From: Longitudinal evaluation of dementia care in German nursing homes: the “DemenzMonitor” study protocol
Resident level (assessed by nurses) | |||
---|---|---|---|
Conceptual domain | Operational definition | Number of items | Empirical measure |
General Characteristics | Gender | 1 | Female/Male |
Date of birth | 1 | Date | |
Place of residence before NH admission | 1 | 5-response option | |
Date of entry into nursing home and write NH | 1 | Date | |
Legal guardian | 1 | 4-response option | |
Court order for admission | 1 | Yes/No | |
Court order for physical restraints | 1 | Yes/No | |
Care level according to Long Term Care Insurance (LTCI) | 1 | 5-response option | |
Substantial additional care needs according to LTCI § 87b | 1 | 3-response option | |
Visitors | 1 | Yes/No | |
* Frequency of visits (spouse / other relatives / friends-neighbors / legal guardian / volunteers / other residents / others) | 7 | 4 point-Likert-Scale | |
Characteristics of Living Environment | Residents room (single / double / multi-shared rooms) | 1 | 3-response option |
Individual furniture in residents room | 1 | Yes/No | |
Resident brought a pet to the NH | 1 | Yes/No | |
Provision of Dementia Care | Case conference (CC) after admission | 1 | Yes/No |
* Date of last CC | 1 | Date | |
* Participants of last CC (resident / relatives / legal guardian / head nurse / ward nurses / other care staff / physicians / therapeutic staff / facilitating service / external moderators / others) | 11 | Yes/No | |
* Reason for conducting last CC (due to an acute occasion / due to the routines) | 1 | 2-response option | |
* Content of last CC (nutrition / continence problems / risk of falls-actual falls / chronic wound / physical restraints / acute health problems / pain / cognition based problems / challenging behavior / psychosocial situation / quality of life - well-being / needs of the resident and relatives / admission to NH / hospital stay / others) | 15 | Yes/No | |
Assessment of pain | 1 | Yes/No | |
* Instrument used for pain assessment | 1 | 11-response option | |
* Date of pain assessment | 1 | Date | |
Assessment of behavior | 1 | Yes/No | |
* Instrument used for behavioral assessment | 1 | 6-response option | |
* Date of behavioral assessment | 1 | Date | |
Assessment of dementia severity | 1 | Yes/No | |
* Instrument used for dementia severity assessment | 1 | 10-response option | |
MMSE-Score (if available) | 1 | Free-text | |
* Date of MMSE | 1 | Date | |
Assessment of quality of life | 1 | Yes/No | |
* Instrument used for quality of life assessment | 1 | 6-response option | |
* Date of quality of life assessment | 1 | Date | |
Assessment of depression | 1 | Yes/No | |
* Instrument used for depression assessment | 1 | 3-response option | |
* Date of depression assessment | 1 | Date | |
Participation in Dementia Care Mapping | 1 | Yes/No/Unknown | |
*Date of last Dementia Care Mapping | 1 | Date | |
Assessment of biography | 1 | Yes/No | |
* Amendment of biography assessment after initial assessment | 1 | Yes/No/Unknown | |
Provision of multisensory stimulation (aroma therapy / music therapy / massage / listening to music / Basale Stimulation© / Snoezelen / cuddling pets / using touch materials / others / none) | 10 | Yes/No | |
Provision of validation therapy | 1 | Yes/No | |
* Kind of validation therapy (use in daily conversation / in personal communications / in group therapy / as a crisis intervention) | 4 | Yes/No | |
Frequency of being in the open air during the last week | 1 | 5 point-Likert-Scale | |
Participation on physical activities (PA) (gymnastics / dance / games / walk outside / physiotherapy / others / none) | 1 | Yes/No | |
* Kind of PA (gymnastics / dance / games / walk outside / physiotherapy / others) | 10 | Yes/No | |
Incidence of acute psychiatric crisis in the last 6 months | 1 | Yes/No/Unknown | |
* Frequency of acute psychiatric crisis in the last 6 months | 1 | 4 point-Likert-Scale | |
Continuous attendance by a General Practitioner | 1 | Yes/No | |
Continuous attendance by a neurologist/psychiatrist | 1 | Yes/No | |
Care Dependency | Physical Self Maintenance Scale (PSMS) [55] | 6 | 5 point-Likert- Scale |
Behavior | Neuropsychiatric Inventory (NPI-Q) [48] | 12 | 3 point-Likert-Scale |
Dementia | Medical diagnosis of dementia | 1 | Yes/No/Unknown |
Functional Assessment Staging (FAST) [51] | 16 | 7 stages | |
Dementia Screening Scale (DSS) [53] | 7 | 3 point-Likert-Scale | |
Quality of Life | Qualidem [41] | 40 | 4 point-Likert-Scale |