From: An inpatient rehabilitation model of care targeting patients with cognitive impairment
Components | Provider (s) | Effects |
---|---|---|
1. Rehabilitation Management | Nurse, Physician, PT, OT, SW, pharmacist | ↑ function (Hurito et al., 2000) |
- assessments of function and cognition |  | ↑ mobility (Adunsky et al., 1999) |
- patient goal setting |  | ↑ return to previous living |
- interdisciplinary rehabilitation treatments | Â | arrangement (Naglie et al., 2002) |
- weekly meetings to discuss progress of patient | Â | Â |
- discharge planning from week one | Â | Â |
2. Dementia Management | Nurse, Physician, PT, OT | ↓ agitation (Kovach et al., 2006) |
- assessment (MMSE) |  | ↑ function (Kovach et al., 2006) |
- relate well | Â | Â |
- environmental manipulation | Â | Â |
- abilities focus | Â | Â |
- personhood | Â | Â |
3. Delirium Management | Nurse, Physician, PT, OT | ↓ complications (Fick et al., 2007) |
- assessment (CAM) |  | ↓ LOS (Millisen et al., 2004) |
- prevention | Â | Â |
- treatment | Â | Â |
4. Staff education and support | APN | Â |
- 1 day workshop on dementia, delirium, depression, care approaches, strategies to minimize behavioural and cognitive symptoms. |  | ↑ attitude towards patients with dementia (Zimmerman et al., 2006; McGilton et al., 2007). |
- 8 in-services on the following topics: sleep, falls prevention, team building, pain management, incontinence, bowel management, roles and responsibilities of rehabilitation team and team building. |  | ↑ knowledge and skill of care of elderly clients (Moniz-Cook et al., 1998; Cohen-Mansfield et al., 1997) |
- Advanced practice nurse mentoring at the bedside |  | ↑ support and improvement in work environment and ↑ satisfaction caring for clients with dementia (Wells et al., 2001) |
5. Family/significant other education and support | Nurse, SW | ↓ nursing home placement (Mittleman et al., 1996) |