Journal
AMERICAN JOURNAL OF NURSING
Volume 114, Issue 10, Pages 44-52Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.NAJ.0000454851.22018.5d
Keywords
cognitive impairment; evidence-based intervention; family caregivers; older adults; research participation; transitional care
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Funding
- National Institute of Aging [R01AG023116]
- Marian S. Ware Alzheimer Disease Program at the University of Pennsylvania
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Overview Although it increases the risk of poor outcomes and raises the costs of care, cognitive impairment in hospitalized older adults is often neither accurately identified nor well managed. In conducting a two-phase, comparative-effectiveness clinical trial of the effects of three nursing interventionsaugmented standard care, resource nurse care, and the transitional care modelon hospitalized older adults with cognitive deficits, a team of researchers encountered several challenges. For example, in assessing potential subjects for the study, they found that nearly half of those assessed had cognitive impairment, yet many family caregivers could not be identified or had no interest in participating in the study. One lesson the researchers learned was that research involving cognitively impaired older adults must actively engage clinicians, patients, and family caregivers, as well as address the complex process of managing postdischarge care.
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