Perceived Control and Acceptance of the Decision to Enter a Nursing Home as Predictors of Adjustment

Davidson, Heather; O’Connor, Brian P.

doi:10.2190/gbpm-h9cj-ln22-02tt

Cited by 33 publications

(18 citation statements)

References 26 publications

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“…However, only up to 20% of the variance in the behaviour problems could be explained by the variables that were studied. Therefore, the variance in behaviour was due to other variables such as neurological changes in the brain, nursing staffs variable approach to patients (which may provoke or reduce behaviour), behavioural disturbance in other residents, the physical environment of the nursing home, differences in the quality of the relationships before and after admission, and the number and type of lifetime losses since relocation to a nursing home could be seen as a loss of autonomy and independence (Davidson and O'Connor, 1990).…”

Section: Discussionmentioning

confidence: 99%

Clinical and psychosocial variables associated with different types of behaviour problem in new nursing home admissions

Morriss

Rovner

German

1995

Int J Geriat Psychiatry

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SUMMARYThe behaviour problems of 451 subjects at 2 weeks after admission to eight nursing homes were recorded on the Psychogeriatric Dependency Rating Scale. Factor analysis extracted four types of behaviour problem: antisocial behaviour, motor activity, communication problems and demands. Associations between the four types of behaviour problems and demographic, psychiatric, psychosocial and physical variables were examined. Multiple linear regression revealed that the four behaviour problem factors were associated with different clinical variables and possibly different aetiologies. However, only 20% or less of the variance in behaviour problems could be explained by variables examined in the study. KEY WORDS-behaviour problems; nursing homes; psychosocial factors; clinical featuresDo different behaviour problems in nursing home residents have different aetiologies and require different treatment approaches? Previous studies have started to examine the aetiology of specific behaviour problems in the nursing home, for example agitation (eg Cohen-Mansfield et al., 1992), wandering (Martino-Saltzman et al., 1991) and noisemaking (Cariaga et al., 1991). In general, these studies have examined specific behaviour problems in isolation from the rest of the subject's behaviour. As a result, it is not clear how the aetiology of the studied behaviour problem differs from the aetiology of other behaviour problems in the same sample. Furthermore, previous studies have examined subjects who have been resident in the nursing home for varying amounts of time. The behaviour of residents changes over time as subjects adapt to the new nursing home environment (Nirenberg, et al., 1987). A more accurate picture of the aetiology of different behaviour problems can be determined by examining a cohort of subjects resident in the nursing home for a similar period of time. 1983; AnthonyThe purpose of the study was to empirically determine distinct types of behaviour problem in a cohort of new admissions to nursing homes and to investigate associations between the different types of behaviour problem and other clinical variables. We hypothesized that the different types of behaviour problem were associated with a unique combination of specific clinical variables. METHOD Subjects and nursing homesFrom February 1987 to March 1988, 716 consecutive residents were admitted to eight nursing homes owned by one health care organization, CCC 08854230/95/07054749 0 1995

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Section: Discussionmentioning

confidence: 99%

Clinical and psychosocial variables associated with different types of behaviour problem in new nursing home admissions

Morriss

Rovner

German

1995

Int J Geriat Psychiatry

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“…Moreover, several studies suggest that exerting control over future care arrangements promotes subjective well-being and enhances satisfaction with the receipt of care (Harel & Noelker, 1982;Lieberman & Tobin, 1983;Reinardy, 1992;Reinardy & Kane, 1999), as long as one's expectations become a reality (Davidson & O'Connor, 1990). However, because there are individual differences in the need for taking control (Ziegler & Reid, 1979), those who do not wish to take control over the source of future care would probably benefit less from planning in advance for future health care needs.…”

Section: Positive Effects Of Preparation For Future Care Needsmentioning

confidence: 99%

Helping Older Adults and Their Families Develop and Implement Care Plans

Pinquart

Sörensen

Peak

2005

Journal of Gerontological Social Work

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As people age, they are at increased risk of needing assistance with household tasks and personal care. After summarizing research on older adults' preparation for future health care needs, we introduce a process model for promoting preparation processes. Our focus is on how social workers may best help individuals cope with these risks, that is, how to overcome barriers that inhibit preparation, find an option that fits the older adult's needs, and help the older adult implement care plans. Finally, we provide a case example for the application of the suggested model.

