|
Sign In to gain access to subscriptions and/or personal tools.
|
An Evaluation of a Monitoring System InterventionFalls, Injuries, and Affect in Nursing Homes
Douglas Holmes
Hebrew Home for the Aged at Riverdale and Columbia University Faculty of Medicine, New York
Jeanne A. Teresi
Hebrew Home for the Aged at Riverdale, Columbia University Stroud Center, New York State Psychiatric Institute, and Columbia University Faculty of Medicine
Mildred Ramirez
Hebrew Home for the Aged at Riverdale, New York, MilRamirez{at}aol.com
Julie Ellis
La Trobe University, Bendigo, Australia
Joseph Eimicke
Hebrew Home for the Aged at Riverdale, New York
Jian Kong
Hebrew Home for the Aged at Riverdale, New York
Lucja Orzechowska
Hebrew Home for the Aged at Riverdale, New York
Stephanie Silver
Hebrew Home for the Aged at Riverdale, New York
This project assessed the extent to which modern technology (Vigil) can augment or substitute for direct staff intervention in nonacute late-evening and nighttime situations in a nursing home setting. Vigil was implemented for dementia residents of a special care unit (SCU) in a large nursing home. An SCU matched in terms of unit-wide case mix and cognition was used for comparison. Results showed that there was no significant reduction in falls and injuries, but there was a significant improvement in affective disorder in the intervention group as contrasted with the comparison group. There was no significant increase in staff-perceived burden, despite the significant increase in the amount of direct care time logged. Additional time spent in staff care was significantly related to decreased affective disorder. The findings related to Vigil are generally mixed. The question remains as to whether the improvement in affect was due to Vigil or vigilance.
Key Words: nursing homes • accidental falls • technology • affect
References
- Altus, D.E., Mathews, R.M., Xaverius, P.K., Engleman, K.K., & Nolan, B.A.D. (2000). Evaluating an electronic monitoring system for people who wander. American Journal of Alzheimer's Disease and Other Dementias, 15, 121-125.[Abstract/Free Full Text]
- Borm, G.F., Melis, R.J.F., Teerenstra, S., & Peer, P.G. (2005). Pseudo cluster randomization: A treatment allocation method to minimize contamination and selection bias. Statistics in Medicine, 24, 3535-3547.[CrossRef][Medline]
[Order article via Infotrieve]
- Brownsell, S.H. (2004). Fall detectors: Do they work or reduce the fear of falling? Housing, Care and Support, 7(1), 18-24.
- Chan, M., Campo, E., & Esteve, D. (2005). Assessment of activity of elderly people using a home monitoring system. International Journal of Rehabilitation Research, 28, 69-76.[CrossRef][Medline]
[Order article via Infotrieve]
- Cheek, P., Nikpour, L., & Nowlin, H.D. (2005). Aging well with smart technology. Nursing Administration Quarterly, 29, 329-338.[Medline]
[Order article via Infotrieve]
- Day, K., Carreon, D., & Stump, C. (2000). The therapeutic design of environments for people with dementia: A review of the empirical research. The Gerontologist, 40, 397-416.[Medline]
[Order article via Infotrieve]
- Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). Mini-Mental State: A practical guide for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198.[CrossRef][Medline]
[Order article via Infotrieve]
- Glascock, A.P., & Kutzik, D.M. (2005, June). Practice and policy implications of the automated behavioural monitoring system. Paper presented at the Sixth International Conference of the International Association of Homes and Services for the Ageing, Trondheim, Norway.
- Helmes, E., Csapo, K.G., & Short, J.A. (1987). Standardization and validation of the Multidimensional Observation Scale for Elderly Subjects (MOSES). Journal of Gerontology, 42, 395-405.[Abstract/Free Full Text]
- Holmes, D., Teresi, J., & Kong, J. (2000). Service inputs and costs of care related to outcomes among cognitively impaired nursing home residents. Journal of Mental Health Policy and Economics, 3, 121-127.[CrossRef][Medline]
[Order article via Infotrieve]
- Holmes, D., Teresi, J., & Ory, M. (Eds.). (2000). Research and practice in Alzheimer's disease: Vol. 4. Special care units. New York: Springer.
