Predictive factors associated with death of elderly in nursing homes.

PURPOSE: An increasing elderly population reflects a great need for readily accessible, clinically useful methods to identify mortality-related factors in nursing home residents. The purpose of this study was to identify factors associated with the deaths of nursing home residents. METHODS: Data was collected from a Minimal Data Set of 195 elderly nursing home residents, followed by analysis of demographic factors, disease and nursing condition factors, Activities of Daily Living (ADL), cognitive function, behavioral patterns, and dysfunctional status. RESULTS: Major factors associated with death among nursing home residents were identified as dyspnea (odds ratio [OR] = 4.88), problematic behaviors (OR = 3.95), and ADL (OR = 3.61). These variables accounted for 31.1% of the variance in death. CONCLUSION: Dyspnea, problematic behaviors, and ADL data were identified as the key factors associated with death among nursing home residents. Future plans for the prediction of death among nursing home residents can be made by nursing staff, factoring in these identified variables, to ensure more comfortable conditions and more responsive care.

Predictive Factors associated with Death of Elderly in Nursing Homes

PURPOSE: An increasing elderly population reflects a great need for readily accessible, clinically useful methods to identify mortality-related factors in nursing home residents. The purpose of this study was to identify factors associated with the deaths of nursing home residents. METHODS: Data was collected from a Minimal Data Set of 195 elderly nursing home residents, followed by analysis of demographic factors, disease and nursing condition factors, Activities of Daily Living (ADL), cognitive function, behavioral patterns, and dysfunctional status. RESULTS: Major factors associated with death among nursing home residents were identified as dyspnea (odds ratio [OR] = 4.88), problematic behaviors (OR = 3.95), and ADL (OR = 3.61). These variables accounted for 31.1% of the variance in death. CONCLUSION: Dyspnea, problematic behaviors, and ADL data were identified as the key factors associated with death among nursing home residents. Future plans for the prediction of death among nursing home residents can be made by nursing staff, factoring in these identified variables, to ensure more comfortable conditions and more responsive care.

Focus theory of normative conduct and terror-management theory: the interactive impact of mortality salience and norm salience on social judgment.

Research on terror-management theory has shown that after mortality salience (MS) people attempt to live up to cultural values. But cultures often value very different and sometimes even contradictory standards, leading to difficulties in predicting behavior as a consequence of terror-management needs. The authors report 4 studies to demonstrate that the effect of MS on people's social judgments depends on the salience of norms. In Study 1, making salient opposite norms (prosocial vs. proself) led to reactions consistent with the activated norms following MS compared with the control condition. Study 2 showed that, in combination with a pacifism prime, MS increased pacifistic attitudes. In Study 3, making salient a conservatism/security prime led people to recommend harsher bonds for an illegal prostitute when they were reminded of death, whereas a benevolence prime counteracted this effect. In Study 4 a help prime, combined with MS, increased people's helpfulness. Discussion focuses briefly on how these findings inform both terror-management theory and the focus theory of normative conduct.

Gender differences in the frequency and treatment of behavior problems in Parkinson's disease. SAGE Study Group. Systematic Assessment and Geriatric drug use via Epidemiology.

OBJECTIVE: To determine gender differences in the prevalence, survival rates, and management of noncognitive behavioral problems of patients with Parkinson's disease (PD) in nursing homes (NH). METHODS: We performed an observational study on 24,402 residents with PD using the Systematic Assessment and Geriatric drug use via Epidemiology (SAGE) database collected from the Minimum Data Set on a cross-section of over 400,000 NH residents in five US states. Gender differences in behavior were used to predict differences in pharmacologic and nonpharmacologic therapies using logistic regression. Similar analyses were done to evaluate gender differences in 1-year survival rates among patients with PD with and without behavioral problems. RESULTS: 36% of men and 33% of women exhibited behavioral problems. Wandering, verbal and physical abusiveness, and inappropriate behavior tended to be more common in men, especially among PD residents with severe cognitive impairment. Hallucinations and delusions were equally prevalent between genders and depressive symptoms were more common in women. Regardless of behavioral manifestation, men were more likely to receive antipsychotic drugs, whereas women were more likely to receive antidepressants. This gender difference in treatment was also widest among the severely demented group. Although women lived longer, no difference in survival curves were noted between PD residents with and without behavioral problems. CONCLUSION: Gender appears to play an important role in determining the frequency and treatment of behavioral problems of NH residents with PD.

Risky behaviors among Louisiana youth.

The main threats to adolescents' health are the risky behaviors they engage in and the choices they make. There are six health-risk behaviors that adolescents engage in that account for the majority of morbidity and mortality in this age group: alcohol and drug use; tobacco use; risky sexual behaviors; behaviors leading to intentional and unintentional injury; physical inactivity; and unhealthy dietary behaviors. These behaviors also greatly impact academic achievement. Using morbidity and mortality data obtained from the Office of Public Health and survey data, risk behaviors among adolescents in Louisiana are considered. School-based health centers are one successful strategy for comprehensively addressing these behaviors.