Special care units for demented patients: A multicenter study

Gerontologist

Volumn 38, Issue 4, 1998, Pages 456-462

  Bellelli, Giuseppe ^a,b,c   Frisoni, Giovanni B ^a   Bianchetti, Angelo ^a   Boffelli, Stefano ^a,d   Guerrini, Giovanni B ^e   Scotuzzi, AnnaMaria ^e   Ranieri, Piera ^a   Ritondale, Giuseppe ^b   Guglielmi, Luisa ^c   Fusari, Antonio ^c   Raggi, GianCarlo ^f   Gasparotti, Angelo ^f   Gheza, Alfredo ^g   Nobili, GianLuigi ^f   Trabucchi, Marco ^a,h  

^a GERIATRIC RESEARCH GROUP   (Italy)

^b Pia Opera S Angela Merici NH   (Italy)

^c Giroldi Forcella Nursing Home   (Italy)

^d Gleno Nursing Home   (Italy)

^e Arici Sega Nursing Home   (Italy)

^f S Giuseppe Nursing Home   (Italy)

^g Rizzieri Nursing Home   (Italy)

^h UNIVERSITY OF ROME   (Italy)

Author keywords

Behavioural disturbances; Physical restraints; Psychotropic drug use

Indexed keywords

PSYCHOTROPIC AGENT;

ADULT; AGED; ARTICLE; BEHAVIOR DISORDER; COGNITION; CONTROLLED STUDY; DEMENTIA; ELDERLY CARE; FEMALE; FUNCTIONAL ASSESSMENT; HEALTH STATUS; HUMAN; IMMOBILIZATION; INTENSIVE CARE; ITALY; MAJOR CLINICAL STUDY; MALE;

EID: 0031818499     PISSN: 00169013     EISSN: None     Source Type: Journal    
DOI: 10.1093/geront/38.4.456     Document Type: Article

References (56)

