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P3‐371: Health care utilization in frontotemporal lobar degeneration
Author(s) -
DiehlSchmid Janine
Publication year - 2011
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2011.05.1813
Subject(s) - frontotemporal lobar degeneration , medicine , disease , quality of life (healthcare) , activities of daily living , nursing homes , psychiatry , nursing , dementia , frontotemporal dementia
Background: In front of an increase of patients with dementia, there is a growing demand on the education of nursing staff in Germany. Especially the issue of communicational impairment (13Million patients with a hearing impairment) is still lacking the recognition in specialized care and nursing education. Where as the current education is centred on the anatomy and pathophysiology and seldom featuring the basic concept of a hearing aid, the hearing impairment and its consequences in context of dementia care is rarely an issue.Methods: Parallel to the development of a practical educational concept for the care of geriatric patients with a communicational problem, we interviewed 105 certified nursing staff (35 from a geriatric ward, 35 from a nursing home, 35 from a normal hospital ward; minimum working experience one to four years) with a standardized questionnaire before and 3 month after a two day training in communicative skills. The questions focused on prevalence, detection, problem recognition and focus in formal education. Results: In all fields the perceived prevalence grew after the training workshop (36%1⁄4 > 67%). The ability to recognize a patient with a communicative impairment increased significantly in the nursing home and geriatric sub-group. Especially the ability to evaluate required repetitions and frequentmisunderstandings as signs of communicational impairment grew (23%1⁄4> 52%). There is a gap with nursing homes staff and the geriatric ward on one side and staff from normal ward on the other side, addressing the major care problems in patients with communicational problem. Staff from nursing home and the geriatric ward recognized the time requirements of handicap-oriented communication as the core problem, where as normal ward staff emphasized the handling of technical aids. In the evaluation of the effort spent on teaching sensory deficiencies overall as well as communication and the requirements linked to it in nursing education, especially the staff from the geriatric wards and the normal wards saw the need for further education of the professional caregiver. Conclusions: In front of the need for continuous improvement in the quality of the care process our interviews revealed the need for more practice-oriented educational concepts developing competence in handicap-oriented communication. P3-371 HEALTH CARE UTILIZATION IN FRONTOTEMPORAL LOBAR DEGENERATION Janine Diehl-Schmid*, Department of Psychiatry and Psychotherapy of TU M€unchen, M€unchen, Germany.