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nursing home placement (NHP)
Etiology:
- risk factors
- older age
- dementia
- greater severity of dementia
- behavioral or psychiatric complications of dementia
- type of dementia not a risk factor
- caregiver burden
- dependency in >= 3 basic activities of daily living
- poor family support
- low income [1]
* Mitigating factors
- living with family caregiver
- being married
Epidemiology:
- whites more likely to be placed in nursing home
Management:
- comprehensive geriatric assessment with multiple home visits can reduce functional decline & nursing home placement [1]
Related
nursing home
References
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019
- Geriatric Review Syllabus, 11th edition (GRS11)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2022
- Cepoiu-Martin M, Tam-Tham H, Patten S, Maxwell CJ, Hogan DB.
Predictors of long-term care placement in persons with dementia:
a systematic review and meta-analysis.
Int J Geriatr Psychiatry. 2016 Nov;31(11):1151-1171. Review.
PMID: 27045271