Open AccessPerson-Centered Care Plans for Nursing Home Residents With Behavioral and Psychological Symptoms of Dementia
Author(s) -
Justine Sefcik,
Caroline Madrigal,
Allison R. Heid,
Sheila L. Molony,
Kimberly Van Haitsma,
Irene Best,
Barbara Resnick,
Elizabeth Galik,
Marie Boltz,
Ann Kolanowski
Publication year - 2020
Publication title -
journal of gerontological nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.391
H-Index - 52
eISSN - 1938-243X
pISSN - 0098-9134
DOI - 10.3928/00989134-20201012-03
Subject(s) - dementia , staffing , medicine , nursing homes , nursing , long term care , odds , gerontological nursing , geriatric psychiatry , family medicine , minimum data set , gerontology , psychiatry , logistic regression , disease , pathology
Little literature exists examining the development and implementation of person-centered care (PCC) plans focused on behavioral and psychological symptoms of dementia (BPSD). The current study aimed to describe BPSD documented in nursing home (NH) residents' care plans, the types of approaches staff document in addressing those symptoms, and whether resident and/or facility characteristics are associated with documentation of PCC approaches. The sample included 553 residents from 55 NHs in two East Coast states. Resistiveness to care (44.9%), agitation (42.2%), and aggression (42%) were most frequently documented in care plans. PCC approaches were documented in care plans in 21.3% to 62.7% of cases depending on BPSD type. Resident (e.g., younger age, lower functional ability, lower cognitive ability, longer length of stay, male gender) and facility (e.g., less certified nursing assistant staffing hours, greater percentage of residents taking antipsychotic medications, non-profit status) characteristics were associated with increased odds of PCC approaches being documented. Optimal PCC planning is discussed, and a sample PCC plan is provided. [Journal of Gerontological Nursing, 46(11), 17-27.].