کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8569995 | 1563911 | 2018 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Identification of pseudobulbar affect symptoms in the nursing home setting: Development and assessment of a screening tool
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کلمات کلیدی
TBINHRPBAPseudobulbar AffectQOLMDSQuality of life - کیفیت زندگیTraumatic brain injury - آسیب تروماتیک مغزamyotrophic lateral sclerosis - اسکلروز جانبی آمیوتروفیکALS - بیماری اسکلروز جانبی آمیوتروفیکHuntington's disease - بیماری هانتینگتونParkinson's disease - بیماری پارکینسونNursing home - خانه سالمندانNursing home residents - ساکنین خانه های پرستاریMars - سیاره مریخsci - علمیScreening - غربالگریMinimum data set - مجموعه داده های حداقلLong-term care - مراقبت بلندمدتMultiple sclerosis - مولتیپل اسکلروزیس(ام اس)pos - پست
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
طب سالمندان و علم پیری شناسی
پیش نمایش صفحه اول مقاله

چکیده انگلیسی
Pseudobulbar Affect (PBA) is a neurologic condition characterized by involuntary outbursts of crying and/or laughing disproportionate to patient mood or social context. Although an estimated 9% of nursing home residents have symptoms suggestive of PBA, they are not routinely screened. Our goal was to develop an electronic screening tool based upon characteristics common to nursing home residents with PBA identified through medical record data. Nursing home residents with PBA treated with dextromethorphan hydrobromide/quinidine sulfate (n = 140) were compared to age-, gender-, and dementia-diagnosis-matched controls without PBA or treatment (n = 140). Comparative categories included diagnoses, medication use and symptom documentation. Using a multivariable regression and best decision rule analysis, we found PBA in nursing home residents was associated with chart documentation of uncontrollable crying, presence of a neurologic disorder (e.g., Parkinson's disease), or by the documented presence of at least 2 of the following: stroke, severe cognitive impairment, and schizophrenia. Based on these risk factors, an electronic screening tool was created.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Geriatric Nursing - Volume 39, Issue 1, JanuaryâFebruary 2018, Pages 54-59
Journal: Geriatric Nursing - Volume 39, Issue 1, JanuaryâFebruary 2018, Pages 54-59
نویسندگان
Carrie PharmD, Barbara PharmD, Terrence PharmD, Edward PhD, Charles PharmD, Fanta PhD, MPH,