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Dementia Care in Nursing Homes Requires a Multidisciplinary Approach

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Abstract

Dementia care in nursing homes involves care for very frail and disabled older residents, suffering from complex problems in various domains of life. These problems require an integrated approach, focusing on the resident as a human being with a disease who needs high-quality professional care which contributes to his or her quality of life and also supports the family and other informal caregivers. To enable an integrated approach, multidisciplinary teamwork is necessary. Offering care from a multidisciplinary approach puts challenges on the organization of care, more specifically on the share each healthcare professional gets in the care process, on the related mutual agreements between different healthcare professionals and on their mutual communication. In the near future, more attention must be paid as well to the equal role that residents and family caregivers themselves may play in this process of multidisciplinary care.

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References

  • Boenink AD, Slootweg IA, Schols JMGA (2010) Theory and models of multidisciplinary collaboration. In: Leentjens AFG, Gans ROB, Schols JMGA, van Weel C (eds) Manual of multidisciplinary care (Dutch). De Tijdstroom, Utrecht

    Google Scholar 

  • Bosch M (2009) Organizational determinants of improving health care delivery. Dissertation, UMC St. Radboud Nijmegen, Nijmegen, The Netherlands

    Google Scholar 

  • Boyd CM, Darer J, Boult C et al (2005) Clinical practice guidelines and quality of care for older patients with multiple comorbid disease. Implications for pay per performance. JAMA 294:716–724

    Article  CAS  PubMed  Google Scholar 

  • de Jonge P, Huyse FJ, Stiefel FC (2006) Case and care complexity in the medically ill. Med Clin North Am 90:679–692

    Article  PubMed  Google Scholar 

  • Fewster-Thuent L, Velsor-Friedrich B (2008) Interdisciplinary collaboration for health care professionals. Nurs Adm Q 32:40–48

    Article  Google Scholar 

  • Firth-Gozens J (1998) Celebrating teamwork. Qual Health Care 7(Suppl):S3–S7

    Google Scholar 

  • Firth-Gozens J (2001) Multidisciplinary teamwork: the good, bad and everything in between. Qual Health Care 10(2):65–66

    Article  Google Scholar 

  • Goodman C, Dening T, Gordon AL et al (2016) Effective health care for older people living and dying in care homes: a realist review. BMC Health Serv Res 16(1):269. doi:10.1186/s12913-016-1493-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Gulpers MJ, Bleijlevens MH, Ambergen T et al (2011) Belt restraint reduction in nursing homes: effects of a multicomponent intervention program. J Am Geriatr Soc 59(11):2029–2036. doi:10.1111/j.1532-5415.2011.03662.x

    Article  PubMed  Google Scholar 

  • Halfens RJ, Meesterberends E, van Nie-Visser NC et al (2013) International prevalence measurement of care problems: results. J Adv Nurs 69(9):e5–17. doi:10.1111/jan.12189

    Article  PubMed  Google Scholar 

  • Hertogh CMPM, Deerenberg-Kessler W, Ribbe MW (1996) The problem-oriented multidisciplinary approach in Dutch nursing home care. Clin Rehabil 10:135–142

    Article  Google Scholar 

  • Huyse FJ, Stiefel FC, de Jonge P (2006) Identifiers, or ‘red flags’, of complexity and need for integrated care. Med Clin North Am 90:703–712

    Article  PubMed  Google Scholar 

  • Huyse FJ, van Weel C, Latour CHM (2010) The necessity of integrated care in complex patients (Dutch). In: Leentjens AFG, Gans ROB, Schols JMGA, van Weel C (eds) Manual of multidisciplinary care (Dutch). De Tijdstroom, Utrecht

    Google Scholar 

  • Institute of Medicine (2001) Crossing the quality chasm: a new health system for the 21th century. Committee on Quality of Health Care in America. National Academy press, Washington, DC

    Google Scholar 

  • Miller J, Petrie J (2000) Development of practice guidelines. Lancet 355(9198):82–83

    Article  CAS  PubMed  Google Scholar 

  • Minkman M, Ahaus K, Fabbricotti I et al (2009) A quality management model for integrated care: results of a Delphi and Concept Mapping study. International J Qual Health Care 21:66–75

    Article  Google Scholar 

  • Mitchell GK, Tieman JJ, Shelby-James TM (2008) Multidisciplinary care planning and teamwork in primary care. Med J Aust 188(8 Suppl):S61–S64

    PubMed  Google Scholar 

  • Opie A (1997) Effective teamwork in health care: a review of issues discussed in recent research literature. Health Care Anal 5(1):62–70

    CAS  PubMed  Google Scholar 

  • Ouwens M, Wollersheim H, Hermens R et al (2005) Integrated care programmes for chronically ill patients: a reviewof systematic reviews. International J Qual Health Care 17:141–146

    Article  Google Scholar 

  • Ouwens M, Hulscher M, Akkermans R et al (2008) The team climate inventory: application in hospital teams and methodological considerations. Qual Saf Health Care 17:275–280

    Article  CAS  PubMed  Google Scholar 

  • Schols JMGA, Crebolder HFJM, van Weel C (2004) Nursing home and nursing home physician: the Dutch experience. JAMDA 5(3):207–212

    CAS  PubMed  Google Scholar 

  • Schols JMGA, Frijters DHM, Kempen GIJM et al (2014) Quality monitoring of long-term care in the Netherlands. In: Mor V, Leone T, Maresso (eds) Regulating long-term care quality; an international comparison. Cambridge University Press, Cambridge, UK

    Google Scholar 

  • Smith GC, Clarke D (2006) Assessing the effectiveness of integrated interventions: terminology and approach. Med Clin North Am 90:533–548

    Article  PubMed  Google Scholar 

  • Stoffels AMR (2008) Cooperation among medical specialists: ‘pain’or ‘gain’. Dissertation, Rijksuniversiteit Groningen, Groningen, The Netherlands

    Google Scholar 

  • The Royal College of Physicians and Surgeons of Canada (2005) CanMEDS 2005 Framework. http://www.royalcollege.ca/portal/page/portal/rc/common/documents/canmeds/framework/the7_canmeds_roles_e.pdf. Assessed July 2016

  • Verbeek H, Zwakhalen SM, van Rossum E et al (2012) Small-scale, homelike facilities in dementia care: a process evaluation into the experiences of family caregivers and nursing staff. Int J Nurs Stud 49(1):21–29. doi:10.1016/j.ijnurstu.2011.07.008

    Article  PubMed  Google Scholar 

  • Verbeek H, Zwakhalen SM, Schols JM et al (2013) Keys to successfully embedding scientific research in nursing homes: a win-win perspective. J Am Med Dir Assoc 14(12):855–857. doi:10.1016/j.jamda.2013.09.006

    Article  PubMed  Google Scholar 

  • Von Korff MR, Scott KM, Gureje O (eds) (2009) Global perspectives on mental-physical comorbidity. Cambridge University press, Cambridge

    Google Scholar 

  • Xyrichis A, Lowton K (2008) What fosters or prevents interprofessional teamworking in primary and community care? Int J Nurs Stud 45(1):140–153

    Article  PubMed  Google Scholar 

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Correspondence to Jos Schols MD, PhD .

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Schols, J., Kardol, T. (2017). Dementia Care in Nursing Homes Requires a Multidisciplinary Approach. In: Schüssler, S., Lohrmann, C. (eds) Dementia in Nursing Homes. Springer, Cham. https://doi.org/10.1007/978-3-319-49832-4_15

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  • DOI: https://doi.org/10.1007/978-3-319-49832-4_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49830-0

  • Online ISBN: 978-3-319-49832-4

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