Person-Centered Care Plans for Nursing Home Residents With Behavioral and Psychological Symptoms of Dementia.
Justine S Sefcik, Caroline Madrigal, Allison R Heid and 7 others
PMID 33095889WHAT IT FOUND
When a dementia behavior was documented, person-centered approaches were present for 21.3% to 62.7% of those residents, depending on the behavior.
Despite 83% having a behavior noted, review plans for resident preferences and interests, not just behavior labels.
Key findings
01At least one behavioral symptom was documented in 83% of residents' care plans.
02When a symptom was documented, person-centered approaches were present for 21.3% to 62.7% of those residents, depending on the symptom.
03Whether a person-centered approach was documented varied by symptom and was associated with resident and facility characteristics.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a secondary analysis of baseline data, not a test of whether person-centered care plans improve outcomes. The study included nursing homes from only East Coast states, so other regions may differ. It looked only at what was written in care plans, not whether staff actually delivered the care. It included only residents with moderate to severe dementia, so it says little about residents with milder impairment. It did not collect data on staff training for care planning or staff turnover.
The easy way to misread this
Do not read this as evidence that person-centered care plans reduce dementia behaviors. The study only looked at what was written in care plans at baseline and found associations with resident and facility characteristics.