Biomedical subjects

Suojin Wang

Publications and source records attributed to Suojin Wang.

26 records · Page 2Linked to original sources

PubMed2003

Gender analyses of nursing home residents with multiple sclerosis.

OBJECTIVE: To present gender comparisons of residents with multiple sclerosis (MS) at admission to nursing facilities, including demographic characteristics, health measures, and treatments. METHODS: We analyzed 13,998 admission assessments in the Minimum Data Set for residents with MS recorded between June 23, 1998 and December 31, 2000. RESULTS: Although both male and female residents with MS tended to have severe disability, there were significant gender differences in measures of activities of daily living (ADL) dependency and disability, with males slightly more likely to exhibit total ADL dependence and greater loss of voluntary movement. Females with MS tended to have significantly better cognitive performance and better communication abilities than males with MS. There were significant gender differences in pain symptoms among residents, with one-third of females and one-fifth of males experiencing daily pain. Depression was the most common comorbidity among residents with MS, with females significantly more likely to have this diagnosis. Although females with MS were slightly more likely to have depression or anxiety disorder, males with MS were slightly more likely to receive mental health services. CONCLUSIONS: These analyses demonstrate that many nursing facilities need to improve pain management and mental health care provided to residents with MS, especially to females.

Activities of Daily Living↗

PubMed2002

Analyses of nursing home residents with Parkinson's disease using the minimum data set.

This study profiles over 79,000 nursing home residents with Parkinson's disease (PD) at admission using the 'minimum data set'. Results show that residents with PD averaged 79.7 years of age at admission and 48.4% were male. They tended to be physically dependent, as well as cognitively impaired. More than one in three had fallen in the prior 30 days. There was a high prevalence of dementia and depression. Ninety percent of these residents did not receive active or passive range of motion care and less than 10% had been recently evaluated by a licensed mental health specialist. To enhance the quality of life for nursing home residents with PD, appropriate and adequate rehabilitative, mental health, and cognitive care need to be implemented.

Activities of Daily Living↗

PubMed2002

Analyses of nursing home residents with human immunodeficiency virus and depression using the minimum data set.

This study compares nursing home residents with human immunodeficiency virus (HIV) who have a diagnosis of depression to other nursing home residents with HIV. We analyzed 1057 HIV residents with a diagnosis of depression and 4057 other residents with HIV using admission assessments recorded in the minimum data set between June 22, 1998 and January 17, 2000. Residents with HIV and depression were significantly more likely to be older, female, and white than other residents with HIV. Residents with HIV and depression were twice as likely as other residents with HIV to have a history of mental health conditions and were significantly more likely to have unsettled relationships. However, there were no significant differences between these two groups of residents with HIV in levels of physical disability or in cognitive ability. Residents with HIV and depression were significantly more likely to have unstable health conditions, to be at the end stage of disease, and to have other diseases and infections than other residents with HIV. One third of residents with HIV and depression did not receive antidepressants and most had not been evaluated by a mental health specialist in the last 90 days or received psychological therapy in the previous 7 days. Many residents with HIV and depression are not receiving antidepressants or mental health services in nursing homes. Additional research is needed to determine how the mental health needs of residents with HIV change as their stay in the nursing home increases and how mental health therapies affect their health.

Activities of Daily Living↗

PubMed2002

Analyses of nursing home residents in hospice care using the minimum data set.

OBJECTIVE: To present comprehensive profiles of residents in hospice care at admission to the nursing home using the Minimum Data Set (MDS). DESIGN AND SETTING: We analysed 40,622 MDS admission assessments for nursing home residents in hospice care. The MDS contains resident-focused data on pain, cognitive patterns, physical function, disease diagnoses, medications, nutrition, and specific treatments received. RESULTS: About four in five recently admitted hospice residents had 'do not resuscitate' orders and only 27% had a living will. Over 70% of recently admitted hospice residents experienced pain, with almost one half experiencing daily pain. Over one half of those hospice residents in pain experienced moderate pain and almost one third experienced horrible or excruciating pain. About 57% of recently admitted hospice patients had cancer, 21 % had congestive heart failure, 20% had emphysema/chronic obstructive pulmonary disease, and 18% had depression. About one in two recently admitted hospice residents exhibited at least moderate impairment in cognitive function. CONCLUSIONS: There is a need to improve pain management, advanced directives, and mental health services for residents dying in nursing homes.

