Assessing dysfunctional behaviors in long-term care.

نویسندگان

  • P Andrew Clifford
  • Daisha J Cipher
  • Kristi D Roper
چکیده

OBJECTIVE The Geriatric Level of Dysfunction Scale (GLDS) was developed to assess the intensity, frequency, and duration of 19 behavioral disturbance categories that can potentially interfere with long-term care. DESIGN Secondary analysis of data collected from residents in long-term care facilities. PARTICIPANTS Participants were 399 adults aged 60 and older residing in one of 16 long-term care facilities. RESULTS The GLDS items were analyzed for reliability, content validity, and convergent and discriminant validity. The GLDS items were significantly correlated with items from the Geriatric Multidimensional Pain and Illness Inventory, Geriatric Depression Scale, Neurobehavioral Cognitive Status Examination, and the Psychosocial Resistance to Activities of Daily Living Index. CONCLUSIONS The GLDS is evidenced to be a reliable and valid assessment tool for assessing dysfunctional behaviors of residents in long-term care facilities. Its brevity and clearly defined assessment criteria are assets to the administering clinician. Research on the utility of the GLDS as a treatment outcome instrument in long-term care is warranted. The potential for psychologists, physicians, social workers, and registered nurses to administer the GLDS in long-term care settings is discussed.

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عنوان ژورنال:
  • Journal of the American Medical Directors Association

دوره 6 5  شماره 

صفحات  -

تاریخ انتشار 2005