scholarly journals Partnership With Families During Hospitalization of Persons With Dementia: Intervention and Measurement Strategies

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 374-375
Author(s):  
Marie Boltz ◽  
Barbara Resnick ◽  
Judith Tate

Abstract Persons with dementia have high rates of hospitalization and are at risk for complications including psychological distress, and functional and cognitive decline. In turn, their family caregivers often face increased stress related to lack of preparedness to meet the complex needs of the patient during hospitalization and in the post-acute period. Hospitalization provides an opportunity to reframe the role of family caregivers from the traditional passive one to that of partners with the hospital team. The aim of the Family-centered, Function-focused Care (Fam-FFC) clinical trial is to test a nurse-family partnership model that incorporates a four step approach to optimize behavioral, functional, and cognitive outcomes in hospitalized persons with dementia and increase preparedness of caregivers to continue to optimize these outcomes in in the acute and post-acute recovery period. In this symposium we provide a description of the intervention with regard to theoretical support, four step process, and cultural appropriateness of the process. Two presentations describe, among Black and white dyads, evidence to support the psychometric properties of major outcome measures, caregiving preparedness and neuropsychiatric symptoms, in hospitalized dyads living with dementia. The final presentation describes a strategy to engage the dyad in goal development and evaluation, and its effect upon hospital readmissions. Findings from this symposium will help to identify intervention and measurement resources for those working with hospitalized persons with dementia and their family caregivers, and guide ongoing research needs in this area. Our discussant will synthesize the research findings and discuss implication for research, policy, and practice.

Author(s):  
Helen Codd

This original and ground-breaking interdisciplinary article brings together perspectives from gerontology, criminology, penology, and social policy to explore critically the nature and consequences of the lack of visibility of prisons, prisoners, and ex-prisoners within global research, policy and practice on age-friendly cities and communities (AFCC), at a time when increasing numbers of people are ageing in prison settings in many countries. In addition, the COVID-19 pandemic continues to pose challenges in the contexts both of older peoples’ lives, wellbeing, and health, and also within prison settings, and thus it is timely to reflect on the links between older people, prisons, and cities, at a time of ongoing change. Just as there is an extensive body of ongoing research exploring age-friendly cities and communities, there is extensive published research on older people’s experiences of imprisonment, and a growing body of research on ageing in the prison setting. However, these two research and policy fields have evolved largely independently and separately, leading to a lack of visibility of prisons and prisoners within AFCC research and policy and, similarly, the omission of consideration of the relevance of AFCC research and policy to older prisoners and ex-prisoners. Existing checklists and tools for assessing and measuring the age-friendliness of cities and communities may be of limited relevance in the context of prisons and prisoners. This article identifies the potential for integration and for cross-disciplinary research in this context, concluding with recommendations for developing inclusive research, policies, and evaluation frameworks which recognise and include prisons and older prisoners, both during and after incarceration.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S414-S415
Author(s):  
Justin C Lord ◽  
Danielle Waldron

Abstract This proposed symposium will bring together a diverse panel of emerging and established academics, as well as, industry leaders to speak about the power of collaboration. As the delivery of health care in the field of gerontology becomes increasingly complex – researchers and practitioners will have to find new ways to address these challenges. One potential solution is to become more interdisciplinary and collaborative in our approach. This symposium will bring together academic and industry leaders from the National Science Foundation’s Centers for Health Organization Transformation (CHOT) to share with our membership an industry-academic partnership model that has benefited industry-focused research across more than 50 disciplines. As the ESPO representatives for the SRPP division, we believe that our membership would benefit from a symposium of this nature. This symposium would also reflect this year’s conference is “Harnessing the Power of Networks.” The SRPP section has the strongest commitment to practice and research on practice such as ways to improve the delivery of services to an increasingly diverse older population. A model of industry partnership holds tremendous value for all those involved; however, it is incredibly valuable for junior researchers who are just beginning their careers. The CHOT model provides opportunities and funding for researchers to develop collaborative relationships; engage in research; access new sources of data; disseminate findings directly to a broader audience, and have the ability to address some of health care’s wicked problems.


2010 ◽  
Author(s):  
T'Pring R. Westbrook ◽  
James A. Griffin ◽  
Kathryn Hirsh-Pasek ◽  
Angeline Lillard ◽  
Marilou Hyson ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 758-758
Author(s):  
Marie Boltz ◽  
Ashley Kuzmik

Abstract Persons with dementia (PWD) have high rates of hospitalization, and along with their family caregivers (FCGs), commonly experience negative hospital experiences and outcomes. The recruitment and retention challenges encountered in an ongoing cluster randomized clinical trial in PWDs and FCGs are described. The trial tests the efficacy of a nurse-FCG partnership model that aims to improve: 1) the physical and cognitive recovery in hospitalized PWD, and 2) FCG preparedness and anxiety. Recruitment and retention challenges, identified in team meetings and extracted from team documentation,.include factors in the hospital environment, the PWD, and FCGs. Strategies that address these challenges include careful pre-planning and preparation with the site, strong communication with dyads, and honoring preferences for communication. The recruitment and retention of acutely ill older adults with dementia and FCGs can pose a challenge to investigators and threaten the validity of findings. Recruitment and retention strategies that help improve validity are described


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