Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home.

Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home. Research Abstract Details 

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Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home. Abstract Text:

Lori L Jervis,Spero M Manson,

OBJECTIVE: Residents' cognitive, psychiatric, and behavioral statuses were examined as part of a larger study of care in a nursing home (NH) owned and operated by a Northern Plains American Indian tribe. METHOD: Reviews of 45 medical records and semistructured interviews with 36 staff were completed. RESULTS: Creekside residents had considerable psychiatric and behavioral morbidity. High prevalences of non-Alzheimer's disease dementia, cognitive impairment, anxious symptomatology, and resistance to care were met with psychopharmacotherapy, reorientation, and informal techniques for behavior management. Significant depressive, anxious, psychotic, and behavioral symptoms remained. Staff interpretations of resident problems consisted of an ethnopsychological schema emphasizing resident loneliness, grumpiness, and propensity to "fight" rather than formal psychiatric nosology. DISCUSSION: Tribal NH residents were likely underdiagnosed for dementia and anxiety. Residual behavioral and psychiatric symptomatology suggest room for improvement in the NH's behavioral management regimen. Need for greater attention to conceptual, diagnostic, clinical, and documentation processes in the NH setting is noted.

Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home. Publishing Authors By Initials

LL Jervis,SM Manson,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: Journal of aging and health

VOLUME: 19

Page Numbers: 260-74

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ISSN: 0898-2643

DAY: 3

MONTH: Apr

YEAR: 2007

Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home. Information

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LANGUAGE: eng

NlmUniqueID: 8912686

Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: ethnology

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Grant and Affiliation Information for Cognitive impairment, psychiatric disorders, and problematic behaviors in a tribal nursing home.

AFFILIATION: American Indian and Alaska Native Programs, University of Colorado at Denver and Health Sciences Center, Nighthorse Campbell Native Health Building, Room 349, PO Box 6508, Mail Stop F800, Aurora, CO 80045-0508, USA. lori.jervis@uchsc.edu.

Country: United States

AGENCY: United States NIA

GRANT: K01 AG20232-01

ACRONYM: AG

MEDLINETA: J Aging Health

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