Effectiveness of Social Model Care Units for Dementia: Alzheimer's Special Care Unit Quality

2.50
Hdl Handle:
http://hdl.handle.net/10755/160480
Type:
Presentation
Title:
Effectiveness of Social Model Care Units for Dementia: Alzheimer's Special Care Unit Quality
Abstract:
Effectiveness of Social Model Care Units for Dementia: Alzheimer's Special Care Unit Quality
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
In 1999 the Missouri legislature authorized a demonstration project of social model care units in long-term care facilities for older adults with Alzheimer’s disease or dementia. As part of the evaluation of the first year of the project (2002-2003), the physical environments of 3 project facilities and 2 comparison facilities were assessed using the Therapeutic Environment Screening Survey-Nursing Home (TESS-NH). Two units in each facility were assessed: the Alzheimer’s special care unit (SCU) and a non-Alzheimer’s unit. The TESS-NH is a survey of the features in the physical environment of a long-term care facility unit that are important to the quality of care for older adults with Alzheimer’s disease. Although the TESS-NH is not a scale, it contains the Special Care Unit Environmental Quality Scale (SCUEQS), an 18 item measure addressing maintenance, cleanliness, safety, lighting, physical environment/homelikeness, orientation/cueing, and noise. The maximum possible SCUEQS score is 41 with higher scores indicating higher quality. SCUEQS scores for the Alzheimer’s units ranged from 21 to 38 (mean=30.2) and for the other units from 25-38 (mean=29.8). In two facilities the Alzheimer’s SCUs scored higher than the other units, in one facility the scores were equal, and in 2 facilities the Alzheimer’s SCUs scored lower than the other units. Points were deducted for cleanliness (2 units), odors (8 units), lighting in rooms and activity areas (3 units), homelike public areas (8 units), accessibility of a kitchen for residents (7 units), resident appearance (2 units), visual stimulation opportunities (8 units), absence of current or old picture at residents’ rooms (8 units), and loud speaker/intercom noise (5 units). The findings suggest that environmental differences between Alzheimer’s special care units and other units were minimal in 4 of the 5 skilled nursing facilities and challenge caregivers to reconsider what is special about special care units.
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.titleEffectiveness of Social Model Care Units for Dementia: Alzheimer's Special Care Unit Qualityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160480-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effectiveness of Social Model Care Units for Dementia: Alzheimer's Special Care Unit Quality</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">In 1999 the Missouri legislature authorized a demonstration project of social model care units in long-term care facilities for older adults with Alzheimer&rsquo;s disease or dementia. As part of the evaluation of the first year of the project (2002-2003), the physical environments of 3 project facilities and 2 comparison facilities were assessed using the Therapeutic Environment Screening Survey-Nursing Home (TESS-NH). Two units in each facility were assessed: the Alzheimer&rsquo;s special care unit (SCU) and a non-Alzheimer&rsquo;s unit. The TESS-NH is a survey of the features in the physical environment of a long-term care facility unit that are important to the quality of care for older adults with Alzheimer&rsquo;s disease. Although the TESS-NH is not a scale, it contains the Special Care Unit Environmental Quality Scale (SCUEQS), an 18 item measure addressing maintenance, cleanliness, safety, lighting, physical environment/homelikeness, orientation/cueing, and noise. The maximum possible SCUEQS score is 41 with higher scores indicating higher quality. SCUEQS scores for the Alzheimer&rsquo;s units ranged from 21 to 38 (mean=30.2) and for the other units from 25-38 (mean=29.8). In two facilities the Alzheimer&rsquo;s SCUs scored higher than the other units, in one facility the scores were equal, and in 2 facilities the Alzheimer&rsquo;s SCUs scored lower than the other units. Points were deducted for cleanliness (2 units), odors (8 units), lighting in rooms and activity areas (3 units), homelike public areas (8 units), accessibility of a kitchen for residents (7 units), resident appearance (2 units), visual stimulation opportunities (8 units), absence of current or old picture at residents&rsquo; rooms (8 units), and loud speaker/intercom noise (5 units). The findings suggest that environmental differences between Alzheimer&rsquo;s special care units and other units were minimal in 4 of the 5 skilled nursing facilities and challenge caregivers to reconsider what is special about special care units.</td></tr></table>en_GB
dc.date.available2011-10-26T22:58:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:58:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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