TY - JOUR
T1 - Which Signs and Symptoms Warrant Involvement of Medical Staff? The Definition and Identification of Status-change Events in the Nursing Home
AU - Cohen-Mansfield, Jiska
AU - Lipson, Steven
AU - Horton, Debra
N1 - Funding Information:
The research reported in this article was funded by Grant HS09833-01 from the Agency for Healthcare Research and Quality.
PY - 2003
Y1 - 2003
N2 - In this article, the authors clarify the concept of status-change events (a significant clinical change that calls for medical follow-up by a physician) by providing preliminary descriptions of these events, and attempting to differentiate them from incidents that did not qualify as status-change events. Participants were residents from a large, nonprofit nursing home. Data were collected about the source of information, the nature of the incident, whether it qualified as a status-change event, and the reason (if any) for disqualification. The most common incidents involved in status-change events were troubled breathing, aspiration, fracture, and hypotension. The most common incidents that did not qualify as status-change events were continuing pneumonia, bruises, lacerations, disorientation, and blood pressure abnormalities. A wide range of physical ailments characterized both status-change events and incidents that did not qualify as status-change events. The main reason an incident did not qualify was because it did not warrant contacting the physician. The nature of the incident is insufficient in itself to determine whether the incident qualifies as a status-change event. The process for identifying and analyzing status-change events in the nursing home requires several steps and much persistence.
AB - In this article, the authors clarify the concept of status-change events (a significant clinical change that calls for medical follow-up by a physician) by providing preliminary descriptions of these events, and attempting to differentiate them from incidents that did not qualify as status-change events. Participants were residents from a large, nonprofit nursing home. Data were collected about the source of information, the nature of the incident, whether it qualified as a status-change event, and the reason (if any) for disqualification. The most common incidents involved in status-change events were troubled breathing, aspiration, fracture, and hypotension. The most common incidents that did not qualify as status-change events were continuing pneumonia, bruises, lacerations, disorientation, and blood pressure abnormalities. A wide range of physical ailments characterized both status-change events and incidents that did not qualify as status-change events. The main reason an incident did not qualify was because it did not warrant contacting the physician. The nature of the incident is insufficient in itself to determine whether the incident qualifies as a status-change event. The process for identifying and analyzing status-change events in the nursing home requires several steps and much persistence.
KW - Acute illness
KW - Cognitive impairment
KW - Dementia
KW - Medical decision making
UR - http://www.scopus.com/inward/record.url?scp=2542584747&partnerID=8YFLogxK
U2 - 10.1080/08964280309596064
DO - 10.1080/08964280309596064
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AN - SCOPUS:2542584747
SN - 0896-4289
VL - 29
SP - 115
EP - 120
JO - Behavioral Medicine
JF - Behavioral Medicine
IS - 3
ER -