchi ST,Martins RM

    更新日期:2009-07-01 00:00:00

  • A cross cultural review of the ethical issues in dementia care in Kerala, India and The Netherlands.

    abstract:BACKGROUND:The paper explores the diverse ethical issues in the care of persons with dementia, in the Netherlands and Kerala, India. These cross-cultural data are used to suggest newer ways for addressing the ethical issues in a mutually enhancing manner. METHODS:A thorough review of the literature focusing on ethical...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.2127

    authors: Sowmini CV,De Vries R

    更新日期:2009-04-01 00:00:00

  • The value of ethyl cysteinate dimer single photon emission computed tomography in predicting antidepressant treatment response in patients with major depression.

    abstract:OBJECTIVE:The purpose of this study is to examine whether the reversal of compromised regional cerebral blood flow (rCBF) in older patients with major depressive disorder (MDD) is dependent on specific parameters of selective serotonin reuptake inhibitor (SSRI) treatment and to examine the efficacy of such treatment. ...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.3887

    authors: Hanada H,Imanaga J,Yoshiiwa A,Yoshikawa T,Tanaka Y,Tsuru J,Inoue A,Ishitobi Y,Okamoto S,Kanehisa M,Maruyama Y,Ninomiya T,Higuma H,Isogawa K,Kawasaki T,Fujioka T,Akiyoshi J

    更新日期:2013-07-01 00:00:00

  • Statins and cognition in late-life bipolar disorder.

    abstract:OBJECTIVES:Recent data suggests that statins have positive effects on cognition in older adults. Studies in patients with mood disorders have found contradicting positive and negative effects of statins on mood and cognition, with limited data in bipolar disorder (BD). The objective of this study was to assess the asso...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4956

    authors: Rej S,Schulte SW,Rajji TK,Gildengers AG,Miranda D,Menon M,Butters MA,Mulsant BH

    更新日期:2018-10-01 00:00:00

  • Access to public mental health services among older adults with severe mental illness.

    abstract:OBJECTIVE:Limited data are available on how older adults access public mental health systems. This study examines how uninsured or publicly insured older adults with severe mental illness in San Diego County initially accessed the public mental health system, as well as their subsequent use of public mental health serv...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2123

    authors: Gilmer TP,Ojeda VD,Fuentes D,Criado V,Garcia P

    更新日期:2009-03-01 00:00:00

  • Quality of life in dementia patients in long-term care.

    abstract:OBJECTIVE:To evaluate variables associated with quality of life (QOL) in dementia residents in a long-term care facility using a recently standardized and validated dementia-specific QOL scale (ADRQL). METHOD:A cross-sectional, case-control design was employed using validated scales to assess dementia-related symptoma...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(200002)15:2<181::aid-gps96

    authors: González-Salvador T,Lyketsos CG,Baker A,Hovanec L,Roques C,Brandt J,Steele C

    更新日期:2000-02-01 00:00:00

  • Acute confusional state in elderly orthopaedic patients: factors of importance for detection in nursing care.

    abstract:OBJECTIVES:The aims of this study were to identify factors of significance in the development of acute confusional state (ACS) and the differences between patients who developed ACS and those who did not. METHOD AND RESULTS:Assessment, observations and interviews with 505 patients admitted to an orthopaedic clinic rev...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/1099-1166(200101)16:1<7::aid-gps261>3.0.co

    authors: Andersson EM,Gustafson L,Hallberg IR

    更新日期:2001-01-01 00:00:00

  • Does aspirin affect outcome in vascular dementia? A retrospective case-notes analysis.

    abstract:BACKGROUND:Ischaemic vascular dementia shares risk factors with stroke. There is evidence that control of these risk factors may prevent or alter the course of vascular dementia. OBJECTIVE:To assess the effect of regular low-dose aspirin on outcomes for patients with vascular dementia. DESIGN:Retrospective analysis o...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.857

    authors: Devine ME,Rands G

    更新日期:2003-05-01 00:00:00

  • Review of assessment and treatment of PTSD among elderly American armed forces veterans.

