Effectiveness of advanced illness care teams for nursing home residents with dementia

被引：45

作者：

Chapman, Dennis G. ^{[1
]}

Toseland, Ronald W. ^{[1
]}

机构：

[1] SUNY Albany, Sch Social Welf, Inst Gerontol, Albany, NY 12222 USA

来源：

SOCIAL WORK | 2007年 / 52卷 / 04期

关键词：

dementia; interdisciplinary teams; intervention research; nursing home residents;

D O I：

10.1093/sw/52.4.321

中图分类号：

C916 [社会工作、社会管理、社会规划];

学科分类号：

1204 ;

摘要：

This study evaluated the effectiveness of advanced illness care teams (AICTs) for nursing home residents with advanced dementia. The AICTs used a holistic approach that focused on four domains: (1) medical, (2) meaningful activities, (3) psychological, and (4) behavioral. The authors recruited 118 residents in two nursing homes for this study and randomly assigned them to AICT or to usual care (UC). They assessed the participants before and after the completion of AICT or UC and found that as compared with UC, the AICTs were effective in reducing agitated behavior and pain but not depression. This is one of a few pioneering studies to examine the effectiveness of team care on the health and well-being of nursing home residents with advanced dementia. More research is needed about how to intervene effectively with this population and to overcome the methodological challenges associated with doing research on real-world clinical practice issues in busy and often understaffed nursing home settings.

引用

页码：321 / 329

页数：9

共 31 条

[1] CORNELL SCALE FOR DEPRESSION IN DEMENTIA [J].

ALEXOPOULOS, GS ;

ABRAMS, RC ;

YOUNG, RC ;

SHAMOIAN, CA .

BIOLOGICAL PSYCHIATRY, 1988, 23 (03) :271-284

[2]

[Anonymous], SUPPL DEM PROF SOC W

[3] Effects of behavioral interventions on disruptive behavior and affect in demented nursing home residents [J].

Beck, CK ;

Vogelpohl, TS ;

Rasin, JH ;

Uriri, JT ;

O'Sullivan, P ;

Walls, R ;

Phillips, R ;

Baldwin, B .

NURSING RESEARCH, 2002, 51 (04) :219-228

[4]

BERNKLUG M, 2006, SOCIAL WORK AGENDA, V24, P7

[5] Randomized controlled trial of different models of care for nursing home residents with dementia complicated by depression or psychosis [J].

Brodaty, H ;

Draper, BM ;

Millar, J ;

Low, LF ;

Lie, D ;

Sharah, S ;

Paton, H .

JOURNAL OF CLINICAL PSYCHIATRY, 2003, 64 (01) :63-72

[6] A pilot study of the relationship between discomfort and agitation in patients with dementia [J].

Buffum, MD ;

Miaskowski, C ;

Sands, L ;

Brod, M .

GERIATRIC NURSING, 2001, 22 (02) :80-85

[7] Effect of acetaminophen on behavior, well-being, and psychotropic medication use in nursing home residents with moderate-to-severe dementia [J].

Chibnall, JT ;

Tait, RC ;

Harman, B ;

Luebbert, RA .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2005, 53 (11) :1921-1929

[8] Using the minimum data set to select nursing home residents for interview about pain [J].

Chu, L ;

Schnelle, JF ;

Cadogan, MP ;

Simmons, SF .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2004, 52 (12) :2057-2061

[9] Dementia, pain, depression, behavioral disturbances, and ADLs: toward a comprehensive conceptualization of quality of life in long-term care [J].

Cipher, DJ ;

Clifford, RA .

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2004, 19 (08) :741-748

[10] Pain in cognitively impaired nursing home residents: How well are physicians diagnosing it? [J].

Cohen-Mansfield, J ;

Lipson, S .

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (06) :1039-1044

← 1 2 3 4 →