The influence of cognitive impairment, special care unit placement, and nursing facility characteristics on resident quality of life

Kathleen Abrahamson, Teresa Lewis, Anthony Perkins, Daniel Clark, Arif Nazir, Greg Arling

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Objectives: We examined the (a) influence of nursing facility characteristics on resident quality of life and (b) the impact of cognitive impairment and residence on a dementia special care unit(SCU) on QOL after controlling for resident and facility characteristics. Method: Multilevel models (resident and facility) were estimated for residents with and without cognitive impairment on conventional units and dementia SCU. Data came from the 2007 Minnesota Nursing Home Resident Quality of Life and Consumer Satisfaction Survey (N = 13,983). Results: Level of resident CI was negatively related to QOL, although residing on a dementia SCU was positively related to QOL. Certified Nursing Assistant and activity personnel hours per resident day had a positive relationship with resident QOL. Discussion: Our results highlight the need to ensure adequate levels of paraprofessional direct care staff and the availability of dementia-focused (SCU)s despite current constraints on long-term care funding.

Original languageEnglish (US)
Pages (from-to)574-588
Number of pages15
JournalJournal of Aging and Health
Volume25
Issue number4
DOIs
StatePublished - Jun 2013

Keywords

  • cognitive impairment (CI)
  • facility characteristics
  • nursing home (NH)
  • quality of life (QOL)

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Community and Home Care

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