Pursuing Improvement in the Quality of Care of Alzheimers Patients in the Long Term Care Setting - Annotated Bibliography Example

Annotated Bibliography: Pursuing Improvement in the Quality of Care of Alzheimer’s Patients in the Long Term Care Setting affiliation Tutor Date Annotated Bibliography: Pursuing improvement in the quality of care of Alzheimer’s patients in the long term care setting Introduction There is need to improve the quality of health care provided to Alzheimer patients. Most Alzheimer patients are located in nursing homes. In homes, the effects of the disease can be suppressed if the quality of the health care provided is efficient. In addition, the quality of health care in long term care settings is a great determinant of the recovery of the patients. Patients require a setting that suppresses the effects of their mental instability. The annotated bibliography will analyze articles that analyze the impact of improved quality of care in long term care settings for Alzheimer patients. Annotated Bibliography Zekry, D., Herrmann, R., Grandjean, R., Vitale, M., De Pinho, F., Michel, P., Gold, G. & Krause, K. (2009) Does dementia predict adverse hospitalization outcomes? A prospective study in aged inpatients. International Journal of Geriatric Psychiatry, 24:283-291. In the article, the authors develop the assumption that cases of dementia or Alzheimer’s disease develop the need for a patient to be provided with adverse forms of hospitalization. In addition, the authors assert that many aged patients in nursing homes rarely approve of the type of medication being provided. However, their mental conditions prompt the need to use adverse hospitalization approaches. The article uses data provided by nursing homes on patients with dementia and Alzheimer’s disease. Additionally, patients that had recovered from dementia or had suppressed effects are used in the study. From the information provided, the conclusion that mental instability level of a person determines the form of treatment they get in nursing homes. This is done to minimize instances of adverse hospitalization outcomes. De Moraes, R. & Da Silva, S. (2009). An evaluation of the burden of Alzheimer patients on family caregivers. Cad Saude Publica, 25:1807-1815. The article recognizes that the quality of care provided on Alzheimer patients in homes are determined by the skills of the caregiver. However, the effects on the caregivers minimize their ability to perform their tasks. The authors analyze the effects of Alzheimer patients to caregivers and ways the effects can be minimized to ensure provision of quality healthcare. Data was collected from interviews with caregivers. In addition, three long term care homes for patients with Alzheimer’s disease are used. From the data collected, it is discussed that family caregivers develop emotional fatigue and depression after long term placements with Alzheimer patients. Additionally, family caregivers cite improved working hours and infrastructure development in nursing homes as solutions towards improving the quality of care provided. Gaugler, E., Yu, F., Krichbaum, K. & Wyman, F. (2009). Predictors of nursing home admission for persons with dementia. Med Care, 47:191-198. The ability to provide quality care to Alzheimer and dementia patients is determined by their placement probability in nursing homes. The article is of the assumption that predictors are used to determine the ability of a patient with mental instability to fit in the society. In addition, predictors of mental instability influence the level of care a patient will be provided with in a nursing home. The article used data collected from five nursing homes. It was concluded that homes that relied on predictors to determine the suitability of a person to be in a nursing home had less faulty admissions. Consequently, predictors are also used to determine the recovery progress of the patient that may require them to be discharged. Hazzan, A., Ploeg, J., Shannon, H., Raina, P. & Oremus, M. (2013). Association between caregiver quality of life and the care provided to persons with Alzheimer’s disease: protocol for a systematic review. Systematic Reviews, 2:17. The authors are of the assumption that the role of the caregiver to provide quality care to Alzheimer patients is influenced by their quality of life. Moreover, the quality of life provided to the caregivers in nursing homes is also significant determinants. The research was conducted in nursing homes and the response of caregivers recorded. In addition, caregivers who cited satisfied working environment and conditions had improved and quality skills compared with caregivers who are less satisfied with their roles. The conclusion developed asserts that improving the quality of care in nursing homes should start from improving the quality of life provided to caregivers. Additionally, continuous assessment of the quality of life caregivers are being provided with should be considered. Marit, M., Kirkevold, M., Janne, R., Geir, S. & Knut, E. (2014). Variables associated to quality of life