1. Evaluation of a transition care cognitive assessment and management pilot.
- Author
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Renehan, Emma, Haralambous, Betty, Galvin, Pauline, Kotis, Michelle, and Dow, Briony
- Subjects
COGNITION disorders diagnosis ,COGNITION disorders treatment ,ELDER care ,GERIATRIC assessment ,ATTITUDE (Psychology) ,CAREGIVERS ,COGNITION in old age ,CONTENT analysis ,DEMENTIA ,FAMILIES ,FOCUS groups ,GERIATRIC nursing ,HEALTH care teams ,HEALTH facilities ,LENGTH of stay in hospitals ,INTERVIEWING ,NEUROPSYCHOLOGICAL tests ,RESEARCH methodology ,EVALUATION of medical care ,MEDICAL personnel ,NURSING consultants ,HEALTH outcome assessment ,PSYCHIATRIC nursing ,RESEARCH funding ,STATISTICS ,QUALITATIVE research ,AGITATION (Psychology) ,DATA analysis ,EVALUATION research ,THEMATIC analysis ,RESIDENTIAL care ,SOCIAL services case management ,DISCHARGE planning ,PATIENT-centered care ,PATIENT readmissions ,DATA analysis software ,FAMILY attitudes ,DESCRIPTIVE statistics ,SYMPTOMS ,OLD age - Abstract
This paper describes the evaluation of the Transition Care Cognitive Assessment and Management Pilot (TC CAMP) at a residential care facility in Victoria, Australia. Transition care aims to provide a goal-oriented time-limited service to older people at the conclusion of an episode of hospital care. The TC CAMP was established to specifically meet the needs of people with cognitive impairment. The purpose of this study was to evaluate the implementation and effectiveness of the TC CAMP. The evaluation sought to explore the perceptions ofstaffandfamily carers, and outcomes for the person with dementia. Methods consisted of file audits, focus groups and individual interviews with nursing staff and carers. This evaluation found that it was possible to provide appropriate transition care to people with cognitive impair-ment who exhibited behavioural and psychological symptoms of dementia. The TC CAMP achieved length of stay and readmission rates that were comparable with transition care for cognitively intact people. The role of the Clinical Nurse Consultant was highly valued by staffand families involved in TC CAMP. The findings from TC CAMP suggest a suit-able environment, availability of trained and resourced nursing and clinical staff and clear roles and expectations for all stakeholders should be considered in implementation of this model of care. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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