TY - JOUR
T1 - Mood and general behavior of patients with severe dementia during one year of supervised, individualized planned care and systematic clinical supervision.
T2 - Comparison with a similar control group
AU - Edberg, A. K.
AU - Norberg, A.
AU - Hallberg, Ingalill Rahm
N1 - Funding Information:
This study was supported by the Kristianstad County Council, the Municipality of Kristianstad and the Swedish Work Environment Fund, no. 90-1182, grants from Greta and Johan Kock’s Memorial Fund, Claes Grochinsky Foundation, the Swedish Alzheimer Association, and the Kristianstad Organisation for the Rights of the Elderly Demented. We are also most grateful to the following: the patients and their families; the nurses for their support and co-operation during the intervention and data collection; the research assistants, especially Å. Nordmark; and P. Shrimpton, Umeå University, for revising the English language.
PY - 1999/12
Y1 - 1999/12
N2 - The aim of this study was to evaluate the effects of one year of systematic clinical supervision, and supervised individually planned care on the mood and general behavior of patients with dementia in relation to their cognitive function and level of confusion. The intervention was carried out in a ward devoted to the care of patients with severe dementia (EW), with a similar ward (CW) where no changes were made serving as a control. Each ward housed 11 patients, of whom 7 patients in each ward survived throughout the study time. Assessment of the patients' mood, general behavior, cognitive functions (MMSE), orientation and confusion (OBS) was made at baseline, and after 6 and 12 months of intervention. Significant deteriorations for the patients in CW were seen during the study period as regards the factor strength, functional performance and orientation in the ward, and speech performance and psychomotor slowing. For the patients in the EW, deterioration was seen only in the factor accessibility, and improvement was seen in the factor sensitivity and euphoria. The differences indicated that the development in the two wards went in opposite directions to the benefit of the patients in the EW. Because of the small sample size, the findings are more the result of a pilot trial, rather than generalizable. The intervention, however, seemed to have a positive effect on the secondary symptoms of the disease. (C) 1999, Editrice Kurtis.
AB - The aim of this study was to evaluate the effects of one year of systematic clinical supervision, and supervised individually planned care on the mood and general behavior of patients with dementia in relation to their cognitive function and level of confusion. The intervention was carried out in a ward devoted to the care of patients with severe dementia (EW), with a similar ward (CW) where no changes were made serving as a control. Each ward housed 11 patients, of whom 7 patients in each ward survived throughout the study time. Assessment of the patients' mood, general behavior, cognitive functions (MMSE), orientation and confusion (OBS) was made at baseline, and after 6 and 12 months of intervention. Significant deteriorations for the patients in CW were seen during the study period as regards the factor strength, functional performance and orientation in the ward, and speech performance and psychomotor slowing. For the patients in the EW, deterioration was seen only in the factor accessibility, and improvement was seen in the factor sensitivity and euphoria. The differences indicated that the development in the two wards went in opposite directions to the benefit of the patients in the EW. Because of the small sample size, the findings are more the result of a pilot trial, rather than generalizable. The intervention, however, seemed to have a positive effect on the secondary symptoms of the disease. (C) 1999, Editrice Kurtis.
KW - Clinical supervision
KW - Dementia
KW - Nursing care
KW - Patient care planning
U2 - 10.1007/bf03339819
DO - 10.1007/bf03339819
M3 - Article
C2 - 10738856
AN - SCOPUS:0033500461
SN - 0394-9532
VL - 11
SP - 395
EP - 403
JO - Aging clinical and experimental research
JF - Aging clinical and experimental research
IS - 6
ER -