TY - JOUR
T1 - Cognitive impairment, disruptive behaviors, and home care utilization
AU - Hawranik, Pamela G.
AU - Strain, Laurel A.
N1 - Funding Information:
1. The Manitoba Study of Health and Aging (MSHA) was funded primarily by Manitoba Health, with additional funding provided through the Canadian Study of Health and Aging by the Seniors Independence Research Program of the National Health Research and Development Program of Health Canada (Project No. 6606-3954-MC[S]). The results and conclusions are those of the authors, and no official endorsement by Manitoba Health is intended or should be inferred. The authors would like to acknowledge the contributions of the study participants and the MSHA Research Group members and staff. In particular, appreciation is extended to Audrey Blandford, Research Coordinator, Centre on Aging. Please address all correspondence to Pamela G. Hawranik, Ph.D., Faculty of Nursing, University of Manitoba, Canada R3T 2N2; phone: (204) 474-6716; fax: (204) 474-7682; e-mail: pam_hawranik@umanitoba.ca
PY - 2001/3
Y1 - 2001/3
N2 - Disruptive behaviors by an elder with cognitive impairment, such as violence, abrupt mood swings, and overt inappropriate sexual behaviors have been known to create caregiver distress, but little is known about how these behaviors may influence the use of home care services by that elder or their informal caregiver. The purpose of this study is to explore the associations between type of cognitive impairment (cognitive impairment with no dementia, and dementia), selected disruptive behaviors, and the use of four home care services (homemaking/cleaning, personal care, in-home nursing, home-delivered meals). Secondary data analysis from the 1991-1992 Manitoba Study on Health and Aging data set was conducted, using a sample of 124 community-dwelling elders and their unpaid caregivers. Multivariate analysis revealed that disruptive behaviors were significantly associated with the use of two services: personal care and home-delivered meals. Being cognitively impaired with dementia was significant for only home-delivered meals. Overall functional status of the elder emerged as a consistent predictor.
AB - Disruptive behaviors by an elder with cognitive impairment, such as violence, abrupt mood swings, and overt inappropriate sexual behaviors have been known to create caregiver distress, but little is known about how these behaviors may influence the use of home care services by that elder or their informal caregiver. The purpose of this study is to explore the associations between type of cognitive impairment (cognitive impairment with no dementia, and dementia), selected disruptive behaviors, and the use of four home care services (homemaking/cleaning, personal care, in-home nursing, home-delivered meals). Secondary data analysis from the 1991-1992 Manitoba Study on Health and Aging data set was conducted, using a sample of 124 community-dwelling elders and their unpaid caregivers. Multivariate analysis revealed that disruptive behaviors were significantly associated with the use of two services: personal care and home-delivered meals. Being cognitively impaired with dementia was significant for only home-delivered meals. Overall functional status of the elder emerged as a consistent predictor.
UR - http://www.scopus.com/inward/record.url?scp=0035286409&partnerID=8YFLogxK
U2 - 10.1177/019394590102300204
DO - 10.1177/019394590102300204
M3 - Journal Article
C2 - 11272854
AN - SCOPUS:0035286409
SN - 0193-9459
VL - 23
SP - 148
EP - 162
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
IS - 2
ER -