Activities of Daily Living↗

PubMed2002

Profiles of nursing home residents with HIV.

Nursing homes are part of the long-term care continuum available to people with advanced HIV disease. The objective of this paper is to profile nursing home residents with HIV at the time of admission, using the Minimum Data Set (MDS). These resident profiles contain sociodemographic characteristics, health status measures, and special treatments and procedures. There are 5,115 admission assessments in the MDS for residents with HIV between June 22, 1998, and January 17, 2000, analyzed for this study. Newly admitted nursing residents with HIV are predominantly male (69.4 percent) and minority (75.4 percent black and Hispanic), relatively young (44.45 years), and heavily Medicaid dependent (70.5 percent). These residents are typically clinically complex and receive a range of special treatments, procedures, and programs. Nursing home residents with HIV are a distinct subset of nursing home residents, largely dependent on the state Medicaid programs to pay for their care.

Adult↗

PubMedDate not supplied

Analyses of nursing home residents with cancer at admission.

The objective of the study was to profile nursing home residents with cancer at admission to the nursing facility. We used all admission assessments in the Minimum Data Set recorded throughout the United States during 2002 to identify 61,890 residents with cancer, or 11.3% of all admissions. Nursing home residents with cancer were significantly older and more likely to be male than other residents at admission. Large proportions of nursing home residents with cancer were activities of daily living dependent and about 55% used a wheelchair as their primary mode of locomotion. More than 37% of residents with cancer experienced at least moderate daily pain at admission and almost 26% had a diagnosis of depression. At admission, more than half of residents with cancer had an unstable health condition, 21% were judged to be in their final 6 months of life, and 19% received hospice care. More than 40% of residents with cancer had no advance directives recorded at admission. Compared to other residents at admission, larger proportions of residents with cancer require heavy care. Staff at nursing facilities need to address depression, pain management, and the implementation of advance directives to improve the quality of life for residents with cancer.

Activities of Daily Living↗

PubMedDate not supplied

Analyses of male residents in community nursing facilities: comparisons of Veterans Health Administration residents to other residents.

We compared Veterans Health Administration (VHA) residents in community nursing facilities to other residents. We used all admission assessments in the Minimum Data Set throughout the United States during 2000 to identify 7,296 male VHA residents and 159,203 other male residents in community nursing facilities. Male VHA residents were significantly more independent in the self-performance of activities of daily living and less physically disabled than other male residents, with minor differences in cognitive function as measured by a Cognitive Performance Scale. Male VHA residents were more likely to have comorbidities than other male residents. Significantly larger proportions of other male residents than VHA residents received special treatments and procedures, with especially large differences for various therapies (e.g., physical therapy). We found significant differences in the demographic and clinical characteristics of male VHA residents in community nursing facilities compared with other male residents. These differences in the delivery of services may have implications for the quality of care for veterans in this setting.

Aged↗

PubMedDate not supplied

Analyses of nursing home residents with diabetes at admission.

OBJECTIVE: The objective of this study was to profile nursing home residents with diabetes at admission to the nursing facility. METHODS: We used all admission assessments in the Minimum Data Set recorded throughout the United States during 2002 to identify 144,969 residents with diabetes, or 26.4% of all admissions. RESULTS: Only approximately one fourth of residents with diabetes were projected to have stays in the facility of 90 days or less when admitted. Heart and circulatory comorbidities were common among residents with diabetes at admission, as was depression. More than half of residents with diabetes were in pain at admission. A majority of residents with diabetes were either totally dependent or required extensive assistance in the self-performance of many activities of daily living and more than one third were at least moderately impaired in cognitive performance. CONCLUSIONS: Residents with diabetes could be one of the most "heavy care" groups in nursing facilities, as demonstrated by their levels of functional disability and prevalence of serious comorbid conditions. The care provided to residents with diabetes should address depression, pain, and low rates of advance care planning.

Aged↗