Improving Dressing Behavior in Cognitively Impaired Nursing Home Residents

Beck, Cornelia; Heacock, Patricia; Mercer, Susan O.; Walls, Robert C.; Rapp, Carla Gene; Vogelpohl, Theresa S

doi:10.1097/00006199-199705000-00002

Cited by 98 publications

(82 citation statements)

References 22 publications

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“…5,6 Most US psychiatrists favor the selective serotonin reuptake inhibitors for first-line treatment. 7 Two brief, structured psychotherapies, cognitive behavioral therapy (CBT) 8 and interpersonal psychotherapy, 9 have demonstrated effectiveness in treating psychiatric patients. [10][11][12][13][14] However, efficacy trials have been conducted on predominantly white patients in academic psychiatric settings.…”

Section: Ajor Depression a Dis-mentioning

confidence: 99%

Treating Depression in Predominantly Low-Income Young Minority Women

Miranda¹,

Chung²,

Green³

et al. 2003

JAMA

503

510

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AJOR DEPRESSION, A DISorder with early onset and often chronic course, imposes a high individual burden of pain, suffering, and disability. 1 Ethnic minority patients are less likely to obtain care for depression than white patients 2 and are less likely to receive appropriate treatment when they do seek care. 3,4 These disparities are partially due to minorities being less likely to be insured, 2 which results in poor access to care. In this study, we evaluated whether interventions that promote guidelineconcordant treatments for depression among young, predominantly minority women would improve rates of appropriate care and clinical and functional outcomes.Effective treatments for major depression include antidepressant medications and psychotherapies. 5,6 Most US psychiatrists favor the selective serotonin reuptake inhibitors for first-line treatment. 7 Two brief, structured psychotherapies, cognitive behavioral therapy (CBT) 8 and interpersonal psychotherapy, 9 have demonstrated effectiveness in treating psychiatric pa-tients. 10-14 However, efficacy trials have been conducted on predominantly white patients in academic psychiatric settings. According to a review conducted as part of a surgeon general's report, 2 the studies forming the evi-

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Section: Ajor Depression a Dis-mentioning

confidence: 99%

Treating Depression in Predominantly Low-Income Young Minority Women

Miranda¹,

Chung²,

Green³

et al. 2003

JAMA

503

510

View full text Add to dashboard Cite

show abstract

“…Such combined eorts may provide a foundation for nursing homes to maintain continence or any rehabilitation programs on a lasting basis. Beck et al (1997) tested the extent to which a behavioral intervention, strategies to promote independence in dressing (SPID), improved dressing independence among 90 cognitively impaired nursing home residents (average Mini Mental Status Exam 7.35 + 0.69) in eight nursing homes in which subjects acted as their own controls. After receiving resident consents, the subjects' cognitive abilities were assessed and two videotapings in the ®rst week desensitized them to the presence of the team and equipment.…”

Section: Studies Evaluating Training Programsmentioning

confidence: 99%

Enabling and empowering certified nursing assistants for quality dementia care

Beck

Ortigara

Mercer

et al. 1999

Int. J. Geriat. Psychiatry

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109

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“…14,28,29 One study of resident characteristics and behavior management strategies implicated impaired communication as the primary predictor of physical and verbal aggression. 9 …”

mentioning

confidence: 99%

Elderspeak Communication: Impact on Dementia Care

Williams

Herman

Gajewski

et al. 2008

Am J Alzheimers Dis Other Demen

197

182

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Resistiveness to care (RTC) is common in older adults with dementia. RTC disrupts nursing care, increasing costs of care by 30%. Elderspeak (infantilizing communication used by nursing staff) may trigger RTC in individuals with dementia. Videotaped care episodes (N=80) of nursing home residents with dementia (N=20) were coded for type of staff communication (normal talk and elderspeak) and subsequent resident behavior (cooperative or RTC). Bayesian statistical analysis tested relationships between staff communication and subsequent resident RTC. The probability of RTC varied significantly with communication (Bayes p = .0082). An increased probability of RTC occurred with elderspeak (.55, CrI = .44 -.66), compared to normal talk (.26, CrI = .12-.44). Communication training has been shown to reduce elderspeak and may reduce RTC in future research.

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Improving Dressing Behavior in Cognitively Impaired Nursing Home Residents

Cited by 98 publications

References 22 publications

Treating Depression in Predominantly Low-Income Young Minority Women

Treating Depression in Predominantly Low-Income Young Minority Women

Enabling and empowering certified nursing assistants for quality dementia care

Elderspeak Communication: Impact on Dementia Care

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