Table 1 Components of the Patient-Centred Rehabilitation Model Targeted for Patients with CI (PCRM-CI)

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

arrangement (Naglie et al., 2002)

- weekly meetings to discuss progress of patient

- discharge planning from week one

2. Dementia Management

Nurse, Physician, PT, OT

↓ agitation (Kovach et al., 2006)

- assessment (MMSE)

↑ function (Kovach et al., 2006)

- relate well

- environmental manipulation

- abilities focus

- personhood

3. Delirium Management

Nurse, Physician, PT, OT

↓ complications (Fick et al., 2007)

- assessment (CAM)

↓ LOS (Millisen et al., 2004)

- prevention

- treatment

4. Staff education and support

APN

- 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)