TY - JOUR
T1 - Function-focused goal attainment and discharge outcomes in hospitalized persons with dementia
AU - Boltz, Marie
AU - Monturo, Cheryl
AU - Brockway, Cindy
AU - Kuzmik, Ashley
AU - Jones, Joanne Roman
AU - Resnick, Barbara
N1 - Funding Information:
This study was funded by the National Institute on Aging (NIA) (R01AG054425). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health/NIA.
Funding Information:
Dr. Boltz is Elouise Ross Eberly and Robert Eberly Endowed Chair and Professor, Dr. Kuzmik is Research Project Director, and Dr. Jones is Research Interventionist, College of Nursing, The Pennsylvania State University, University Park, Pennsylvania; Dr. Monturo is Senior Nurse Specialist, and Ms. Brockway is Director of Research, Chester County Hospital, West Chester, Pennsylvania; and Dr. Resnick is Professor, School of Nursing, University of Maryland, Baltimore, Maryland. Disclosure: The authors have disclosed no potential conflicts of interest, financial or otherwise. Support: This study was funded by the National Institute on Aging (NIA) (R01AG054425). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health/NIA. Address correspondence to Marie Boltz, PhD, GNP-BC, FAAN, Elouise Ross Eberly and Robert Eberly Endowed Chair and Professor, College of Nursing, The Pennsylvania State University, 306 Nursing Sciences Building, University Park, PA 16802; email: [email protected]. Received: February 24, 2021 Accepted: April 8, 2021 doi:10.3928/00989134-20210803-01
Publisher Copyright:
Copyright © SLACK Incorporated.
PY - 2021
Y1 - 2021
N2 - Hospitalized persons with dementia are at higher risk for functional decline and cognitive loss related to delirium. Family-centered, function-focused care (Fam-FFC) engages the family care partner in education and active participation in function-focused goal setting, implementation, and evaluation to support delirium prevention and abatement and return to baseline physical function. The purpose of the current study was to examine the association of function-focused goal attainment with two discharge outcomes, return to baseline physical function and delirium severity at discharge, in hospitalized persons with dementia. In the ongoing Fam-FFC clinical trial, the majority of goals (N = 433) developed by 134 care partner/patient dyads and nurses address mobility, cognitive stimulation, and self-care. Regression techniques demonstrated that goal attainment was significantly associated with return to baseline function (B = 0.826, Wald = 4.17 [1], p = 0.041) and lower delirium severity at discharge (B = 0.175, t = 2.239, p = 0.027). Results support the contribution of family engagement in promoting functional recovery of hospitalized persons with dementia. [Journal of Gerontological Nursing, 47(9), 13-20.]
AB - Hospitalized persons with dementia are at higher risk for functional decline and cognitive loss related to delirium. Family-centered, function-focused care (Fam-FFC) engages the family care partner in education and active participation in function-focused goal setting, implementation, and evaluation to support delirium prevention and abatement and return to baseline physical function. The purpose of the current study was to examine the association of function-focused goal attainment with two discharge outcomes, return to baseline physical function and delirium severity at discharge, in hospitalized persons with dementia. In the ongoing Fam-FFC clinical trial, the majority of goals (N = 433) developed by 134 care partner/patient dyads and nurses address mobility, cognitive stimulation, and self-care. Regression techniques demonstrated that goal attainment was significantly associated with return to baseline function (B = 0.826, Wald = 4.17 [1], p = 0.041) and lower delirium severity at discharge (B = 0.175, t = 2.239, p = 0.027). Results support the contribution of family engagement in promoting functional recovery of hospitalized persons with dementia. [Journal of Gerontological Nursing, 47(9), 13-20.]
UR - https://www.scopus.com/pages/publications/85114636603
UR - https://www.scopus.com/inward/citedby.url?scp=85114636603&partnerID=8YFLogxK
U2 - 10.3928/00989134-20210803-01
DO - 10.3928/00989134-20210803-01
M3 - Article
C2 - 34432570
AN - SCOPUS:85114636603
SN - 0098-9134
VL - 47
SP - 13
EP - 20
JO - Journal of gerontological nursing
JF - Journal of gerontological nursing
IS - 9
ER -