predictors of geriatric institutionalization : an exploratory comparison of semi-supportive housing and professional home health care
abstract
this study examined two distinct types of elderly supportive care for their efficacy in meeting
the overall needs of their clients and reducing the risk of institutionalization. recipients of (a)
professional home care and (b) residents of a semi-supportive housing unit were assessed
utilizing the resident assessment instrument for home care (rai-hc), version 2. the groups
were assessed and compared for their baseline measurements on 23 indices o f functional
indicators including; cognitive and physiological functioning, current levels o f activities o f
daily living (adl) and instrumental activities of daily living (iadl), psychological and
social functioning, and rates of lnstitutional risk. in addition, institutional admission and
mortality rates were collected at one-year follow-up for the semi-supportive housing group to
identify predictor variables that preceded these two outcomes (institutionalization and mortality).
baseline measurement results revealed that that semi-supportive housing group evidenced a
lower risk of institutionalization despite being an older population and having more urinary and
behavioral problems than did the home care group. the semi-supportive housing group also
reported less difficulty with managing their activities of daily living (adl's) in comparison to
the home care group. only one predictor variable (of 23) emerged as significant in relation to
the actual outcome of institutionalization as such, semi-supportive housing residents triggering
the health promotion variable displayed a reduced risk of subsequent admittance to long-term
nursing home care in comparison to those residents not triggering tins variable.
collections
- retrospective theses [1604]