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54. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e.V. (GMDS)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie

07. bis 10.09.2009, Essen

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The Implementation of guidelines for nurses and GP’s treating people with dementia in nursing homes as a non-pharmacological intervention to improve residents' QoL

Meeting Abstract

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  • Herbert Mayer - University Witten/Herdecke, Institute of Nursing Science, Witten
  • Cornelia Krüger - University Witten/Herdecke, Institute of Nursing Science, Witten
  • Daniela Hardenacke - University Witten/Herdecke, Institute of Nursing Science, Witten
  • Margareta Halek - University Witten/Herdecke, Institute of Nursing Science, Witten
  • Gertrund Bureick - University Witten/Herdecke, Institute of General Practice and Familiy Medicine, Witten
  • Stefan Wilm - University Witten/Herdecke, Institute of General Practice and Familiy Medicine, Witten
  • Sabine Bartholomeyczik - University Witten/Herdecke, Institute of Nursing Science, Witten

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. 54. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds). Essen, 07.-10.09.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09gmds078

doi: 10.3205/09gmds078, urn:nbn:de:0183-09gmds0788

Published: September 2, 2009

© 2009 Mayer et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Purpose: Challenging behaviour of people with dementia in nursing homes constitutes the most difficult situation for nurses, caregivers and physicians. Often it is treated with psychotropic drugs which are not helpful nor evidence based. The ongoing study aims at improving residents' QoL through a better collaboration of nurses and GPs and case conferences in nursing home. Two guidelines – one for nurses on dealing with challenging behaviour and one for GPs on medical treatment of dementia – are implemented. Furthermore multidisciplinary case conferences are performed in nursing homes using a standardized instrument to detect jointly reasons for resident’s behaviour.

Method: The study uses a pre-post-test design with an indirect control group based on the prescriptions rates of neuroleptics in the project region. The resident’s (n=182) QoL (Qualidem), challenging behaviour (NPI-NH), physical maintenance (PSMS) and psychotropic medication are assessed before and 9 month after the intervention beginning.

Results: The study’s preliminary results will be presented and experiences with the trainings and case conferences and their possible influence on challenging behaviors will be discussed.

Conclusion: Dementia care puts high demands on nurses and GPs. The use of case conferences might have an influence on the residents quality of care in nursing homes showing challenging behaviours.