The Effectiveness of Function-Focused Care Interventions in Nursing Homes: A Systematic Review.
Su Jung Lee, Mi So Kim, You Jin Jung and 1 others
PMID 30694224WHAT IT FOUND
Function-focused care in nursing homes improved physical, psychosocial, and cognitive outcomes for most residents.
The review could not determine which specific intervention method worked best or whether integrated or dedicated care processes were superior.
Key findings
01Most studies reported significant improvements in resident functional abilities following function-focused care interventions.
02Interventions improved physical function, psychosocial well-being, and cognitive performance, but the review could not identify which program was most effective.
03Caregiver education and individualized, resident-centered approaches were key components of the interventions.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPsWhat it means for RNs
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What it does not show
The review included only 22 studies, limiting the generalizability of the findings. There was significant heterogeneity in the types of FFC interventions and outcome measures used, making it impossible to determine which specific program was most effective. The search strategy may have missed some relevant studies. The review could not distinguish between the effectiveness of integrated versus dedicated care processes.
The easy way to misread this
Do not assume that any specific function-focused care program is superior or that integrated care is better than dedicated care. The review found that most interventions had positive effects, but the variety of methods and measures prevented a clear determination of which approach is best for which residents.