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“…Young (1998) found that residents who initiate their moves to retirement housing have the highest levels of satisfaction with both the decision and the overall moving process and so felt more at home in their new surroundings. Numerous studies of nursing home relocation have also demonstrated a positive relationship between control of decision making and resident well-being (Davidson & O’Connor, 1990; Forbes & Hoffart, 1998; Holzapfel et al, 1992; Mikhail, 1992). …”

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confidence: 99%

Pathways to Assisted Living

et al. 2008

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This article examines how race and class influence decisions to move to assisted living facilities. Qualitative methods were used to study moving decisions of residents in 10 assisted living facilities varying in size and location, as well as race and socioeconomic status of residents. Data were derived from in-depth interviews with 60 residents, 43 family members and friends, and 12 administrators. Grounded theory analysis identified three types of residents based on their decision-making control: proactive, compliant, and passive/resistant. Only proactive residents (less than a quarter of residents) had primary control. Findings show that control of decision making for elders who are moving to assisted living is influenced by class, though not directly by race. The impact of class primarily related to assisted-living placement options and strategies available to forestall moves. Factors influencing the decision-making process were similar for Black and White elders of comparable socioeconomic status. Keywords assisted living; control of moving decisions; residents' race and socioeconomic statusThe demographics of a rapidly aging population have fueled the demand for assisted living facilities (ALFs), a type of long-term care setting that bridges the gap between home and nursing home. In 2004, ALFs numbered 36,451 and served almost a million people (Mollica & Johnson-Lamarche, 2005), and the number of assisted living (AL) residents is expected to more than double, to 2 million, by the year 2030 (Assisted Living Federation of America, 2005).The majority of AL residents nationwide are White (Hawes et al., 1995;Hawes, Rose, & Phillips, 1999;Morgan, Gruber-Baldini, & Magaziner, 2001;Sikorska-Simmons, 2006 (Ball et al., 2005;Belgrave & Bradsher, 1994;Brooks, 1996;Mui & Burnette, 1994). Most African Americans live in ALFs with 24 or fewer beds; almost all ALFs with majority African American populations have lower fees; and African American residents, compared to Whites, are more likely to have public financial support (Ball et al., 2000; Ball et al., 2005;Hawes et al., 1995;Morgan, Eckert, & Lyon, 1995;Mutran, Sudha, Reed, Menon, & Desai, 2001). Although African Americans also are less likely than Whites to reside in nursing homes (Gaugler, Kane, Kane, Clay, & Newcomer, 2003;Murtaugh, Kemper, Spillman, & Carlson, 1997; Wallace, Levy-Storms, Kingston, & Anderson, 1998), a higher percentage of older African Americans live in small urban ALFs than in nursing homes (Morgan et al., 1995). This finding may be attributable to the greater availability, financial accessibility, and cultural attractiveness of minority-owned and minority-run ALFs (compared to nursing homes) in large urban areas with significant minority populations (Ball et al., 2005;Morgan et al., 1995).Most ALFs are privately paid for, with rates varying widely across sizes and types. The National Center for Assisted Living (2001) reported monthly private-pay fees ranging from $1,000 to $3,500, with an average of $1,873. A Metlife (2006) national s...

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Perceived Control and Acceptance of the Decision to Enter a Nursing Home as Predictors of Adjustment

Cited by 33 publications

References 26 publications

Clinical and psychosocial variables associated with different types of behaviour problem in new nursing home admissions

Clinical and psychosocial variables associated with different types of behaviour problem in new nursing home admissions

Helping Older Adults and Their Families Develop and Implement Care Plans

Pathways to Assisted Living

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