among nursing home patients with dementia. Aging & Mental Health, 18, (8). In the article, the authors depict that, variables to quality of life in Alzheimer patients as the greatest factor in providing quality care. Numerous variables affect the effectiveness of providing quality care to patients with mental instability. For instance, therapy sessions used a century back are not similar to therapy sessions used in the modern day nursing homes. To understand the effectiveness of analyzing variables to quality of life, the article collects information from caregivers in nursing homes. All caregivers interviewed cited at least one from of variable that has improved their role as caregivers. In addition, nursing homes that adjusted to variables to improve quality of life recorded greater success in providing improved care for Alzheimer and other patients with mental disorders. Dodel, R., Neff, F., Noelker, C., Pul, R., Du, Y., Bacher, M. & Oertel, W. (2010). Intravenous Immunoglobulin as a Treatment for Alzheimers Disease: Rationale and Current Evidence. Drugs. 70(5):513–528. The article develops the assertions that Alzheimer patients should be provided with treatment that may reduce their risks of full mental instability. In addition, suppress the effects of the disease. The authors subject the use of Intravenous Immunoglobulin. The treatment involves replacement of plasma cells that are infected. The treatment does not entirely provide a recovery option but suppresses the spread of the infection. From the article, 60% of Alzheimer patients with a history of Intravenous Immunoglobulin therapy have suffered less effects of the disease. The data used in the article is collected from comparisons of patients who have used the therapy and other forms of therapy. Intravenous Immunoglobulin therapy is more effective in enabling patients and caregivers suppress the spread of Alzheimer disease. Heo, H. & Lee, M. (2013). The possible role of antioxidant vitamin C in Alzheimers disease treatment and prevention. American Journal of Alzheimers Disease and Other Dementias. 28(2):120–5. The article is of the assumption that oxidative stress is one of the leading causes of Alzheimer disease. In addition, it increases the severity of the effects of the disease. To minimize the occurrence of oxidative stress, antioxidants are use. Vitamin C provided the most efficient antioxidant option. In the long-term care setting, antioxidants are effective in suppressing the effects of the Alzheimer disease. From the date presented in the article, older adults who use Vitamin C as an antioxidant have a less probability of contact the Alzheimer disease. In addition, patients with the disease had less severe effects if they used Vitamin C as an antioxidant. Data was collected from two nursing homes. 20 respondents were used. Their medical charts are also analyzed. Solfrizzi, V., Panza, F., Frisardi, V., Seripa, D., Logroscino, G., Imbimbo, P. & Pilotto, A. (2011). Diet and Alzheimers disease risk factors or prevention: the current evidence. Expert Review of Neurotherapeutics, 11(5):677–708. In the long-term care setting, the onset and spread of the Alzheimer disease should be contained. The authors are of the assumption that proper dieting in older adults decreased their prevalence to Alzheimer disease. For instance, consumption of fish significantly minimizes risks associated with onset and spread of the Alzheimer disease. The article used aged adults as correspondents. In addition, caregivers were consulted to determine the type of food use of AD patients. From the data collected, it is discussed that consumption of fish fats, vegetables oil, non-starchy vegetables, and fruits and excluding food with added sugar increase the suitability of a person fight off onset and spread of AD. In addition, the article concludes that there are not definite instructions, but caregivers should consider the meals cited when developing diets. Kastenholz, B., Garfin, E., Horst, J. & Nagel, A. (2009). Plant Metal Chaperones: A Novel Perspective in Dementia Therapy. Amyloid: The International Journal of Experimental and Clinical Investigation: The Official Journal of the International Society of Amyloidosis, 16(2):81–3. The article recognizes that oxidative stress and Dys-homeostasis of copper metabolism are leading causes of AD. Consequently, metal bioavailability in the body is important and target for therapeutic agents. To provide the body with more targets, metal chaperons are proposed. The metal chaperons used are from medicinal plants. Data used in article is from responses collected from patients who use metal chaperons. These patients responded well to therapy compared to patients with no metal chaperons. In addition, to improve to quality of care provided, caregivers cited that the use chaperons hasten the recovery of patients from AD and other mental disorders. Rose, K. & Lopez, R. (2012) "Transitions in Dementia Care: Theoretical Support for Nursing Roles" OJIN: The Online Journal of Issues in Nursing, 17 (2). The article seeks to understand the trends in care