- Kahana, E. (1975). A congruence of person-environment interaction. In T. O. Byerts, M. P. Lawton, & J. Newcomber (Eds.), Theory development in environments and aging (pp. 181-214). Washington, DC: Gerontological Society.
- Kutner, N.G., & Bliwise, D.L. (2000). Observed agitation and the phenomenon of "sun-downing" among SCU residents. In D. Holmes, J. Teresi & M. Ory (Eds.), Research and Practice in Alzheimer's Disease": Vol 4. Special care units (pp. 151-162). New York: Springer.
- Lawton, M.P. (1991). A multidimensional view of quality of life. In J. E. Birren, J. E. Lubben, J. C. Rowe, & D. E. Deutchman (Eds.), The concept and measurement of quality of life in the frail elderly (pp. 3-27). New York: Academic Press.
- Mann, W.C., Marchant, T., Tomita, M., Fraas, L., & Stanton, K. (2001-2002). Elder acceptance of health monitoring devices in the home. Care Management Journal, 3(2), 91-98.
- McCreadie, C., Wright, F., & Tinker, A. (2006). Improving the provision of information about assistive technology for older people. Quality in Ageing, 7(2), 13-22.
- Myint, S., Neufeld, R., & Dunbar, J. (1999). Removal of bedrails on a short-term nursing home rehabilitation unit. The Gerontologist, 39, 611-614.[Abstract/Free Full Text]
- Rice, T. (2004). Assistive technology in WISE homes. Geriatric Medicine, 34(7), 11-13.
- Schnelle, J.F., Alessi, C.A., Al-Samarrai, N.R., Fricker, R.D., & Ouslander, J.G. (1999). The nursing home at night: Effects of an intervention on noise, light and sleep. Journal of the American Geriatrics Society, 47, 430-438.[Medline]
[Order article via Infotrieve]
- Sloane, P.D., Mitchell, C.M., Calkins, M., & Zimmerman, S.I. (2000). Light and noise levels in Alzheimer's disease special care units. In D. Holmes, J. Teresi & M. Ory (Eds.), Research and Practice in Alzheimer's Disease: Vol 4. Special care units (pp. 241-249). New York: Springer.
- Teresi, J.A., Holmes, D., Benenson, E., Monaco, C., Barrett, V., Ramirez, M., et al. (1993). A primary care nursing model in long-term care facilities: Evaluation of impact on affect, behavior, and socialization. The Gerontologist, 33, 667-674.[Abstract/Free Full Text]
- Teresi, J.A., Morris, J.N., Mattis, S., & Reisberg, B. (2000). Cognitive impairment among SCU and non-SCU residents in the United States: Prevalence estimates from the National Institute on Aging Collaborative Studies of Special Care Units for Alzheimer's Disease. In D. Holmes, J. Teresi & M. Ory (Eds.), Research and Practice in Alzheimer's Disease: Vol 4. Special care units (pp. 117-138). New York: Springer.
- Todd, J. F. Ruhl, C. E. & Gross, T.P. (1997). Injury and death associated with hospital bed side-rails: Reports to the US Food and Drug Administration from 1985 to 1995. American Journal of Public Health, 87, 1675-1677.[Abstract/Free Full Text]
- Toner, J.A., Teresi, J.A., Gurland, B.J., & Tirumalasetti, F. (1999). The Feeling-Tone Questionnaire: Reliability and validity of a direct patient assessment screening instrument for the detection of depressive symptoms in cases of dementia. Journal of Clinical Geropsychology, 5, 63-78.[CrossRef]
- Vigil Health Solutions, Inc. (2007). Vigil integrated care management system. Available from http://www.vigil.com/products
Clinical Nursing Research, Vol. 16, No. 4,
317-335 (2007)
DOI: 10.1177/1054773807307870
 CiteULike  Complore  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
C. M. Blaschke, P. P. Freddolino, and E. E. Mullen
Ageing and Technology: A Review of the Research Literature
Br. J. Soc. Work,
June 1, 2009;
39(4):
641 - 656.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
