Restorative Care With Cognitively Impaired Older Adults

Galik, Elizabeth

doi:10.1097/01.tgr.0000270180.06027.34

Cited by 10 publications

(5 citation statements)

References 49 publications

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“…Interviews were conducted by an advanced practice nurse who used a structured interview guide. The interview guide was developed by the research team and built on prior work with older adults and their caregivers that focused on exploring the factors that facilitated or prevented them from engaging in functional activities and exercise (Galik & Resnick, 2007; Resnick, Cavo, Galik, & Pretzer‐Aboff, in press). The interview guide for caregivers moved from general caregiving questions to those that focused on function and daily physical activity (Figure 1) .…”

Section: Methodsmentioning

confidence: 99%

Parkinson's Disease: Barriers and Facilitators to Optimizing Function

Pretzer‐Aboff

Galik

Resnick

2009

Rehabilitation Nursing

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The purpose of this qualitative study was to explore with caregivers and people with Parkinson's disease (PD) the facilitators and barriers that they encounter in trying to optimize participation in functional activities and exercise. Face‐to‐face interviews were conducted with a purposeful sample of seven caregivers and three people diagnosed with PD. Data analysis was performed using content analysis and yielded 94 codes, which were reduced to five specific themes: personality components, physiological symptoms, communication difficulties, environmental factors, and tricks of the trade to optimize function. Findings from this study provide useful practical techniques for professionals and caregivers to promote optimal function and participation in physical activity among people with PD.

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Section: Methodsmentioning

confidence: 99%

Parkinson's Disease: Barriers and Facilitators to Optimizing Function

Pretzer‐Aboff

Galik

Resnick

2009

Rehabilitation Nursing

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“…The identification of the goal through discussion with a proxy (in the form of a carer or family member) is suggested as a practical method. This view is supported by a number of studies exploring a person‐centred approach to delivering health‐care to people with cognitive impairment (Galik & Resnick 2007, Kaldjian et al. 2010).…”

Section: Discussionmentioning

confidence: 93%

The effect of a designated tool on person-centred goal identification and service planning among older people receiving homecare in New Zealand

Parsons

2012

Health &Amp; Social Care in the Community

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This study sought to determine the ability of a designated tool developed to identify client-directed goals in a sample of older people referred for homecare. A retrospective pre/post-intervention design was used and a total of 360 older people in an urban centre in New Zealand were included in the analysis. All clients receiving services at the time of data collection (July 2007) who were referred for service provision between July 2003 and the implementation in January 2007 of a restorative model of homecare were included in the analysis. The restorative model of homecare included a designated goal-facilitation tool [Towards Achieving Realistic Goal in Elders Tool (TARGET)]. Prior to the use of TARGET, participants had a goal recorded for their home-care episode in 31 cases (8.6%), whereas following the implementation of TARGET, goals were recorded in 339 cases (94.2%). At a quarterly review, eight clients (2.2%) achieved their goal prior to TARGET, whereas 172 clients (47.8%) fully achieved their goal when TARGET was utilised. Within the sample, multinomial logistic regression showed that the use of TARGET significantly improved goal attainment. Furthermore, moderate-to-severe cognitive impairment significantly reduced the successful attainment of goals. The study highlighted the importance of a designated tool for facilitating older people to set goals that are then used in developing support plans to structure services to assist them in the home. The need for alternative strategies for goal setting for people with significant cognitive impairment was highlighted. This study, in attempting to determine the effect of a goal-facilitation tool as a driver for quality improvement in homecare, had an observational comparative design, this being the most pragmatic option to assess the feasibility of TARGET prior to further work being undertaken. The results do show that in this sample of older people receiving homecare, the use of TARGET led to a greater proportion of goal identification, higher rates of goal attainment and a more diverse range of categories of goals than traditional non-structured methods of goal setting.

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“…These changes, which are exaggerated in cognitive disorders (e.g., delirium or dementia) may be complicated by perceptual and sequencing difficulties. The ability to receive and recall information is needed to follow commands and participate in formal rehabilitation and care-related interactions (Avers & Williams, 2011; Galik & Resnick, 2007).…”

Section: Dimensions Of Basic Physical Capability In Older Adultsmentioning

confidence: 99%

Physical Capability Scale

2012

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The purpose of this study was to describe the psychometric testing of the Basic Physical Capability Scale. The study was a secondary data analysis of combined data sets from three studies. Study participants included 93 older adults, recruited from 2 acute-care settings and 110 older adults living in long-term care facilities. Rasch analysis was used for the testing of the measurement model. There was some support for construct validity based on the fit of the items to the scale across both samples. In addition, there was support for hypothesis testing as physical function was significantly associated with physical capability. There was evidence for internal consistency (Alpha coefficients of .77-.83) and interrater reliability based on an intraclass correlation of .81. This study provided preliminary support for the reliability and validity of the Basic Physical Capability Scale, and guidance for scale revisions and continued use.

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Restorative Care With Cognitively Impaired Older Adults

Cited by 10 publications

References 49 publications

Parkinson's Disease: Barriers and Facilitators to Optimizing Function

Parkinson's Disease: Barriers and Facilitators to Optimizing Function

The effect of a designated tool on person-centred goal identification and service planning among older people receiving homecare in New Zealand

Physical Capability Scale

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