Person-Centered Care Plans for Nursing Home Residents With Behavioral and Psychological Symptoms of Dementia
Justine S. Sefcik, Caroline Madrigal, Allison R. Heid, Sheila L. Molony, Kimberly Van Haitsma, Irene Best, Barbara Resnick, Elizabeth Galik, Marie Boltz and Ann Kolanowski
Little literature exists examining the development and implementation of person-centered 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 certified nursing assistant staffing hours, greater percentage of residents taking antipsychotic medications, non-profit status) characteristics were associated with increased odds of PCC approaches being documented. Optimal PCC planning is discussed, and a sample PCC plan is provided.
Person-Centered Care Plans for Nursing Home Residents With Behavioral and Psychological Symptoms of Dementia
Creators
Justine S. Sefcik - Drexel University
Caroline Madrigal - Brown University
Allison R. Heid
Sheila L. Molony - Quinnipiac University
Kimberly Van Haitsma - Okinawa Prefectural College of Nursing
Irene Best - Pennsylvania State University
Barbara Resnick - University of Maryland, Baltimore
Elizabeth Galik - University of Maryland, Baltimore
Marie Boltz - Okinawa Prefectural College of Nursing
Ann Kolanowski - Okinawa Prefectural College of Nursing
Publication Details
Journal of gerontological nursing, v 46(11)
Publisher
Slack Inc
Number of pages
14
Grant note
1R01NR015982-01 / National Institute of Nursing Research; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Nursing Research (NINR)
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
Resource Type
Journal article
Language
English
Academic Unit
Doctoral Nursing
Web of Science ID
WOS:000586480800005
Scopus ID
2-s2.0-85094684741
Other Identifier
991019168228404721
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