nursing home placement (NHP)
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Etiology
- risk factors
- older age
- dementia
- greater severity of dementia
- behavioral or psychiatric complications of dementia
- type of dementia not a risk factor
- caregiver burden
- dependency in >= 3 basic activities of daily living
- poor family support
- low income[1]
* Mitigating factors
- living with family caregiver
- being married
* gait speed predicts disability & long-term nursing home placement[1]
- better predictor than grip strength
Epidemiology
- whites more likely to be placed in nursing home
Management
- comprehensive geriatric assessment with multiple home visits can reduce functional decline & nursing home placement[1]
Additional terms
References
- ↑ 1.0 1.1 1.2 1.3 Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022 - ↑ Cepoiu-Martin M, Tam-Tham H, Patten S, Maxwell CJ, Hogan DB. Predictors of long-term care placement in persons with dementia: a systematic review and meta-analysis. Int J Geriatr Psychiatry. 2016 Nov;31(11):1151-1171. Review. PMID: https://www.ncbi.nlm.nih.gov/pubmed/27045271