provided to patients with mental disorders. In addition, the article develops a support mechanism for nurses in nursing homes. The authors assert that the suitability of care provided to patients is determinant on trends embraced to improve care delivery. In addition, nurses are best placed to be educated on how to improve care provision to patients with mental disorder. Data used in the article is developed from understanding nursing role in homes. Specifically, the role of nurses in six homes was analyzed. Nurses who cited increased transition in strategies to provide care had improving patients. The date developed the conclusion that, to improve the quality of care provided to patients, trends in the nursing roles should be considered. Arrighi, H., Neumann, P., Lieberburg, M. & Townsend, R. (2010). Lethality of Alzheimer disease and its impact on nursing home placement. Alzheimer Disease & Associated Disorders, 24(1), 90. The article seeks to analyze the effects of Alzheimer disease on patients and the level of the effects if a patient is placed in a nursing home. The article aims at justifying the hypothesis that the effects of the Alzheimer disease are mild when a patient is placed in a nursing home. In addition, placement in a nursing home exposes a patient to medical strategies that may improve their mental condition. To collect data, the article analyzed the medical records Alzheimer disease patients in nursing homes and patients not in homes. From the data collected, it is determined that patients not in homes suffered severe effects of AD. In addition, patients in homes showed improved mental condition due to therapy and medical care provided in these institutions. Ballard, C., Gauthier, S., Cummings, L., Brodaty, H., Grossberg, T., Robert, P., & Lyketsos, G. (2009). Management of agitation and aggression associated with Alzheimer disease. Nature Reviews Neurology, 5(5), 245-255. The main objective of seeking placement in a nursing home is to minimize the lethality of the AD. However, nursing homes should seek well developed management strategies to minimize aggression and agitation caused by AD. The authors assert that to develop efficient management strategies, the level of damage on a patient should be determined. This increases the suitability of the treatment provided. The article develops a conclusion under the hypothesis that proper management of agitation and aggression in Alzheimer patients improves their coping abilities. The data used in the article is collected from patient suffering from Alzheimer in nursing homes. Their level of aggression and agitation is determined before and after treatment. Before treatment patients are highly aggressive and agitated. After treatment, aggression and agitation are rare in Alzheimer patients. Bramble, M., Moyle, W., & McAllister, M. (2009). Seeking connection: Family care experiences following long-term dementia care placement. Journal of Clinical Nursing, 18(22), 3118-3125. The authors seek to determine the effects on a patient after and long-term placement in a home. The article is developed under the hypothesis that people with cases of mental instability respond well to the society after placement in home. The article asserts that patients develop connections with people after placement in homes since they are enabled to cope with the effects of metal disorders. In addition, the authors assert that family care becomes less tasking after a patient is placed in home. The data used is collected from family caregivers for patients after a long placement in nursing homes. The response collected from the nurses justifies the hypothesis that patents become less aggressive after placement in homes. In addition, the nurses point out that family care become easier as patients are more cooperative. Chan, H. Y. L., & Pang, S. (2010). Let me talk–an advance care planning program for frail nursing home residents. Journal of Clinical Nursing, 19(21-22), 3073-3084. The article focuses on analyzing the strategies employed in homes to cater for frail Alzheimer patients. The authors are of the assumption that frail patients require advanced program to increase their ability to cope with effects of the disease. In addition, the program used should be different strategies used in stable patients. Data is collected from nursing homes that use different programs in stable and frail patients. From the data collected, it is evident that the role of the nursing home is more effective if frail patients are provided with advanced programs to enable then cope. In addition, frail patients require more care than stable patients. Davis, J. D., Tremont, G., Bishop, D. S., & Fortinsky, R. H. (2011). A telephone-delivered psychosocial intervention improves dementia caregiver adjustment following nursing home placement. International Journal of Geriatric Psychiatry, 26(4), 380-387. The authors assert that there is always a concern for patients with Alzheimer or any other mental disorder after spending time in a nursing home. Away from the home, the patient needs to adapt to normal life and limited