Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine

Lindauer, Allison; Seelye, Adriana; Lyons, Bayard; Dodge, Hiroko H.; Mattek, Nora; Mincks, Katherine; Kaye, Jeffrey; Erten-Lyons, Deniz

doi:10.1093/geront/gnw206

Cited by 82 publications

(82 citation statements)

References 40 publications

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“…Additionally, diverse interventions to enhance support and training could be employed to better prepare caregivers for the completion of post-acute HHC services. Such interventions may include caregiver workshops to enhance training and preparedness (Leutz et al, 2002), connecting caregivers with internet resources (Stone, 2014), telephone follow-up by nursing staff after discontinuation of HHC services (Feld, Madden-Baer, & McCorkle, 2016), and the use of telemedicine for ongoing evaluation of the older adults' health (Lindauer et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Caregivers' Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care

Chase¹,

Russell²,

Rice³

et al. 2019

Research in Gerontological Nursing

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Caregivers play important roles in managing the physical functioning (PF) needs of older adults transitioning home after a hospitalization. Training and support of caregivers in the post-acute home health care (HHC) setting should incorporate caregivers' perspectives. To explore caregivers' experiences managing PF needs in the post-acute HHC setting, we conducted semistructured, telephone interviews of 20 caregivers. Conventional content analysis revealed patient-, caregiving-task, caregiver, and home environment-related themes consistent with the Theory of Dependent Care. Caregivers highlighted the dynamics and contributors of PF needs for older patients in the post-acute HHC setting; and depicted the enormity of caregiving tasks needed to manage older patients' PF needs. Caregivers also described their perceived roles and challenges in managing PF deficits, including a sense of isolation when they were the sole caregiver. Findings from this research can guide nursing efforts to target caregiver training and support during this critical care transition.

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Section: Discussionmentioning

confidence: 99%

Caregivers' Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care

Chase¹,

Russell²,

Rice³

et al. 2019

Research in Gerontological Nursing

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show abstract

“…HHC nurses could collaborate with caregivers to coordinate care and identify clear points of contact for both HHC services and follow-up care to improve care continuity. Furthermore, incorporating interventions after discharge from HHC services, such as periodic telephone follow-up or telehealth, could be used to deliver ongoing caregiver training and support (39,40).…”

Section: Discussionmentioning

confidence: 99%

Caregivers’ Experiences Regarding Training and Support in the Post-Acute Home Health-Care Setting

Chase

Russell

Rice

et al. 2019

Journal of Patient Experience

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Background: Post-acute home health-care (HHC) services provide a unique opportunity to train and support family caregivers of older adults returning home after a hospitalization. To enhance family-focused training and support strategies, we must first understand caregivers’ experiences. Objective: To explore caregivers’ experiences regarding training and support for managing older adults’ physical functioning (PF) needs in the post-acute HHC setting. Method: We conducted a qualitative descriptive study using semi-structured telephone interviews of 20 family caregivers. Interviews were recorded, transcribed, and analyzed using conventional content analysis. Results: We identified the following primary categories: facilitators to learning (eg, past experience, learning methods), barriers to learning (eg, learning on their own, communication, timing/logistics, preferred information and timing of information delivery), and interactions with HHC providers (eg, positive/negative interactions, provider training and knowledge). Conclusion: Caregivers were responsive to learning strategies to manage older adults’ PF needs and, importantly, voiced ideas to improve family-focused training and support. HHC providers can use these findings to tailor training and support of family caregivers in the post-acute HHC setting.

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“…Measures, such as the Mini-Mental State Examination (MMSE) and common mental health questionnaires such as the Geriatric Depression Scale, appear to be diagnostically comparable to in-person clinical visits. 4 Mildly modified administration of the Montreal Cognitive Assessment (MoCA) has shown high ICC, 5 and there is an audio-visual version of the MoCA now available online, modified for telehealth administration ( Table 1). Versions of the MoCA for older adults with hearing and vision impairment are in development as well.…”

Section: Examining Older Adult Cognitive Status In the Time Of Covid-19mentioning

confidence: 99%

Examining Older Adult Cognitive Status in the Time of COVID‐19

Hantke

Gould

2020

J American Geriatrics Society

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Dementia Care Comes Home: Patient and Caregiver Assessment via Telemedicine

Abstract: Findings indicate that these measures can be used to assess persons with AD, as well as their caregivers, across the telemedicine platform, directly to their homes. Use of this technology can expand access to care to the millions across the United States with AD and their caregivers.

Cited by 82 publications

References 40 publications

Caregivers' Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care

Caregivers' Perceptions Managing Functional Needs Among Older Adults Receiving Post-Acute Home Health Care

Caregivers’ Experiences Regarding Training and Support in the Post-Acute Home Health-Care Setting

Examining Older Adult Cognitive Status in the Time of COVID‐19

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