© 1997 Oxford University Press
Articles |
Rehabilitation in Nursing Homes: A Cross-National Comparison of Recipients
Brown University Box G-B 213, Providence, Rl 02912, USA
1 Institute for Research and Training, Hebrew Rehabilitation Center for Aged Boston, MA, USA
2 Hebrew Rehabilitation Center for Aged (HRCA), Research and Training Institute Boston, MA, USA
3 Centre for Health Services Studies, University of Kent Kent CT2 7NF, UK
4 Klinik fur Geriatrie und Rehabilitation, Stadtspital Waid Zurich, Switzerland
5 Myers Research Institute, Menorah Park Center for the Aging Beachwood, OH, USA
Address correspondence to: K. Berg. Fax: (+1) 401 863 3489. KATHERINE_BERG{at}Brown.edu
Objective: To examine the prevalence of therapy use in nursing homes in selected countries and to describe the characteristics of nursing home residents who receive therapy.
Design and sampling: The design of the study is cross-sectional, using Minimum Data Set (MDS) assessments of nursing home residents. The sample includes all nursing home residents in six US states (n=273491), in Copenhagen, Denmark (n=;3451), Reyjkavik, Iceland (n=1254), and selected locations in Italy (n=1089) and Japan (n=1255).
Method: We determined who had received physical or occupational therapy treatments in the last 7 days. Demographic and clinical characteristics of recipients were compared relative to other nursing home residents within each country.
Results: In the five countries, the prevalence of receiving therapy was 31% (Iceland), 30% Qapan), 23% (Denmark), 14% (Italy) and 11% (USA). Substantial proportions of the recipients were over the age of 85, were clinically stable and had been in the nursing home for longer than 90 days. Across all countries, residents with poorer activities of daily living (ADL) scores but good cognitive scores were more likely to receive therapy than other residents. Rehabilitation nursing, an adjunct to therapy, was concentrated on residents with poor ADL scores.
Conclusions: Substantial numbers of long-stay residents receive therapy in nursing homes, including those over the age of 85 years and those with cognitive impairment. Hence, future rehabilitation outcome studies can involve these previously understudied patient populations.
Keywords: international comparison, nursing homes, rehabilitation
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  C. M Sackley, M. E van den Berg, K. Lett, S. Patel, K. Hollands, C. C Wright, and T. J Hoppitt Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial BMJ, September 1, 2009; 339(sep01_2): b3123 - b3123. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. L. Sampson, M. R. Blanchard, L. Jones, A. Tookman, and M. King Dementia in the acute hospital: prospective cohort study of prevalence and mortality The British Journal of Psychiatry, July 1, 2009; 195(1): 61 - 66. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H.J. Woodford and J. George Cognitive assessment in the elderly: a review of clinical methods QJM, August 1, 2007; 100(8): 469 - 484. [Full Text] [PDF]
|
|