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Res Gerontol Nurs. 2012 Apr;5(2):130-7. doi: 10.3928/19404921-20110831-01. Epub 2011 Sep 16.

Predictors of nonpharmacological and pharmacological treatments stopped and started among nursing home residents with dementia.

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1
University of Wisconsin, Milwaukee, WI, USA. rsimpson@uwm.edu

Abstract

The purpose of this study was to describe the nonpharmacological and pharmacological treatments stopped and started over 6 weeks among a sample of nursing home residents with moderate to severe dementia and to identify nurse and resident factors associated with starting new and stopping ineffective/unnecessary nonpharmacological and pharmacological treatments. One hundred thirty-four nursing home residents with dementia and 39 nurses from 12 nursing homes in the Midwest participated in this study. Resident and nursing process data were collected on daily tracking forms completed by the primary nurse over a 6-week period. Both assessment-driven intervention and evaluation-driven follow through significantly predicted treatments stopped and new treatments started. The findings demonstrate that nurses serve an essential role in maintaining resident physiological and psychological homeostasis by vigilantly responding to residents' physical problems and behaviors with assessment-driven intervention and evaluation-driven follow through.

PMID:
21928757
PMCID:
PMC3244534
DOI:
10.3928/19404921-20110831-01
[Indexed for MEDLINE]
Free PMC Article
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