Medical College of Wisconsin
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Factors associated with time to identify physical problems of nursing home residents with dementia. Am J Alzheimers Dis Other Demen 2010 Jun;25(4):317-23 PMID: 20237337 PMCID: PMC2884077

Pubmed ID



This study describes new problems emerging over 6 weeks for nursing home residents with advanced dementia and factors associated with time to identify the problems. The sample of 65 developed 149 new acute problems or exacerbations of existing conditions over the 6 weeks of data collection. The majority of these problems involved uncontrolled pain, new infections, and severe psychoses. Nurse assessment skill was associated with a shorter time to identify the new problem and more time spent on the problem. A higher ratio of new to existing interventions was also associated with a shorter time to identify the problem. Other patient characteristics associated with time to identify problems included nonspecific vocalizations, physical signs, cognitive status, and length of stay. While future research is warranted, findings from this study highlight the frequency of problems requiring treatment and suggest that improved assessment of residents may decrease the time to identify new problems.

Author List

Kovach CR, Logan BR, Simpson MR, Reynolds S


Brent R. Logan PhD Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin


2-s2.0-77953631532   15 Citations

MESH terms used to index this publication - Major topics in bold

Acute Disease
Aged, 80 and over
Homes for the Aged
Midwestern United States
Nursing Assessment
Nursing Homes
Nursing Records
Patient Participation
Surveys and Questionnaires
jenkins-FCD Prod-300 626508253d14e4184314fb9f66322a03a5906796