1. Avorn, J., & Gurwitz, J. H. (1996). Drug use in the nursing home. Annals of Internal Medicine, 123, 195-204.
2. Barnes, R. F., Veith, R., Okimogo, J., Raskind, M., & Gurnbrecht, G. (1982). Efficacy of antipsychotic medications and behaviorally disturbed dementia patients. American Journal of Psychiatry, 739, 1170-1174.
3. Beers, M., Avorn, J., Soumerai, S. B., Everitt, D. E., Sherman, D. S., & Salem, S. (1988). Psychoactive medication use in intermediate-care facility residents. Journal of the American Medical Association, 260, 3016-3020.
4. Bellelli, G., Frisoni, G. B., Bianchetti, A., & Trabucchi, M. (1997). The Bedford Alzheimer Nursing Severity scale for the severely demented: Validation study. Alzheimer Disease and Associated Disorders, 11, 71-77.
5. Benson, D. M., Cameron, D., Humbach, E., Servino, L., & Gambert, S. R. (1987). Establishment and impact of a dementia unit within the nursing home. Journal of the American Geriatrics Society, 35, 319-323.
6. Berry, G., Fisher, R. H., & Lang, S. (1981). Detrimental incidents including falls in an elderly institutional population. Journal of the American Geriatrics Society, 29, 322-324.
7. Bianchetti, A. (1995). Malattie somatiche e demenza di Alzheimer (Somatic diseases and Alzheimer's demantia]. In S. Franzoni, R. Rozzini, & M. Trabucchi (Eds.), Patologie Internistiche e disturbi cognitivi nell' anziano [Somatic diseases and cognitive disorders in the elderlyl (pp. 147-155). Napoli: Gnocchi.
8. Bianchetti, A., Benvenuti, P., Ghisla, K. M., Frisoni, G. B., & Trabucchi, M. (1997). An Italian model of dementia special care units: Results of a preliminary study. Alzheimer Disease and Associated Disorders, 11, 53-56.
9. Bianchetti, A., Scuratti, A., Zanetti, O., Binetti, G., Frisoni, G. B., Magni, E., & Trabucchi, M. (1995). Predictors of mortality and institutionalization in Alzheimer disease patients 1 year after discharge from an Alzheimer Dementia Unit. Dementia, 6, 108-112.
10. Binetti, G., Bianchetti, A., Padovani, A., Lenzi, G., De Leo, D., & Trabucchi, M. (1993). Delusions in Alzheimer's disease and multi-infarct dementia. Acta Neurologica Scandinava, 88, 5-9.
11. Binetti, G., Mega, M. S., Magni, E., Padovani, A., Rozzini, L., Bianchetti, A., Trabucchi, M., & Cummings, J. L. Behavioral disorders in Alzheimer's disease: A transcultural perspective. Archives of Neurology, 55, 539-544.
12. Chafetz, P. K. (1991). Behavioral and cognitive outcomes of SCU care. Clinical Gerontologist, 77, 19-38.
13. Chafetz, P. K., & West, H. L. (1987, November). Longitudinal control group evaluation of a special care unit for dementia patients: Initial findings. Paper presented at the Annual Meeting of the Gerontological Society of America, Washington, DC.
14. Cleary, T. A., Clamon, C., Price, M., & Shullaw, G. (1988). A reduced stimulation unit: Effects on patients with Alzheimer's disease and related disorders. The Gerontologist, 28, 511-514.
15. Cummings, J. L., Mega, M., Gray, K., Rosemberg-Thompson, S., Carusi, D. A., & Gombei, J. (1994). The neuropsychiatric inventory comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308-2314.
16. Drevets, W. C., & Rubin, E. H. (1989). Psychotic symptoms and the longitudinal course of senile dementia of the Alzheimer type. Biologic Psychiatry, 25, 39-48.
17. Evans, L. K., & Strumpf, N. E. (1989). Tying down the elderly: a review of the literature on physical restraints. Journal of the American Geriatrics Society, 36, 65-74.
18. Evans, L. K., Strumpf, N. E., & Williams, C. (1991). Redefining a standard of care for frail older people: Alternative to routine physical restraint. In I. R. Katz, R. L. Kane, & M. D. Mezey (Eds.), Advances in long-term care (Vol. 1; 5:81-108). New York: Springer.
19. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-Mental State": A practical method for grading the cognitive state of patients for the clinicians. Journal of Psychiatric Research, 12, 189-198.
20. Grant, L. A., Kane, R. A., & Stark, A. J. (1995). Beyond labels: Nursing home care for Alzheimer's disease in and out of special care units. Journal of the American Geriatrics Society, 43, 569-576.
21. Gray, L. C., Farish, S. J., & Dorevich, M. (1992). A population-based study of assessed applicants to long-term nursing home care. Journal of the American Geriatrics Society, 40, 596-600.
22. Hachinski, V. C, Lassen, N. A., & Marshall, J. (1974). Multi-infarct dementia. A cause of mental deterioration in the elderly. Lancet, 2, 207-210.
23. Heyman, A., Wilkinson, W. E., Hurwitz, B. J., Helms, M. J., Haynes, B. A., Utley, C. M., & Gwyther, L. P. (1987). Early-onset Alzheimer's disease: Clinical predictors of institutionalization and death. Neurology, 37, 980-984.
24. Holmes, D., Teresi, J., Weiner, A., Monaco, C., Ronch, J., & Vickers, R. (1990). Impact associated with special care units in long-term care facilities. The Gerontologist, 30, 178-183.
25. Homma, A., Ishii, T., & Niina, R. (1994). Relationship of behavioral complications and severity of dementia in Japanese elderly persons with dementia. Alzheimer Disease and Associated Disorders, 8, 46-53.
26. Kirby, M., & Lawlor, B. A. (1995). Biologic markers and neurochemical correlates of agitation and psychosis in dementia. Journal of Geriatric Psychiatry and Neurology, 8, S2-S7.
27. Lawton, M. P. (1989). Environmental approaches to research and treatment of Alzheimer's disease. In E. Light & B. D. Lebowitz (Eds.), Alzheimer's disease treatment and family stress: Directions for research. Rockville, MD: National Institute of Mental Health, U.S. Department of Health and Human Services, Public Health Services.
28. Levine, J. M., Marchello, V., & Totolos, E. (1995). Progress towards a restraint-free environment in a large academic nursing facility. Journal of the American Geriatrics Society, 43, 914-918.
