The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
A Comparison of Cognitive and Functional Care Differences in Four Long-term Care Settings
Abstract
Matching residential setting with cognitive and physical abilities is crucial for the provision of a supportive long-term care (LTC) environment. This study compares the cognitive and functional care differences of LTC residents on skilled nursing units designed for dementia care, chronic care, or ambulatory care, and an assisted living setting using the Minimum Data Set (MDS) Texas Index of Level for Effort (TILE) clinical categories (heavy care, rehabilitation/restorative, clinically unstable, clinically stable), MDS Activities of Daily Living (ADL), and Mini-Mental State Examination (MMSE). The goal of the comparison was to find a parsimonious approach for determining resident placement in LTC using the MDS and MMSE. Using a descriptive comparative design, the study took place at a not-for-profit, urban, continuing care retirement center (CCRC) with a 120-bed skilled nursing facility and a 34-unit assisted living facility. Sixty residents, 15 from each of the 3 skilled nursing units and assisted living unit, consented to participate. To understand the differences in the MDS and MMSE scores between units, a Level of Care Algorithm was constructed to analyze resident placement. Results revealed that MDS and MMSE scores placed greater than 75% of elders who had extremely poor cognitive or physical function but did not discriminate well for residents with moderate cognitive and/or physical impairment. For these residents, interaction between institutional philosophy (aging in place versus moving to a new location); resource availability; and elder, family, and staff values and preferences may have influenced placement.
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In the citing paper
“However, emotional behavior at baseline seemed to influence all outcomes except functional status.”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“In a study in which the settings were different but the quality of care was similar, it was demonstrated that patients in SCUs showed different outcome characteristics, namely a greater decline in functional status, expressive language skills and social skills than those in n-SCUs [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“In a study in which the settings were different but the quality of care was similar, it was demonstrated that patients in SCUs showed different outcome characteristics, namely a greater decline in functional status, expressive language skills and social skills than those in n-SCUs [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“In a study in which the settings were different but the quality of care was similar, it was demonstrated that patients in SCUs showed different outcome characteristics, namely a greater decline in functional status, expressive language skills and social skills than those in n-SCUs [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“Better affect positively influenced the outcome characteristics regardless of the type of setting [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“Although the majority of the studies showed no differences over time in ADL between SCUs and n-SCUs [20,35,45,46], SCUs and small-scale SCUs [12] or n-SCU and small-scale, homelike SCUs [15], a greater decline in ADL was observed in the SCU group compared to the n-SCU group [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“Concerning specific cognitive domains, expressive language skills appeared to decline more in the SCU group [25], whereas memory functions did not differ over time between the SCU and the small-scale, homelike SCU groups [13].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“It has been argued that the course of specific cognitive aspects in dementia can be influenced by different care settings [25].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
In the citing paper
“With respect to global cognitive functioning, no differences over time were shown in 4 n-SCU/SCU [9,25,35,46] and 2 small-scale, homelike SCU/SCU studies [13,15].”
From Special Care Units and Traditional Care in Dementia: Relationship with Behavior, Cognition, Functional Status and Quality of Life - A Review (2013) · cites this paper as [25]
Citations
Cites
Patient and Caregiver Characteristics and Nursing Home Placement in Patients With Dementia
Yaffe, K. (2002) · JAMA · doi:10.1001/jama.287.16.2090 · Cited by 903
Predictors of Nursing Home Placement in Parkinson's Disease: A Population‐Based, Prospective Study
Aarsland, D., Larsen, J. P., Tandberg, E., & Laake, K. (2000) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2000.tb06891.x · Cited by 811
Cited by
Sorted by citations
Kok, J. S., Berg, I. J., & Scherder, E. J. A. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353441 · Cited by 20,589
Metadata
- Authors
- ASHCRAFT, A., OWEN, D., & FENG, D.
- Affiliations
- Texas Tech University (US)
- Corresponding author
- ASHCRAFT, A
- ORCID
- Venue
- Journal of the American Medical Directors Association
- Publisher
- Elsevier BV
- Published
- 2006-02
- Volume
- 7
- Issue
- 2
- Pages
- 96-101
- ISSN
- 1525-8610 (ISSN-L)
- OpenAlex
- W2120002178
- Cited by
- 8
- References
- 2
- Citations by year
- 2026: 1 · 2024: 1 · 2013: 1 · 2012: 1
- FWCI
- 1.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Medical Directors Association (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- long-term care, skilled nursing facilities, assisted living, dementia care, cognitive function, functional capacity, Minimum Data Set, activities of daily living, Mini-Mental State Examination, institutional philosophy, aging in place
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Algorithms, Ambulatory Care, Chronic Disease, Cognition Disorders, Female, Health Status, Humans, Male, Mental Status Schedule, Philosophy, Medical, Progressive Patient Care, Retrospective Studies, Skilled Nursing Facilities, Geriatric Assessment, Organizational Policy, Housing for the Elderly, Patient Selection, Needs Assessment, Assisted Living Facilities
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- The paper
- ASHCRAFT, A., OWEN, D., & FENG, D. (2006). A Comparison of Cognitive and Functional Care Differences in Four Long-term Care Settings. Journal of the American Medical Directors Association. https://doi.org/10.1016/j.jamda.2005.10.005
