2.50
Hdl Handle:
http://hdl.handle.net/10755/159437
Type:
Presentation
Title:
Characteristics of Alzheimer's Special Care Units in Missouri Nursing Homes
Abstract:
Characteristics of Alzheimer's Special Care Units in Missouri Nursing Homes
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Aud, Myra, PhD, RN
Title:Assistant Professor
Contact Address:Sinclair SON, Building (S422), Columbia, MO, 65211, USA
Co-Authors:Benjamin Schwarz, PhD, Professor; Ruth Tofle, PhD, Professor; Debra Oliver, PhD, Assistant Professor; Jane Bostick, PhD, RN, Assistant Professor; Michael Finke, PhD, Assistant Professor
Long-term care facilities in Missouri are required by state regulations to annually submit a 5-page form (Alzheimer’s Special Care Unit Disclosure Form) to the Department of Health and Senior Services (DHSS) describing their special care units and programs. Once submitted to the DHSS, the forms are accessible to interested consumers. After the research team received the approval of the University’s Health Sciences Institutional Review Board, DHSS staff gave copies of the most current versions of the forms to the research team. The 183 facilities that had submitted forms included 168 skilled nursing facilities, 5 intermediate care facilities, and 10 residential care facilities. The 183 forms were treated as questionnaires and the data was entered into a spreadsheet for analysis with descriptive statistics. The 19 items of the disclosure form were related to admission criteria, discharge criteria, physical environment and resident safety, family involvement, staff training, and program charges. Special care unit admission criteria included: medical confirmation of Alzheimer’s disease or related disorder (86.6% of facilities), pre-admission resident observation (69.4%), pre-admission family interview (85.2%), and tour of special care program (87.9%). Criteria for discharge from the special care unit included: no longer ambulatory (54.1% of facilities), unable to feed self (24.9%), specialized nursing procedures needed (65.7%), and unable to benefit from therapeutic programming (68%). Features of the physical environment related to safety included: door alarms (92.3% of facilities), door locks (79%), WanderGuard (44.8%), and enclosed courtyards (87%). Facilities provided support groups for families (71.1%), respite care (63.8%), and educational materials (85.6%). Specialized training for staff assigned to the special care unit was provided by only 81.7% of facilities. An additional fee was charged by 52.5% of the facilities. These findings add to our knowledge of special care unit operations and suggest questions for further study.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleCharacteristics of Alzheimer's Special Care Units in Missouri Nursing Homesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159437-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Characteristics of Alzheimer's Special Care Units in Missouri Nursing Homes </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Aud, Myra, PhD, RN</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Sinclair SON, Building (S422), Columbia, MO, 65211, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Benjamin Schwarz, PhD, Professor; Ruth Tofle, PhD, Professor; Debra Oliver, PhD, Assistant Professor; Jane Bostick, PhD, RN, Assistant Professor; Michael Finke, PhD, Assistant Professor </td></tr><tr><td colspan="2" class="item-abstract">Long-term care facilities in Missouri are required by state regulations to annually submit a 5-page form (Alzheimer&rsquo;s Special Care Unit Disclosure Form) to the Department of Health and Senior Services (DHSS) describing their special care units and programs. Once submitted to the DHSS, the forms are accessible to interested consumers. After the research team received the approval of the University&rsquo;s Health Sciences Institutional Review Board, DHSS staff gave copies of the most current versions of the forms to the research team. The 183 facilities that had submitted forms included 168 skilled nursing facilities, 5 intermediate care facilities, and 10 residential care facilities. The 183 forms were treated as questionnaires and the data was entered into a spreadsheet for analysis with descriptive statistics. The 19 items of the disclosure form were related to admission criteria, discharge criteria, physical environment and resident safety, family involvement, staff training, and program charges. Special care unit admission criteria included: medical confirmation of Alzheimer&rsquo;s disease or related disorder (86.6% of facilities), pre-admission resident observation (69.4%), pre-admission family interview (85.2%), and tour of special care program (87.9%). Criteria for discharge from the special care unit included: no longer ambulatory (54.1% of facilities), unable to feed self (24.9%), specialized nursing procedures needed (65.7%), and unable to benefit from therapeutic programming (68%). Features of the physical environment related to safety included: door alarms (92.3% of facilities), door locks (79%), WanderGuard (44.8%), and enclosed courtyards (87%). Facilities provided support groups for families (71.1%), respite care (63.8%), and educational materials (85.6%). Specialized training for staff assigned to the special care unit was provided by only 81.7% of facilities. An additional fee was charged by 52.5% of the facilities. These findings add to our knowledge of special care unit operations and suggest questions for further study.</td></tr></table>en_GB
dc.date.available2011-10-26T22:00:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:00:50Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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