Factors Affecting Decisions to Institutionalize Demented Elderly
Abstract
This study followed 321 community-based patients with documented dementias, 22% of whom were institutionalized after 1 year. Multivariate analyses indicated that none of the patient characteristics, such as level of cognitive, psychiatric, or neurological impairment, predicted institutionalization. Social psychological characteristics, type and number of caregivers, and subjective caregiver distress did predict which patients were ultimately institutionalized. Implications for treatment planning are discussed.
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Worsening psychological and physical health in caregivers can adversely impact the individual with dementia, for example by increasing the likelihood of institutionalization of the person with dementia.
“In addition, worsening psychological and physical health in caregivers can adversely impact the individual with dementia—for example, they increase the likelihood of institutionalization of the person with dementia, which is associated with decreased psychological and physical health and increased mortality in individuals with dementia [11], [12], [13], [14].”
From A novel two-day intervention reduces stress in caregivers of persons with dementia (2018) · cites this paper as [13]
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Tunis, S. L., Edell, W. S., Adams, B. E., & Kennedy, J. S. (2002) · Journal of the American Medical Directors Association · doi:10.1016/s1525-8610(04)70457-0 · Cited by 13 · see citing works
The Association of Disability with Long-Term Care Institutionalization of the Elderly
Young, J. E., Forbes, W. F., & Hirdes, J. P. (1994) · Canadian Journal on Aging / La Revue canadienne du vieillissement · doi:10.1017/s0714980800006528 · Cited by 14 · see citing works
Changes in Carers’ Capacity and Motivation to Provide Care
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A novel two-day intervention reduces stress in caregivers of persons with dementia
Spalding‐Wilson, K. N., Guzmán‐Vélez, E., Angelica, J., Wiggs, K., Savransky, A., & Tranel, D. (2018) · Alzheimer's & Dementia: Translational Research & Clinical Interventions · doi:10.1016/j.trci.2018.08.004 · Cited by 13 · see citing works
Peripheral electrical nerve stimulation and rest‐activity rhythm in Alzheimer's disease
Dijk, K. R. A. V., Luijpen, M. W., Someren, E. J. W. V., Sergeant, J. A., Scheltens, P., & Scherder, E. (2006) · Journal of Sleep Research · doi:10.1111/j.1365-2869.2006.00548.x · Cited by 13 · see citing works
“Therefore, it is not surprising that institutionalization is best predicted by restactivity rhythm disruption and not by the level of cognitive functioning or by the number of psychiatric symptoms of the AD patient (Chenier, 1997; Hart et al., 2003; Hope et al., 1998; Kesselring et al., 2001; Lieberman and Kramer, 199…”
Psychogeriatric day care outcome: A five‐year follow‐up
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Daily Measurements of Anxiety and Affect: A Study among Spouse Caregivers
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Multidisciplinary Team Meetings About a Patient in Primary Care
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Global Change Assessments in Anti-Alzheimer Clinical Drug Trials
Knopman, D. S. (1998) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000051198 · Cited by 11 · see citing works
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Risk Factors of High Burden Caregivers of Dementia Patients Institutionalized at Day-Care Centres
Maseda, A., González‐Abraldes, I., de Labra, C., López, J. M. M., Sánchez, A., & Millán-Calentí, J. C. (2014) · Community Mental Health Journal · doi:10.1007/s10597-014-9795-7 · Cited by 8 · see citing works
“1992) but also they are more engaged in the caregiving relationship, implying that married people are normally institutionalized later than unmarried people (Colerick and George 1986; Lieberman and Kramer 1991; Scott et al. 1997).”
BackgroundFear of Incompetence in Family Caregivers and Dementia Care Transitions
Miron, A. M., Groves, C. L., Thompson, A. E., McFadden, S. H., Bowers, H. R., & DeBraal, J. M. (2022) · The International Journal of Aging and Human Development · doi:10.1177/00914150221106075 · Cited by 8 · see citing works
“Although many studies have found associations between cognitive impairment, ADL impairment, and behavioral problems and care transitions, other studies found no associations (Lieberman & Kramer, 1991; Spitznagel et al., 2006).”
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Los cuidados familiares y las políticas públicas
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- Authors
- Lieberman, M. A., & Kramer, J. H.
- Affiliations
- University of California San Francisco Medical Center (US)
- University of California, San Francisco (US)
- Corresponding author
- Lieberman, M. A.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 1991-06-01
- Volume
- 31
- Issue
- 3
- Pages
- 371-374
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- OpenAlex
- W2002432823
- Cited by
- 129
- References
- 0
- Citations by year
- 2026: 1 · 2022: 2 · 2020: 1 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 2 · 2012: 3
- FWCI
- 5.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- dementia, institutionalization, older adults, nursing homes, caregiver distress, caregiver burden, socio-psychological factors, decision-making, community-dwelling patients, treatment planning
- MeSH terms
- Aged, Decision Making, Dementia, Family, Female, Home Nursing, Humans, Institutionalization, Male, Multivariate Analysis
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