Prevalence and characteristics of nursing homes residents requiring light-care

Victoria T. Grando, Marilyn J. Rantz, Gregory F. Petroski, Meridean Maas, Lori Popejoy, Vicki Conn, Deidre Wipke-Tevis

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Rising nursing home (NH) costs and the poor quality of NH care make it important to recognize elders for whom NH care may be inappropriate. As a first step in developing a method to identify these elders, we examined the characteristics of NH residents requiring light-care and changes in their care level from NH admission to 12-months. Using data from the Missouri Minimal Data Set electronic database, we developed three care-level categories based on Resource Use Groups, Version III (RUG-III) and defined light-care NH residents as those requiring minimal assistance with late-loss ADLs (bed mobility, transfer, toilet use, or eating) and having no complex clinical problems. Approximately 16% of Missouri NH residents met the criteria for light-care. They had few functional problems with mobility, personal care, communication, or incontinence; approximately 33% had difficulty maintaining balance without assistance; and 50% of those admitted as light-care were still light-care at 12-months. Findings suggest that many NH residents classified as light-care by these criteria could be cared for in community settings offering fewer services than NHs.

Original languageEnglish (US)
Pages (from-to)210-219
Number of pages10
JournalResearch in Nursing and Health
Volume28
Issue number3
DOIs
StatePublished - Jun 1 2005

Keywords

  • Frail elderly
  • Gerontological nursing
  • Long term care
  • Minimum data set
  • Missouri
  • Nursing homes

ASJC Scopus subject areas

  • Nursing(all)

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