Bridging the gap between practice & research - ed.ac.uk · Bridging the gap between practice &...
Transcript of Bridging the gap between practice & research - ed.ac.uk · Bridging the gap between practice &...
• Dutch nursing homes,
• Why nursing homes participate in our network;
• The organisation of our network
• Examples of research(projects)
• Benefits and difficulties?
• Long Term Care– Factors in assessment:
– Social life skills ↓ ↓– Psychosocial /cognitive functions ↓ ↓– ADL ↓/ ↓ ↓– Mobility ↓/ ↓ ↓– Challenging behaviour– Structural care need, several times a day
• Geriatric Rehabilitation
• Home care
Why do organisations choose to participate in the UNO-VUmc?• improve the quality of care,
• advance the field,
• improve the reputation of the organization as a center of
excellence,
• improve recruitment and retention of (exceptional) staff,
• establish ties with the university.
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all participants(n=86)
What we do
• Research• Education• Development of best practices• Implementation
• Short term vs. long term results• Development vs. implementation
Conclusions
Irritability, depressive symptoms and apathy occur as the most frequent neuropsychiatric symptoms.
Almost 60% of the residents is in pain, despite treatment.
Nearly half of the residents has moderate or severecognitive impairment.
More than a quarter of the residents has poor expressive abilities.
Almost a third of the residents has a low social engagement.
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Conclusions
Irritability, depressive symptoms and apathy occur as the most frequent neuropsychiatric symptoms.
Almost 60% of the residents is in pain, despite treatment.
Nearly half of the residents has moderate or severecognitive impairment.
More than a quarter of the residents has poor expressive abilities.
Almost a third of the residents has a low social engagement.
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Apathy & Pain
Apathy • 28% of residents. • related to
– cognitive impairment – very severe ADL-dependency – being >12 hours per day in bed
• not related to depressive mood symptoms
(individualized) stimulating activities?
Substantial pain• 28% of residents. • related to
– a 60% increase in NPIQ score – clinically relevant symptoms of
delusions, agitation/aggression, depression, and anxiety
• associated with low social engagement
Pain management!!
Benefits for research & practice• For research:
– New ideas– Better research plan– Easier access to care organisations– Attention to results
• For practice:– Quick and easy access to results– Useful results, suitable for improving quality of care– Inspiring for professionals– Influence on research– Help and advice for small research projects– Supported implementation– Development of more professional climate
Difficulties for practice
• Time
• Achieving results in large organisations
• Embedding research & innovation
• Support by management
• Implementation = changing = difficult
• Changes in personnel