Minimum Data Set for Resident Assessment and Care Screening

Morris, John N.; Hawes, Catherine; Fries, Brant E.; Phillips, Charles D.; Mor, Vincent; Katz, Sidney; Murphy, Katharine M.; Drugovich, Margaret L.; Friedlob, Alan S.

doi:10.1037/t64719-000

Cited by 10 publications

(13 citation statements)

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“…Via the Minimum Data Set (MDS)(12), summing 10 items (e.g., dressing, eating), we obtained scores concerning performance of activities of daily living (ADL). Medical records provided us information on prescribed medications.…”

Section: Methodsmentioning

confidence: 99%

The Use and Utility of Specific Nonpharmacological Interventions for Behavioral Symptoms in Dementia: An Exploratory Study

Cohen‐Mansfield

Marx²,

Dakheel-Ali³

et al. 2015

The American Journal of Geriatric Psychiatry

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OBJECTIVE This study compares different non-pharmacological interventions for persons with behavioral symptoms and dementia on frequency of use and perceived efficacy in terms of change in behavior and interest. METHODS Participants were 89 nursing home residents from 6 Maryland nursing homes with a mean age of 85.9 years (SD=8.6). Research assistants presented interventions tailored to the participants` needs and preferences in a pre-intervention trial phase and in an intervention phase. The impact of each intervention on behavioral symptoms and on the person’s interest was rated immediately after the intervention by a research assistant. RESULTS The most utilized interventions in both trial and treatment phases were the social intervention of one-on-one interaction, simulated social interventions such as a lifelike doll and respite video, the theme intervention of magazine, and the sensory stimulation intervention of music. In contrast, the least utilized interventions in both phases were sewing, fabric book, and flower arrangement. Interventions with the highest impact on behavioral symptoms included one-on one social interaction, hand massage, music, video, care, and folding towels. Other high impact interventions included walking, going outside, flower arranging, food or drink, sewing, group activity, book presentation ball toss, coloring or painting, walking, and family video. CONCLUSIONS The results provide initial directions for choosing specific interventions for persons with dementia and also demonstrate a methodology for increasing knowledge through ongoing monitoring of practice.

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Section: Methodsmentioning

confidence: 99%

The Use and Utility of Specific Nonpharmacological Interventions for Behavioral Symptoms in Dementia: An Exploratory Study

Cohen‐Mansfield

Marx²,

Dakheel-Ali³

et al. 2015

The American Journal of Geriatric Psychiatry

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“…The following data were obtained from NH charts: background data (age, gender, marital status, ethnicity, education); medical data pertaining to prescribed medications (including pain relievers and psychotropics) and diagnoses (including a dementia diagnosis confirmed by a physician); and, Minimum Data Set (MDS) 28 data (pain, vision, hearing, speech, and ADL).…”

Section: Methodsmentioning

confidence: 99%

What Are the Barriers to Performing Nonpharmacological Interventions for Behavioral Symptoms in the Nursing Home?

Cohen‐Mansfield¹,

Thein²,

Marx³

et al. 2012

Journal of the American Medical Directors Association

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OBJECTIVE Behavioral symptoms are common in persons with dementia, and nonpharmacological interventions are recommended as the first line of therapy. We describe barriers to conducting nonpharmacological interventions for behavioral symptoms. DESIGN A descriptive study of barriers to intervention delivery in a controlled trial. SETTINGS The study was conducted in 6 nursing homes in Maryland. PARTICIPANTS 89 agitated nursing home residents with dementia. INTERVENTION Personalized interventions were developed using the TREA decision tree protocol. Trained research assistants prepared and delivered the interventions. Feasibility of the interventions was determined. MEASUREMENTS Barriers to Intervention Delivery Assessment (BIDA), ADL, cognitive functioning, depressed affect, pain, observed agitation, and observed affect. RESULTS Barriers were observed for the categories of resident barriers (specifically, unwillingness to participate; resident attributes, such as unresponsive), barriers related to resident unavailability (resident asleep or eating), and for external barriers (staff-related barriers, family-related barriers, environmental barriers, and system process variables). Interventions pertaining to food/drink and to 1-on-1 socializing were found to have the fewest barriers, while higher numbers of barriers occurred with puzzles/board games and arts and crafts activities. Moreover, when successful interventions were presented to participants after the feasibility period, we noted fewer barriers, presumably because barrier identification had been used to better tailor interventions to each participant and to the environment. CONCLUSION Knowledge of barriers provides a tool by which to tailor interventions so as to anticipate or circumvent barriers, thereby maximizing intervention delivery.

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“…A majority of participants were white (81%) and most were widowed (65%). Activities of daily living performance, assessed through the Minimum Data Set, 14 averaged 3.6 (standard deviation: 1.0; range: 1–5; where 1 = “independent,” 5 = “complete dependence”). Cognitive functioning averaged 7.2 (standard deviation: 6.3; range: 0–23) on the MMSE.…”

Section: Methodsmentioning

confidence: 99%

Can Persons With Dementia Be Engaged With Stimuli?

Cohen‐Mansfield

Marx

Dakheel-Ali

et al. 2010

The American Journal of Geriatric Psychiatry

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Objectives To determine which stimuli are 1) most engaging 2) most often refused by nursing home residents with dementia, and 3) most appropriate for persons who are more difficult to engage with stimuli. Methods Participants were 193 residents of seven Maryland nursing homes. All participants had a diagnosis of dementia. Stimulus engagement was assessed by the Observational Measure of Engagement. Results The most engaging stimuli were one-on-one socializing with a research assistant, a real baby, personalized stimuli based on the person’s self-identity, a lifelike doll, a respite video, and envelopes to stamp. Refusal of stimuli was higher among those with higher levels of cognitive function and related to the stimulus’ social appropriateness. Women showed more attention and had more positive attitudes for live social stimuli, simulated social stimuli, and artistic tasks than did men. Persons with comparatively higher levels of cognitive functioning were more likely to be engaged in manipulative and work tasks, whereas those with low levels of cognitive functioning spent relatively more time responding to social stimuli. The most effective stimuli did not differ for those most likely to be engaged and those least likely to be engaged. Conclusion Nursing homes should consider both having engagement stimuli readily available to residents with dementia, and implementing a socialization schedule so that residents receive one-on-one interaction. Understanding the relationship among type of stimulus, cognitive function, and acceptance, attention, and attitude toward the stimuli can enable caregivers to maximize the desired benefit for persons with dementia.

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Minimum Data Set for Resident Assessment and Care Screening

Cited by 10 publications

References 0 publications

The Use and Utility of Specific Nonpharmacological Interventions for Behavioral Symptoms in Dementia: An Exploratory Study

The Use and Utility of Specific Nonpharmacological Interventions for Behavioral Symptoms in Dementia: An Exploratory Study

What Are the Barriers to Performing Nonpharmacological Interventions for Behavioral Symptoms in the Nursing Home?

Can Persons With Dementia Be Engaged With Stimuli?

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