TY - JOUR
T1 - Person-centered care plans for nursing home residents with behavioral and psychological symptoms of dementia
AU - Sefcik, Justine S.
AU - Madrigal, Caroline
AU - Heid, Allison R.
AU - Molony, Sheila L.
AU - Van Haitsma, Kimberly
AU - Best, Irene
AU - Resnick, Barbara
AU - Galik, Elizabeth
AU - Boltz, Marie
AU - Kolanowski, Ann
N1 - Funding Information:
The authors have disclosed no potential conflicts of interest, financial or otherwise. The study was supported by the National Institute of Nursing Research (1R01NR015982-01). The National Institutes of Health had no role in the design or conduct of the study; collection, management, analysis, or interpretation of data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication. This work was partially supported by the Center for Innovations in Long-Term Services and Supports at the Providence Veterans Affairs Medical Center via the Office of Academic Affiliation’s Advanced Fellowship in Health Services Research (Dr. Madrigal).
Publisher Copyright:
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PY - 2020/11
Y1 - 2020/11
N2 - Little literature exists examining the development and implementation of personcentered care (PCC) plans focused on behavioral and psychological symptoms of dementia (BPSD). The current study aimed to describe BPSD documented in nursing home (NH) residents' care plans, the types of approaches staff document in addressing those symptoms, and whether resident and/or facility characteristics are associated with documentation of PCC approaches. The sample included 553 residents from 55 NHs in two East Coast states. Resistiveness to care (44.9%), agitation (42.2%), and aggression (42%) were most frequently documented in care plans. PCC approaches were documented in care plans in 21.3% to 62.7% of cases depending on BPSD type. Resident (e.g., younger age, lower functional ability, lower cognitive ability, longer length of stay, male gender) and facility (e.g., less certifi ed nursing assistant staffi ng hours, greater percentage of residents taking antipsychotic medications, non-profi t status) characteristics were associated with increased odds of PCC approaches being documented. Optimal PCC planning is discussed, and a sample PCC plan is provided.
AB - Little literature exists examining the development and implementation of personcentered care (PCC) plans focused on behavioral and psychological symptoms of dementia (BPSD). The current study aimed to describe BPSD documented in nursing home (NH) residents' care plans, the types of approaches staff document in addressing those symptoms, and whether resident and/or facility characteristics are associated with documentation of PCC approaches. The sample included 553 residents from 55 NHs in two East Coast states. Resistiveness to care (44.9%), agitation (42.2%), and aggression (42%) were most frequently documented in care plans. PCC approaches were documented in care plans in 21.3% to 62.7% of cases depending on BPSD type. Resident (e.g., younger age, lower functional ability, lower cognitive ability, longer length of stay, male gender) and facility (e.g., less certifi ed nursing assistant staffi ng hours, greater percentage of residents taking antipsychotic medications, non-profi t status) characteristics were associated with increased odds of PCC approaches being documented. Optimal PCC planning is discussed, and a sample PCC plan is provided.
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U2 - 10.3928/00989134-20201012-03
DO - 10.3928/00989134-20201012-03
M3 - Article
C2 - 33095889
AN - SCOPUS:85094684741
SN - 0098-9134
VL - 46
SP - 17
EP - 27
JO - Journal of gerontological nursing
JF - Journal of gerontological nursing
IS - 11
ER -