The Relationship Between Minimum Data Set Ratings and Scores on Measures of Communication and Hearing Among Nursing Home Residents With Dementia The Minimum Data Set (MDS) is a federally mandated assessment tool used to evaluate individuals residing in skilled nursing facilities, a large percentage of whom have dementia. Best described as a rating scale, it comprises items related to 16 domains of functioning, including communication and hearing. Typically, the MDS is ... Research Article
Research Article  |   November 01, 2001
The Relationship Between Minimum Data Set Ratings and Scores on Measures of Communication and Hearing Among Nursing Home Residents With Dementia
 
Author Affiliations & Notes
  • Tammy Hopper, PhD
    The University of Arizona, Tucson
  • Kathryn A. Bayles
    The University of Arizona, Tucson
  • Frances P. Harris
    The University of Arizona, Tucson
  • Audrey Holland
    The University of Arizona, Tucson
  • Contact author: Tammy Hopper, PhD, CCC-SLP, Faculty of Rehabilitation Medicine, Department of Speech Pathology and Audiology, University of Alberta, 3-77 Corbett Hall, Edmonton, Alberta, Canada, T6G 2G4.
    Contact author: Tammy Hopper, PhD, CCC-SLP, Faculty of Rehabilitation Medicine, Department of Speech Pathology and Audiology, University of Alberta, 3-77 Corbett Hall, Edmonton, Alberta, Canada, T6G 2G4.×
  • Corresponding author: E-mail: tammy.hopper@ualberta.ca
  • * Currently affiliated with the University of Alberta
    Currently affiliated with the University of Alberta×
Article Information
Research Articles
Research Article   |   November 01, 2001
The Relationship Between Minimum Data Set Ratings and Scores on Measures of Communication and Hearing Among Nursing Home Residents With Dementia
American Journal of Speech-Language Pathology, November 2001, Vol. 10, 370-381. doi:10.1044/1058-0360(2001/031)
History: Received August 24, 2000 , Accepted March 21, 2001
 
American Journal of Speech-Language Pathology, November 2001, Vol. 10, 370-381. doi:10.1044/1058-0360(2001/031)
History: Received August 24, 2000; Accepted March 21, 2001

The Minimum Data Set (MDS) is a federally mandated assessment tool used to evaluate individuals residing in skilled nursing facilities, a large percentage of whom have dementia. Best described as a rating scale, it comprises items related to 16 domains of functioning, including communication and hearing. Typically, the MDS is completed by a nurse. When a deficit is observed, Resident Assessment Protocols (RAPs) are designed to address the impairment and provide information for appropriate plans of care. The purposes of this study were to: (a) comprehensively assess the communication and hearing function of nursing home residents with dementia, (b) evaluate the relationship between ratings on MDS communication and hearing items and the performance of dementia patients on standardized assessments, and (c) determine the number of residents with MDS-identified deficits who received a referral for further evaluation.

Fifty-seven individuals with a medical diagnosis of dementia participated. All exhibited deficits in communication and hearing function; however, the majority of participants were rated as having normal or adequate communication and hearing on the MDS. Of those participants with MDS-identified impairments in communication and hearing, none was referred for further evaluation. Implications for policy and care for nursing home residents with dementia are discussed.

Acknowledgments
This project was a dissertation and was supported by Grant DC-01409 from the National Institute on Deafness and Other Communication Disorders. The authors wish to thank Elena Plante, PhD, for her helpful comments during conceptualization of the study and analysis of the results. Thanks also go to Stuart Cleary, MS, for his assistance during data collection.
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