    abstract:BACKGROUND:The number of elderly combat veterans is steadily increasing in the US and estimates project that a notable percentage of these veterans experience symptoms of posttraumatic stress disorder (PTSD). Limited data exist specifically related to prevalence, assessment, and treatment of PTSD among the elderly vete...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,评审

    doi:10.1002/gps.1408

    authors: Owens GP,Baker DG,Kasckow J,Ciesla JA,Mohamed S

    更新日期:2005-12-01 00:00:00

  • Verbal repetition in patients with Alzheimer's disease who receive donepezil.

    abstract:BACKGROUND:Current outcome measures for Alzheimer's disease (AD) drugs have been criticized as insufficiently patient-centred. One commonly unmeasured goal of patients and caregivers is verbal repetition. OBJECTIVES:We examined how often reducing repetition (of questions, statements or stories) was set as treatment go...

    journal_title:International journal of geriatric psychiatry

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/gps.1486

    authors: Asp E,Cloutier F,Fay S,Cook C,Robertson ML,Fisk J,Dei DW,Rockwood K

    更新日期:2006-05-01 00:00:00

  • Family member deaths across adulthood predict Alzheimer's disease risk: The Cache County Study.

    abstract:OBJECTIVES:Parental death during childhood, and offspring and spouse death during adulthood have individually been associated with faster cognitive decline and higher Alzheimer's disease (AD) risk in late life. However, the cumulative effect of childhood and adulthood family deaths on AD risk among different age cohort...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4319

    authors: Norton MC,Fauth E,Clark CJ,Hatch D,Greene D,Pfister R,Tschanz JT,Smith KR

    更新日期:2016-03-01 00:00:00

  • Genetic research into Alzheimer's disease: a European focus group study on ethical issues.

    abstract:BACKGROUND:Nowadays, there is an increasing interest in the heritable aspects of Alzheimer's Disease (AD). The ethical implications of this kind of research are also attracting attention. However, relatively few open-ended qualitative studies have been carried out to study these aspects. OBJECTIVE:To explore and analy...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1002/gps.1825

    authors: van der Vorm A,Rikkert MO,Vernooij-Dassen M,Dekkers W,EDCON Panel.

    更新日期:2008-01-01 00:00:00

  • Relationship between symptoms of depression and agitation in nursing home residents with dementia.

    abstract:OBJECTIVE:The aim of this study is to analyze modifiable factors related to agitation of nursing home residents with dementia. METHODS:Relationship of agitation with three modifiable factors (depression, psychosis, and pain) was explored using longitudinal Minimum Data Set (MDS) information from 2032 residents of Dutc...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2800

    authors: Volicer L,Frijters DH,Van der Steen JT

    更新日期:2012-07-01 00:00:00

  • Evaluating the caregiver's intervention in the elder's task performance: capacity versus actual behavior.

    abstract::As an elder's functional impairment increases, so in general does the tendency for the caregiver to intervene in the elder's daily activities and initiatives. To a certain extent, such intervention is necessary to compensate for the elder's loss of independent ability, and without such intervention, adverse outcomes f...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/(sici)1099-1166(199709)12:9<920::aid-gps66

    authors: Fulmer T,Gurland B

    更新日期:1997-09-01 00:00:00

  • A valid instrument for measuring informal care time for people with dementia.

    abstract:OBJECTIVE:An economic evaluation of dementia-related interventions from a societal perspective should take account of informal caregiving. We assessed informal caregiving time and report our findings on the validity and stability of our results. METHODS:Within the German IDA study ('Dementia Care Initiative in Primary...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.2103

    authors: Neubauer S,Holle R,Menn P,Grässel E

    更新日期:2009-03-01 00:00:00

  • CSF biomarkers in delirium: a systematic review.

    abstract:OBJECTIVE:In recent years, there has been a blossoming of studies examining cerebrospinal fluid (CSF) as a method of studying the pathophysiology of delirium. We systematically reviewed the literature for CSF studies in delirium and provide here a summary of the implications for our understanding of delirium pathophysi...

    journal_title:International journal of geriatric psychiatry

    pub_type: 杂志文章

    doi:10.1002/gps.4720

    authors: Hall RJ,Watne LO,Cunningham E,Zetterberg H,Shenkin SD,Wyller TB,MacLullich AMJ

    更新日期:2018-11-01 00:00:00