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Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units

King-Kallimanis, Bellinda, Schonfeld, Lawrence, Molinari, Victor A., Algase, Donna, Brown, Lisa M., Kearns, William D., Davis, Darlene M., Werner, Dennis H., Beattie, Elizabeth, & Nelson, Audrey L. (2010) Longitudinal investigation of wandering behavior in department of veterans affairs nursing home care units. International Journal of Geriatric Psychiatry, 25(2), pp. 166-174.

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Abstract

Objectives

To explore the extent of and factors associated with male residents who change wandering status post nursing home admission.

Design

Longitudinal design with secondary data analyses. Admissions over a 4-year period were examined using repeat assessments with the Minimum Data Set (MDS) to formulate a model understanding the development of wandering behavior.

Setting

One hundred thirty-four Veterans Administration (VA) nursing homes throughout the United States. Participants: Included 6673 residents admitted to VA nursing homes between October 2000 and October 2004.

Measurements

MDS variables (cognitive impairment, mood, behavior problems, activities of daily living and wandering) included ratings recorded at residents’ admission to the nursing home and a minimum of two other time points at quarterly intervals.

Results

The majority (86%) of the sample were classified as non wanderers at admission and most of these (94%) remained non wanderers until discharge or the end of the study. Fifty one per cent of the wanderers changed status to non wanderers with 6% of these residents fluctuating in status more than two times. Admission variables associated with an increased risk of changing status from non-wandering to wandering included older age, greater cognitive impairment, more socially inappropriate behavior, resisting care, easier distractibility, and needing less help with personal hygiene. Requiring assistance with locomotion and having three or more medical comorbidities were associated with a decreased chance of changing from non-wandering to wandering status.

Conclusion

A resident’s change from non-wandering to wandering status may reflect an undetected medical event that affects cognition, but spares mobility.

Impact and interest:

1 citations in Scopus
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1 citations in Web of Science®

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ID Code: 39941
Item Type: Journal Article
Keywords: Wandering, Longitudinal, Veterans, Nursing Homes
DOI: 10.1002/gps.2316
ISSN: 0885-6230
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2009 John Wiley & Sons, Ltd.
Deposited On: 09 Feb 2011 09:03
Last Modified: 03 Feb 2014 08:53

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