INTRODUCTION: The purpose of this study was to test differences in psychotropic medication, function, physical activity, agitation, resistiveness to care, comorbidities, and depression among moderate to severely cognitively impaired nursing home residents who were fallers versus nonfallers. METHODS: This was a secondary data analysis using baseline data from a randomized controlled trial testing the Function and Behavior Focused Care intervention across 12 nursing homes. The sample included 336 older adults, the majority of whom were female and white. RESULTS: There was a significant difference in the total number of comorbidities, agitation, the total number of psychotropic medications, depressive symptoms, and physical activity between those who fell and those who did not fall (Pillai-Bartlett trace = 4.91; P < .001). DISCUSSION: Findings support prior work except with regard to medication use, cognition, and function. Due to inconsistent findings, additional research is recommended particularly with regard to the use of specific drug groups and medications.
RCT Entities:
INTRODUCTION: The purpose of this study was to test differences in psychotropic medication, function, physical activity, agitation, resistiveness to care, comorbidities, and depression among moderate to severely cognitively impaired nursing home residents who were fallers versus nonfallers. METHODS: This was a secondary data analysis using baseline data from a randomized controlled trial testing the Function and Behavior Focused Care intervention across 12 nursing homes. The sample included 336 older adults, the majority of whom were female and white. RESULTS: There was a significant difference in the total number of comorbidities, agitation, the total number of psychotropic medications, depressive symptoms, and physical activity between those who fell and those who did not fall (Pillai-Bartlett trace = 4.91; P < .001). DISCUSSION: Findings support prior work except with regard to medication use, cognition, and function. Due to inconsistent findings, additional research is recommended particularly with regard to the use of specific drug groups and medications.
Entities:
Keywords:
antidepressants; antipsychotics; dementia; falls; function; nursing home residents
Authors: Carolyn S Sterke; Ed F van Beeck; Nathalie van der Velde; Gijsbertus Ziere; Mirko Petrovic; Caspar W N Looman; Tischa J M van der Cammen Journal: J Clin Pharmacol Date: 2011-05-31 Impact factor: 3.126
Authors: Gisela Büchele; Clemens Becker; Ian D Cameron; Hans-Helmut König; Stephen Robinovitch; Kilian Rapp Journal: J Am Med Dir Assoc Date: 2014-05-11 Impact factor: 4.669
Authors: Fiona C Kearney; Rowan H Harwood; John R F Gladman; Nadina Lincoln; Tahir Masud Journal: Dement Geriatr Cogn Disord Date: 2013-05-23 Impact factor: 2.959