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Full-Text Articles in Medicine and Health Sciences
Iowa Certified Nursing Assistants Study: Self-Reported Ratings Of The Nursing Home Work Environment, Kennith Culp, S. Ramey, S. Karlman
Iowa Certified Nursing Assistants Study: Self-Reported Ratings Of The Nursing Home Work Environment, Kennith Culp, S. Ramey, S. Karlman
Kennith R. Culp
No abstract provided.
Risk For Acute Confusion In Sensory-Impaired, Rural, Long-Term-Care Elders, P. Cacchione, Kennith Culp, M. Dyck, J. Laing
Risk For Acute Confusion In Sensory-Impaired, Rural, Long-Term-Care Elders, P. Cacchione, Kennith Culp, M. Dyck, J. Laing
Kennith R. Culp
Acute confusion is a common geriatric syndrome in long-term care (LTC) elders with prevalence rates of 10% to 39%. Sensory impairment, specifically vision and hearing impairment, is even more common in LTC, with prevalence rates of 40% to 90%. The purpose of this study was to investigate the risk relationship between sensory impairment and the development of acute confusion in LTC elders. Each resident (N = 114) underwent sensory screening and then was followed for 28 days to monitor for the onset of acute confusion. Twenty residents (17.5%) developed acute confusion, 60 residents (52.6%) were found to be visually impaired, …
Comparing The Geriatric Depression Scale, Minimum Data Set, And Primary Care Provider Diagnosis For Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Comparing The Geriatric Depression Scale, Minimum Data Set, And Primary Care Provider Diagnosis For Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Kennith R. Culp
BACKGROUND: Depression has a substantial negative impact on quality of life. Underdiagnosis and undertreatment of depression are major problems in nursing home residents. OBJECTIVES: This study sought to determine the prevalence of depression among older adults in nursing homes in rural Iowa using the Geriatric Depression Scale (GDS), Minimum Data Set (MDS), and primary care provider (PCP) depression diagnosis. DESIGN: This is a secondary analysis of data collected from 279 randomly selected residents of nursing homes in rural Iowa. RESULTS: The prevalence of depression based on the GDS (score of 6 or greater) was 37.3%, the MDS was 21.3%, and …
An Analysis Of Body Weight And Hemodialysis Adequacy Based On The Urea Reduction Ratio... Including Commentary By Brunt H With Author Response, Kennith Culp, M. Flanigan, Y. Hayajneh
An Analysis Of Body Weight And Hemodialysis Adequacy Based On The Urea Reduction Ratio... Including Commentary By Brunt H With Author Response, Kennith Culp, M. Flanigan, Y. Hayajneh
Kennith R. Culp
The purpose of this study was to evaluate inadequate hemodialysis risk in patients with body weights in the upper quartile of a sample distribution using the urea reduction ratio (URR). Using a case-control design and a simple (n = 315) of hemodialysis (HD) patients, postdialysis weights were divided into quartiles based with a cut-off value at the upper quartile, which was equal to >/= 81 kilograms (kg). The dichotomous outcome, URR >/= 65% and URR /= 81 kg group were given more dialysis session time in minutes and used higher efficiency dialyzers as indicated by the coefficient of ultrafiltration (KUf), …
Antidepressant Treatment Of Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Antidepressant Treatment Of Depression In Rural Nursing Home Residents, C. Kerber, M. Dyck, Kennith Culp, Kathleen Buckwalter
Kennith R. Culp
Under-diagnosis and under-treatment of depression are major problems in nursing home residents. The purpose of this study was to determine antidepressant use among nursing home residents who were diagnosed with depression using three different methods: (1) the Geriatric Depression Scale, (2) Minimum Data Set, and (3) primary care provider assessments. As one would expect, the odds of being treated with an antidepressant were about eight times higher for those diagnosed as depressed by the primary care provider compared to the Geriatric Depression Scale or the Minimum Data Set. Men were less likely to be diagnosed and treated with antidepressants by …