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This study evaluates the effect of using comprehensive geriatric assessment in combination with case conferences on the prevalence of neuropsychiatric symptoms (also known as behavioral and psychological symptoms of dementia) in Norwegian nursing homes
Long-term care patients in nursing homes (NH) are characterized by frailty and having multiple health problems and reduced quality of life. Some of these issues relates to the quality of care and do therefore possess a potential for improvement. There is a need for approaches enabling nurses to carry out effective interventions that can promote health related to sustain or improve the nursing home patients health status. Integrating a comprehensive geriatric assessment (CGA) and case conferencing (CC) might be an effective method to individualize care plans in order to improve quality of care.
The intervention nursing homes will implement CGA, using the International resident instrument suite for Long Term Care Facilities (InterRai LTCF) and CC. The patients will be included and assessed three times during a 12-month period (control and intervention NHs). In the intervention NHs the results from the CGA will be reviewed in monthly CCs. The CCs are structured and consist of four main steps; evaluating the effects of earlier interventions, defining patients risks or area for improvement, defining the aetiology of the risk or problem, defining interventions and measures for improvement along with an appropriate method for evaluation. The CC group's consensus is basis for the patient's care plan.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control nursing homes | No Intervention | Nursing homes carries out usual care | |
| Intervention nursing homes | Active Comparator | Nursing homes that carries out regularly case conferencing |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Case conferencing | Other | Intervention nursing homes carries out regularly case conferencing based on comprehensive geriatric assessments. Case conferencing is carried out each month for nursing home patients included in the study |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of neuropsychiatric symptoms measured by neuropsychiatric inventory | Measured by neuropsychiatric inventory | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Depression measured by Cornell scale for depression in dementia | Measured by Cornell scale for depression in dementia | 12 months |
| Activities in daily living measured by Physical self-maintenance scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sigrid Nakrem, phd | Norwegian University of Science and Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Overhalla sykeheim | Overhalla | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30917815 | Result | Nakrem S, Stensvik GT, Skjong RJ, Ostaszkiewicz J. Staff experiences with implementing a case conferencing care model in nursing homes: a focus group study. BMC Health Serv Res. 2019 Mar 27;19(1):191. doi: 10.1186/s12913-019-4034-0. | |
| 35410145 | Derived | Stensvik GT, Helvik AS, Haugan G, Steinsbekk A, Salvesen O, Nakrem S. The short-term effect of a modified comprehensive geriatric assessment and regularly case conferencing on neuropsychiatric symptoms in nursing homes: a cluster randomized trial. BMC Geriatr. 2022 Apr 11;22(1):316. doi: 10.1186/s12877-022-02976-x. |
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| ID | Term |
|---|---|
| D003704 | Dementia |
| D019954 | Neurobehavioral Manifestations |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
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Measured by Physical self-maintenance scale
| 12 months |
| Quality of life measured by the Quality of Life in Late-Stage Dementia Scale | Measured by the Quality of Life in Late-Stage Dementia Scale | 12 months |
| D001523 | Mental Disorders |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |