FUNCTION AND BEHAVIOR FOCUSED CARE IN NURSING HOMES: FROM OUTCOMES TO TREATMENT FIDELITY. (11th November 2018)

• Record Type: Journal Article
• Authors: Galik, E; Phillips, L J
• Is Part Of: Innovation in aging. Volume 2(2018)Supplement 1
• Page Start: 818
• Page End: 819
• Publication Date: 2018-11-11
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igy023.3045
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: In addition to having behavioral symptoms, nursing home residents with dementia are one of the most functionally disabled groups living in nursing homes. Six months after nursing home admission, residents with dementia experience significant functional decline in personal hygiene, dressing, toileting, and eating. These declines are greater than would be anticipated with normal progression of dementia. Along with functional decline, nursing home residents with moderate to severe cognitive impairment spend most of their time in bed or seated and have little energy expenditure. To overcome these significant declines and to optimize quality life for those with dementia, the Function and Behavior Focused Care for the Cognitively Impaired (FBFC-CI) intervention was developed. FBFC-CI focuses on maintaining or improving function and physical activity while decreasing behavioral symptoms among nursing home residents with moderate to severe dementia. The intervention is theoretically based using the Social Ecological Model and Social Cognitive Theory and includes three components: Component 1 Environmental and Policy Assessments; Component II Education and Training of Nursing Home Staff; and Component III Ongoing Training and Motivation of Nursing Home Staff. The FBFC-CI trial was implemented in 12 nursing homes randomized to treatment or an education only control and included 336 residents. Outcomes focused on function, physical activity, behavioral symptoms and psychotropic medication use. Findings will be presented along with the evidence for treatment fidelity. The intervention was implemented as intended and as hypothesized, exposure to FBFC-CI resulted in improvements in physical activity, decreased resistiveness to care and decreased antipsychotic use.