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The effects of mental dysfunction on nursing home care
J E Rohrer1, K Buckwalter, D Russell
1Graduate Program in Hospital and Health Administration, University of Iowa, Iowa City 52242.
Social Science & Medicine (1982)
|January 1, 1989
Summary
Nursing home residents
Area of Science:
- Gerontology and Psychiatric Nursing
Background:
- Mental health issues are prevalent among nursing home residents.
- These conditions significantly impact the demand for nursing care services.
Purpose of the Study:
- To analyze the relationship between mental health characteristics and nursing care needs in nursing home residents.
- To inform nursing home reimbursement policies regarding mental illness.
Main Methods:
- Analysis of 285 nursing home residents with a focus on behavioral problems.
- Categorization of mental health characteristics into cognition, affect, and aggressiveness.
Main Results:
- Cognitive deficits were found to significantly increase the need for basic nursing services.
- Negative affect correlated with increased psychosocial care requirements.
- Moderate behavioral problems were identified as key factors influencing care quantity.
Conclusions:
- Nursing home reimbursement systems should incorporate the impact of moderate mental illnesses.
- A comprehensive approach to care needs assessment is recommended.
- Further research into specific mental health interventions in long-term care settings is warranted.