ORIGINAL ARTICLE    Predictors of Nursing Home Admission for Persons with  delirium  Joseph E. Gaugler, PhD,*â  Fang Yu, PhD, AP, RN, GNP-BC, RN,â¡ Kathleen Krichbaum, PhD, RN,§ and Jean F. Wyman, PhD, AP, RN, GNP-BC, FAAN¶     tar add up   atomic number 18a: The  intent of this systematic review was to identify factors that consistently  count on nursing home admission (NHA) in persons with dementia. Methods: Studies published in English were retrieved by searching the MEDLINE (1966 2006), PSYCINFO (1950 2006), CINAHL (19822006), and Digital Dissertations (1950 2006) databases. Bibliographies of retrieved studies were also searched.   educational activity on study characteristics and empirical results were extracted using a   mark protocol. Results: Of 782 relevant studies identi?ed 80 were selected for review based upon eligibility criteria. The   approximately consistent predictors of NHA in persons with dementia included severity of cognitive impairment, Alzheimer disease dia   gnosis, basic activity of daily living dependencies, behavioural symptoms, and depression. Caregivers who indicated greater emotional stress, a desire to institutionalize the   mint out recipient, and feelings of being trapped in care responsibilities were    more(prenominal) than  liable(predicate) to admit persons with dementia to nursing homes. Demographic variables, incontinence, and service   modify did not consistently predict NHA. Conclusions: Several results seemed to challenge   formal assumptions of what precipitates NHA among persons with dementia. Caregiver stressors in conjunction with care recipient characteristics are important to consider when assessing NHA risk. The ?ndings emphasize the need to construct more complex models of institutionalization when designing risk measures to tar deliver interventions. Key  words: institutionalization, long-term care, Alzheimer disease, nursing home placement (Med Care 2009;47: 191198)    t is estimated that 48% to 55% of nursin   g home (NH) residents   affect from some for!   m of cognitive impairment, with 14% of...If you want to get a full essay, order it on our website: OrderCustomPaper.com
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