29. Levy, M. L., Cummings, J. L., Fiarbanks, L. A., Bravi, D., Calvani, M., & Carta, A. (1996). Longitudinal assessment of symptoms of depression, agitation and psychosis in 181 patients with Alzheimer's disease. American Journal of Psychiatry, 153, 1438-1443.
30. Lopez, O. I., Becker, J. T., Brenner, R. P., Rosen, J., Bajulaye, O. I., & Reynolds, C. F. (1991). Alzheimer's disease with delusion and hallucinations: Neuropsychological and electroencephalographic correlates. Neurology, 41, 906-912.
31. Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. MD State Medical Journal, 14, 61-65.
32. Maslow, K. (1994). Special care units for persons with dementia: Expected and observed effects on behavioral symptoms. Alzheimer Disease and Associated Disorders, 8, 122-137.
33. Matthews, L. E. (1986). Using anthropometric parameters to evaluate nutritional status. Journal of Nutrition for the Elderly, 5, 67-71.
34. McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., & Stadlan, E. M. (1984). Clinical diagnosis of Alzheimer's disease: Report of the NINCDS-ADRDA Work Croup under the auspices of the Department of Health and Human Services Task Force on Alzheimer's Disease. Neurology, 34, 939-943.
35. McGrath, A., & Jackson, G. A. (1996). Survey of neuroleptic prescribing in residents of nursing homes in Glasgow. British Medical Journal, 312, 611-612.
36. Mehr, D. R., & Fries, B. E. (1995). Resource use on Alzheimer's special care units. The Gerontologist, 35, 179-184.
37. Parmelee, P, A., Thuras, P. D., Katz, I. R., & Lawton, M. P. (1995). Validation of the Cumulative Illness Rating Scale in a geriatric residential population. Journal of the American Geriatrics Society, 43, 130-137.
38. Rabins, P. V. (1994). The phenomenology of behavior: An overview of behavioral principles. Alzheimer Disease and Associated Disorders, 8, 61-65.
39. Read, S. L. (1992). Long-term care for dementia: If appropriate, why "special"? Journal of the American Geriatrics Society, 40, 101-102.
40. Rohrbaugh, R. M., & Siegal, A. P. (1989). Reversible anorexia and rapid weight loss associated with neuroleptics administration in Alzheimer's disease. Journal of Geriatric Psychiatry and Neurology, 2, 45-47.
41. Romàn, G. C., Tatemichi, T. K., Erkinjutti, T., Cummings, J. L., Masdeu, J. C., Garcia, J. H., Amaducci, L., Orgogozo, J. M., Brun, A., Hofman, A., Moody, D. M., O'Brien, M. D., Yamaguchi, T., Grafman, J., Drayer, P. B., Bennett, D. A., Fisher, M., Ogata, J., Kolmen, E., Bermejo, F., Wolf, P. A., Gorelick, P. B., Bick, K. L., Pajeu, A. K., Bell, M. A., DeCarli, C., Culabras, A., Korczyn, A. D., Bogousslavski, J., Hartmann, A., & Scheinberg, P. (1993). Vascular dementia diagnostic criteria for research studies: Report of the NINDS-AIREN International Workshop. Neurology, 43, 250-260.
42. Rovner, B. W., & Katz, I. R. (1993). Psychiatric disorders in the nursing home: A selective review of studies related to clinical care. International Journal of Geriatric Psychiatry, 8, 75-87.
43. Schneider, L., Pollock, V. E., & Liness, S. A. (1995). A meta-analysis of controlled trial of neuroleptic treatment in dementia. Journal of the American Geriatrics Society, 38, 553-563.
44. Sloane, P. D., Lindeman, D. A., Phillips, C., Moritz, D. J., & Koch, G. (1995). Evaluating Alzheimer's special care units: Reviewing the evidence and identifying potential sources of study bias. The Gerontologist, 35, 103-111.
45. Spar, J. E., LaRue, A., Hughes, C., & Fairbanks, L. (1987). Multivariate prediction of falls in elderly inpatients. International Journal of Geriatric Psychiatry, 2, 185-198.
46. Sunderland, T., & Silver, M. A. (1988). Neuroleptics and the treatment of dementia. International Journal of Geriatric Psychiatry, 3, 79-88.
47. Teri, L., Hughes, C., & Larson, E. B. (1990). Cognitive deterioration in Alzheimer's disease: Behavioral and health factors. Journal of Gerontology, 45, P58-P63.
48. Teri, L., Rabins, P., Whitehouse, P., Berg, L., Reisberg, B., Sunderland, T., Eichelman, B., & Phelps, C. (1992). Management of behavior disturbance in Alzheimer disease: Current knowledge and future directions. Alzheimer Disease and Associated Disorders, 6, 77-88.
49. Trabucchi, M., Bianchetti, A., & Zanetti, O. (1995). An Italian network for the care of demented patients. The Gerontologist, 35(S1), 90.
50. Trabucchi, M., Govoni, S., & Bianchetti, A. (1994). Socioeconomic aspects of Alzheimer's disease treatment. In E. Giacobini & R. Becker, (Eds.), Alzheimer disease: Therapeutic strategies (pp. 459-463). Boston: Birkhäuser.
51. Volicer, L., Hurley, A. C., Lathi, D. C., & Kowall, N. W. (1994). Measurement of severity in advanced Alzheimer's disease. Journal of Gerontology, 49, M223-M226.
52. Wagner, A. W., Teri, L., & Orr-Rainey, N. (1995). Behavioral problems of residents with dementia in special care units. Alzheimer Disease and Associated Disorders, 9, 121-127.
53. Winograd C. H., & Pawlson, G. (1991). OBRA 87: A commentary. Journal of the American Geriatrics Society, 39, 724-726.
54. Zanetti, O., Frisoni, G. B., Bianchetti, A., Tamanza, G., Cigoli, V., & Trabucchi, M. (1996a). Depression in careers of elderly people living at home. Carer's characteristics could be risk factors. British Medical Journal, 312, 1224-1225.
55. Zanetti, O., Magni, E., Sandri, C., Frisoni, G. B., Bianchetti, A., & Trabucchi, M. (1996b). Determinants of burden in an Italian sample of Alzheimer's patient caregivers. Journal of Cross-Cultural Gerontology, 11, 17-27.
56. Zimmer, J. G., Watson, N., & Treat, A. (1984). Behavioral problems among patients in skilled nursing facilities. American Journal of Public Health, 74, 1118-1120.