Abstract
Objectives
Person-centered care (PCC) is a revolutionary approach to the culture change of elder
care that is being adopted by nursing home providers across the nation. One aspect
of PCC is the introduction of more self-contained units or households within long
term care facilities. This study aimed to evaluate the effect of households on nursing
home residents’ physical and psychological outcomes using the Minimum Data Set (MDS)
comprehensive assessment data.
Design
A retrospective, longitudinal study.
Setting
Two care units in a large urban nursing home within the Western New York long term
care system.
Participants
Residents living in two units (household unit and traditional care unit) within one
nursing home during January 2005 to April 2007.
Measurements
The MDS 2.0 is a standardized and comprehensive assessment tool that measures long
term care facility residents’ functional, medical, cognitive, and psycho-social status.
The de-identified MDS 2.0 records of residents living in these units during this time
period were retrieved from the New York Association of Homes and Services for the
Aging. The residents’ cognitive patterns, mood and behavior pattern, physical functioning,
pain, fall, nutritional status, number of ulcers, medication use, and special treatment
were compared. Descriptive and correlational statistics were used for data analysis.
Results
MDS records of 35 household-unit residents and 33 traditional-unit residents were
analyzed. After adjusting for baseline differences, household-unit residents had better
self- performed eating ability, daytime sleepiness, and restraint use; however, more
fall incidents were reported for the household unit.
Conclusions
Our findings indicate that households generated some better outcomes for residents
and provide preliminary evidence to support households in nursing homes. Further research
is needed to overcome design issues; however, the MDS may be useful for PCC outcomes
measurement.
Keywords
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Article info
Publication history
Published online: February 25, 2013
Footnotes
The authors report no actual or potential conflicts of interest.
This study was funded through Western New York Person-Centered Care Alliance by the Oishei Foundation.
Identification
Copyright
© 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.
