Development of a minimum data set-based depression rating scale for use in nursing homes

Burrows, Adam B.; Morris, John N.; Simon, Samuel; Hirdes, John P.; Phillips, Charles D.

doi:10.1093/ageing/29.2.165

Cited by 586 publications

(485 citation statements)

References 43 publications

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“…Number of prescribed medications and new medications were derived by the assessors and included as summary items as part of the RAI 2.0. Our analyses also included four health index measures previously developed and validated for use with the RAI 2.0 tool: (1) the Activities of Daily Living (ADL) self-performance hierarchy scale (range 0-6) [26]; (2) the Changes in Health, End-stage disease and Signs and Symptoms (CHESS) score (range 0-5) [27]; (3) the Cognitive Performance Scale (CPS) score (range 0-6) [28,29]; and (4) the Depression Rating Scale (DRS; range 0-14) [30]. Higher scores are all indicative of more severe impairment.…”

Section: Methodsmentioning

confidence: 99%

Osteoporosis management among residents living in long-term care

et al. 2009

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Section: Methodsmentioning

confidence: 99%

Osteoporosis management among residents living in long-term care

et al. 2009

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“…24 The Depression Rating Scale (DRS) is a reliable scale scored on a scale ranging from 0 to 7, with 3 or more points indicating the need for further evaluation for depression. 25,26 The pain scale is scored from 0 to 3 and identifies residents with no pain, less than daily pain, daily mild to moderate pain, and daily excruciating pain. 27 All these scales were collapsed into categories.…”

Section: Methodsmentioning

confidence: 99%

Who Receives Rehabilitation in Canadian Long-Term Care Facilities? A Cross-Sectional Study

McArthur¹,

Hirdes

Berg

et al. 2015

Physiotherapy Canada

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Purpose: To describe the proportion of residents receiving occupational therapy (OT) and physical therapy (PT) and the factors associated with receiving PT in long-term care (LTC) facilities across five provinces and one territory in Canada. Methods: Using a population-based, retrospective analysis of crosssectional data, the proportion of LTC facility residents in each province or territory receiving three different amounts (time and frequency) of PT, OT, or both before July 1, 2013, was calculated according to the Resource Utilization Groups-III rehabilitation classifications. Twenty-three variables from the Resident Assessment Instrument 2.0, such as age and cognition, were examined as correlates; those significant at p < 0.01 were included in a multivariate logistic regression. Results: Between 63.7% and 88.6% of residents did not receive any PT or OT; 0.8%-12.6% received both PT and OT; 5.8%-29.5% received an unspecified amount of PT; 1.9%-7.0% received 45 minutes or more of PT 3 days or more per week; and fewer than 1% received 150 minutes or more of PT on 5 or more days per week. Province, age, cognitive status, depression, clinical status, fracture, multiple sclerosis, and self-rated potential for improvement were associated with PT irrespective of time intensity. Conclusions: The proportion of LTC residents receiving rehabilitation services varies across Canada and appears to be associated with physical impairments and the potential for improvement; older residents with cognitive impairment or mood disorders are less likely to receive rehabilitation services. Future recommendations should consider what is driving the patterns of service use, determine whether the resources available are appropriate, and address the most appropriate goals for residents in LTC.Key Words: aged; long-term care; occupational therapy; rehabilitation. RÉ SUMÉObjet: Dé crire la proportion de ré sidents qui reç oivent des soins d'ergothé rapie (ET) et de physiothé rapie (PT) ainsi que les facteurs associé s à la ré ception de soins de PT dans des é tablissements de soins de longue de cinq provinces et d'un territoire au Canada. Mé thodes: À l'aide d'une analyse ré trospective de donné s transversales fondé e sur la population, la proportion de ré sidents des é tablissements de soins de longue duré e dans chaque province ou territoire qui recevaient trois combinaisons diffé rentes (temps et fré quence) de soins de PT ou d'ET avant le 1 er juillet 2013 a é té calculé e en fonction des groupes d'utilisation des ressources-classifications de ré adaptation III. Un total de 23 variables de la mé thode d'é valuation RAI 2.0, comme l'â ge et la cognition, ont é té examiné es en tant que corré lats; les variables significatives au seuil de p < 0.01 ont é té incluses dans une ré gression logistique à variables multiples. Ré sultats: De 63,7% à 88,6% des ré sidents n'ont pas reç u de soins de PT ou d'ET; de 0,8% à 12,6% des ré sidents ont reç u les deux types de soins; de 5,8% à 29,5% des ré sidents ont reç u une quantité non pré c...

