PMID- 23869500
OWN - NLM
STAT- MEDLINE
DCOM- 20131021
LR  - 20130722
IS  - 1037-6178 (Print)
IS  - 1037-6178 (Linking)
VI  - 44
IP  - 2
DP  - 2013 Jun
TI  - Care planning practices for behavioural and psychological symptoms of dementia in 
      residential aged care: a pilot of an education toolkit informed by the Aged Care 
      Funding Instrument.
PG  - 156-69
LID - 10.5172/conu.2013.44.2.156 [doi]
AB  - AIM: To assess the feasibility and the effects of a multi-component education 
      toolkit that used the Aged Care Funding Instrument behaviour (ACFI-BEH) scores to 
      trigger care planning for older people experiencing behavioural and psychological 
      symptoms of dementia (BPSD). METHOD: Forty-six older people and 209 staff and 
      managers from five Sydney metropolitan residential aged care (RAC) facilities 
      participated in this pre-post intervention pilot study. RESULTS: The face 
      validity and accessibility/acceptability of the toolkit was established, but 
      potential utility of the ACFI-BEH in informing care planning was proven to be 
      negligible. The ACFI-informed education toolkit did not lead to statistically 
      significant improvements in care planning practice or reduce the 
      severity/frequency of the targetted BPSD. Care plan quality remained low post 
      intervention, with between 31% (N = 12/39) and 65% (N = 13/20) of care plans not 
      addressing the persons' BPSD, nor utilising the ACFI information in relation to 
      BPSD. CONCLUSION: This study has underscored the problems associated with current 
      care planning practice in RAC settings and the need for developing strategies to 
      ensure quality and safe care through individualised care planning practices. Our 
      study processes, results and lessons discussed in this paper could assist future 
      research on this type of research in RAC settings.
FAU - Jeon, Yun-Hee
AU  - Jeon YH
AD  - Sydney Nursing School, University of Sydney, Sydney, NSW, Australia.
FAU - Govett, Janelle
AU  - Govett J
FAU - Low, Lee-Fay
AU  - Low LF
FAU - Chenoweth, Lynn
AU  - Chenoweth L
FAU - McNeill, Georgene
AU  - McNeill G
FAU - Hoolahan, Anne
AU  - Hoolahan A
FAU - Brodaty, Henry
AU  - Brodaty H
FAU - O'Connor, Daniel
AU  - O'Connor D
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Contemp Nurse
JT  - Contemporary nurse
JID - 9211867
MH  - Aged
MH  - Dementia/nursing/*psychology
MH  - Homes for the Aged/*organization & administration
MH  - Humans
MH  - Inservice Training/*organization & administration
MH  - New South Wales
MH  - *Patient Care Planning
MH  - Pilot Projects
EDAT- 2013/07/23 06:00
MHDA- 2013/10/22 06:00
CRDT- 2013/07/23 06:00
PHST- 2013/07/23 06:00 [entrez]
PHST- 2013/07/23 06:00 [pubmed]
PHST- 2013/10/22 06:00 [medline]
AID - 10.5172/conu.2013.44.2.156 [doi]
PST - ppublish
SO  - Contemp Nurse. 2013 Jun;44(2):156-69. doi: 10.5172/conu.2013.44.2.156.