What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study

Brink, Anne M.A. van den; Gerritsen, Debby L.; Valk, Miranda M H de; Mulder, Astrid T.; Voshaar, Richard C. Oude; Koopmans, Raymond T.C.M.

doi:10.1016/j.ijnurstu.2018.02.008

Cited by 35 publications

(33 citation statements)

References 65 publications

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“…Finally, in this study we see several differences in the rating of well-being by residents themselves compared to the ratings by their primary responsible formal caregiver. A difference that has also been found in this population by Van den Brink et al (2018) concerning unmet needs. It is important for (formal) caregivers to be aware of these differences, and to remain attentive to the perceptions of the residents themselves when it comes to well-being and its related factors.…”

Section: Directions For Future Research and Care Practicesupporting

confidence: 63%

Psychiatric and behavioral problems and well-being in gerontopsychiatric nursing home residents

Wolf

Hooren

Waterink

et al. 2019

Aging & Mental Health

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Section: Directions For Future Research and Care Practicesupporting

confidence: 63%

Psychiatric and behavioral problems and well-being in gerontopsychiatric nursing home residents

Wolf

Hooren

Waterink

et al. 2019

Aging & Mental Health

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“…In addition, daytime activities may not be sufficiently adapted to the wishes and capabilities of these patients of whom several are relatively young (van den Brink, Gerritsen, Oude Voshaar, & Koopmans, 2013). Finally, there is also the possibility that the expertise of the staff may be insufficient to optimally meet the complex care needs of patients with MPM (van den Brink et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Most of these NHs house patients with MPM on separate units, so-called geronto-psychiatric nursing home (GP-NH) units, in contrast with among others psycho-geriatric (dementia special care) and somatic units. The care needs of NH patients with MPM differ from the traditional patients in nursing homes having primarily dementia and/or physical multimorbidity (van den Brink, Gerritsen, Oude Voshaar, van den Brink et al, 2018;Wieczorowska-Tobis et al, 2016). In this way, Dutch nursing homes aim to provide the most appropriate care-environment, knowing that care that is not tailored to the needs and preferences of a patient can have a negative influence on NPS (Bakker et al, 2014;Slade, Leese, Cahill, Thornicroft, & Kuipers, 2005;White et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission

Brink

Gerritsen²,

Valk³

et al. 2018

Aging & Mental Health

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Objective: Aging societies will bring an increase in the number of long-term care patients with mental-physical multimorbidity (MPM). This paper aimed to describe the natural course of neuropsychiatric symptoms (NPS) in patients with MPM in the first 8 months after admission to a geronto-psychiatric nursing home (GP-NH) unit. Methods: Longitudinal cohort study among 63 patients with MPM no dementia living in 17 GP-NH units across the Netherlands. Data collection consisted of chart review, semi-structured interviews, and brief neuropsychological testing, among which our primary outcome measure the Neuropsychiatric Inventory (NPI). Descriptive and bivariate analyses were conducted. Results: Our study showed a significant increase of the NPI total score (from 25.3 to 29.3, p ¼ 0.045), and the total scores of a NPI hyperactivity cluster (from 9.7 to 11.8, p ¼ 0.039), and a NPI mood/apathy cluster (from 7.7 to 10.1, p ¼ 0.008). Just over 95% had any clinically relevant symptom at baseline and/or six months later, of which irritability was the most prevalent and persistent symptom and the symptom with the highest incidence. Hyperactivity was the most prevalent and persistent symptom cluster. Also, depression had a high persistence. Conclusions: Our results indicate the omnipresence of NPS of which most were found to be persistent. Therefore, we recommend to explore opportunities to reduce NPS in NH patients with MPM, such as creating a therapeutic milieu, educating the staff, and evaluating patient's psychotropic drug use.

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“…Older adults with SMI face challenges with mobility and functional capacity and experience higher rates of mortality and illness (29,30). When compared with persons living with family, LTC residents with schizophrenia are more likely to have a decreased quality of life (31). Outside the United States, across nursing homes in the Netherlands, van den Brink et al (32) found that 8 months after admission, those with mental-physical multimorbidity demonstrated increased hyperactivity, irritability occurring most commonly, and also a high persistence of depression.…”

Section: Physical Health Mental Health and Behaviormentioning

confidence: 99%

“…When compared with persons living with family, LTC residents with schizophrenia are more likely to have a decreased quality of life ( 31 ). Outside the United States, across nursing homes in the Netherlands, van den Brink et al ( 32 ) found that 8 months after admission, those with mental-physical multimorbidity demonstrated increased hyperactivity, irritability occurring most commonly, and also a high persistence of depression. Additionally, residents in nursing homes in the Netherlands experiencing depression, had decreased well-being ( 33 ).…”

Section: Introductionmentioning

confidence: 99%

Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?

et al. 2021

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Person-centered care approaches continue to evolve in long-term care (LTC). At the same time, these settings have faced increased challenges due to a more diverse and complex population, including persons with intellectual and developmental disabilities (IDD) and serious mental illness (SMI). This study examined the mental, social, and physical wellbeing of residents with different diagnoses, within a person-centered care model. It was hypothesized that individual wellbeing would be comparable among all residents, regardless of primary diagnosis. The study cohort was drawn from all admissions to long-term care facilities in the USA from 2011 to 2013. Data are based on admission, 3 and 6 month follow-up Minimum Data Set (MDS) 3.0 assessments. The groups examined included: schizophrenia, other psychotic disorders, IDD, dementia, and all others (i.e., none of the above diagnoses). The wellbeing outcomes were depression (mental), pain (physical), and behaviors (social). All residents experienced improvements in pain and depression, though the group without the examined diagnoses experienced the greatest gains. Behaviors were most prevalent among those with psychotic disorders; though marked improvements were noted over time. Improvement also was noted among persons with dementia. Behavior worsened over time for the three other groups. In particular, those with IDD experienced the highest level of worsening at 3-month follow-up, and continued to worsen. The results suggest person-centered care in US nursing homes provides the necessary foundation to promote mental and physical wellbeing in persons with complex needs, but less so for social wellbeing.

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What do nursing home residents with mental-physical multimorbidity need and who actually knows this? A cross-sectional cohort study

Cited by 35 publications

References 65 publications

Psychiatric and behavioral problems and well-being in gerontopsychiatric nursing home residents

Psychiatric and behavioral problems and well-being in gerontopsychiatric nursing home residents

Natural course of neuropsychiatric symptoms in nursing home patients with mental-physical multimorbidity in the first eight months after admission

Does the Person-Centered Care Model Support the Needs of Long-Term Care Residents With Serious Mental Illness and Intellectual and Developmental Disabilities?

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