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“…Skala DRS jest wiarygodna w zestawieniu ze skalami Hamiltona i Cornella oraz psychiatrycznym rozpoznaniem depresji [7].…”

Section: Materiał I Metodyunclassified

Problemy zdrowia psychicznego pacjentów opieki długoterminowej jako wyzwanie dla pielęgniarek i opiekunów

Wójcik

Czekała

Sienkiewicz

2018

Problemy Pielęgniarstwa

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Społecznego 2 NZOZ Domowa Opieka Medyczna Do-Med roblemy zdrowia psychicznego pacjentów opieki długoterminowej jako wyzwanie dla pielęgniarek i opiekunów Mental health problem among long term care patients as a challange for nurses and caretakers STRESZCZENIEWstęp. Dokonujące się zmiany w strukturze demograficznej i epidemiologicznej polskiego społeczeństwa tworzą zapotrzebowanie na nowe rozwiązania prawne i organizacyjne w systemie usług zdrowotnych realizowanych na rzecz osób w podeszłym wieku. Cel pracy. Głównym celem badań była ocena problemów zdrowia psychicznego u pacjentów objętych pielęgniarską opieką długoterminową domową (PODD). Materiał i metody. Badania przeprowadzono w populacji pacjentów od 60. roku życia objętych świadczeniami PODD, realizowanymi w systemie ubezpieczenia zdrowotnego (NFZ), w wybranych czterech województwach w Polsce. W badaniu wzięło udział 297 pacjentów. Zastosowano międzynarodowe narzędzie badawcze Resident Assessment Instrument-Home Care (RAI/HC), czyli Kwestionariusz Oceny Pacjentów Opieki Domowej (KOP/OD). Wyniki i wnioski. Przeprowadzona ocena wybranych problemów zdrowia psychicznego pacjentów PODD potwierdziła występowanie objawów depresji u 62,6% badanych oraz zaburzeń funkcji poznawczych u 79,2% badanych. Najwyższy wskaźnik objawów depresji zaobserwowano w najniższej grupie wiekowej (60-75 lat), natomiast upośledzenie funkcji poznawczych rosło wraz z wiekiem badanych. Analiza wyników przeprowadzonych badań stała się podstawą do zdefiniowania struktury potrzeb pielęgnacyjnych i opiekuńczych pacjentów długoterminowej opieki domowej, a także do sformułowania propozycji zmian w systemie kwalifikacji i oceny pacjentów PODD.Problemy Pielęgniarstwa 2017; 25 (4): 257-263 Słowa kluczowe: opieka długoterminowa; demencja; depresja; opieka pielęgniarska ABSTRACT Introduction. Changes occurring in demographic and epidemiological structure of the Polish society cause a demand for new legal and organizational solutions in the system of health services provided to elderly persons. Objective. The aim of this study was evaluate mental health problems and care needs among elderly patients receiving long-term nursing care at home. Materials and methods. Survey was carried out on 297 patients receiving long-term nursing care within guaranteed health services in the national health insurance system in 4 Polish voivodships. Selection of the surveyed population was based on two criteria: age 60 or more and receiving long-term home nursing within the health care insurance. The survey was carried out with the use of a standardized questionnaire InterRAI-HC (Resident Assessment Instrument-Home Care) for assessment of health status and health needs of long-term home care patients. Results and conclusions. Assessment of selected mental health problems confirmed occurrence of depression symptoms in 62.6% patients and cognitive function impairment in 79.2% patients. The highest index of depression symptoms was

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Development of a minimum data set-based depression rating scale for use in nursing homes

Abstract: items from the Minimum Data Set can be organized to screen for depression in nursing-home residents. Further testing of the instrument is now needed.

Cited by 586 publications

References 43 publications

Osteoporosis management among residents living in long-term care

Osteoporosis management among residents living in long-term care

Who Receives Rehabilitation in Canadian Long-Term Care Facilities? A Cross-Sectional Study

Problemy zdrowia psychicznego pacjentów opieki długoterminowej jako wyzwanie dla pielęgniarek i opiekunów

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