care. However, a telephone delivered psychological intervention improves the adapting ability of the patients after placement in home. The article is developed under the hypothesis that telephone delivered mental intervention improves the ability of the patient to cope with their environment after placement in a home. Data used in the article is collected from patients with access to telephone delivered psychological intervention. In these patients, the effects of Alzheimer are well maintained at the same level as when in nursing homes. The data collected develop the conclusion that a telephone delivered psychological intervention improves the ability of the patient to cope after placement. Ducharme, C., Lévesque, L., Lachance, M., Kergoat, J., Legault, J., Beaudet, M. & Zarit, H. (2011). Learning to become a family caregiver: Efficacy of an intervention program for caregivers following diagnosis of dementia in a relative. The Gerontologist, 51(4), 484-494. The article seeks to address the need to provide care to patients after placement. The author asserts that a family member is best placed to provide care for a patient after placement. However, relatives require training on how to provide care after placement. The hypothesis used points that a relative is best placed to provide care to a patient after placement in a home if there are well equipped with the required skills. The data used in the article are collected from patients who are under care of relatives who are well trained to provide care. From the data collected, it is an accurate assumption that patients with well-trained relatives as caregivers are at a high probability to adapt to the environment after placement. Gitlin, N., Winter, L., Dennis, P., Hodgson, N. & Hauck, W. (2010). Targeting and managing behavioral symptoms in individuals with dementia: A randomized trial of a non-pharmacological intervention. Journal of the American Geriatrics Society, 58(8), 1465-1474. The article seeks to analyze the role of non-medical interventions to enable patients cope with the effects of the Alzheimer disease. The authors are of the assumption that management of behavioral symptoms is an important intervention strategy for patients with cases of mental instability. In addition, behavioral symptoms management enables patient to adapt to non-medicinal treatment approaches. The data used in the article is collected from nursing homes with highly functional behavioral symptoms management systems. From the date collected, the conclusion that non-medicinal approaches to treatment are as effective as medicinal treatment is developed. In addition, behavioral symptoms management provides a long-term coping strategy for Alzheimer patients. Lopez, P., Amella, J., Mitchell, L. & Strumpf, E. (2010). Nurses perspectives on feeding decisions for nursing home residents with advanced dementia. Journal of Clinical Nursing, 19(5-6), 632-638. The authors are of the assumption that feeding programs play a massive role in quality care provision in patients with mental disorders. In addition, feeding decisions should be developed by nurses. Consequently, nurses should be trained on how to make effective feeding decisions. The hypothesis used in the article is that feeding is as important as any other intervention strategy used on Alzheimer patients. To collected data, the authors analyzed the suitability of nurses in home to make correct feeding decisions. All nurses interviewed cited feeding decisions as mandatory requirement in providing quality care. From the data collected, the article develops the concussion that the suitability of the nurse to make feeding decision increases the suitability of their quality of care. Van Hoof, J., Kort, H. &Van Waarde, H. (2010). Environmental interventions and the design of homes for older adults with dementia: an overview. American Journal of Alzheimers Disease & Other Dementias, 25(3): 202-232. In the long-tern treatment of Alzheimer patients, the environment is a significant factor. The authors point out that the environmental design influence the suitability of the patient to cope with the effects of AD. For this reason, designs used in homes should be patient friendly. The hypothesis used in the article is that the design of nursing homes influence the quality of care provided to patients. For data collection, the article uses responses obtained from the effectiveness of design in treatment of Alzheimer patients. The data collected depicts that design used in homes influence the recovery ability of patients. For instance, a design that allows for easy locomotion enables a patient to understand their environment thus increase coping abilities. Heijmen, P. & Manthorp, C. (2011). Design for dementia care: international models. Journal of Dementia Care, 19(2): 20-22. The article also focuses on the effectiveness on environmental design in providing quality care to Alzheimer patients. The authors are of the assumption that the design in homes should be patient friendly. This may include proper infrastructure to allow carrying out of physical activities. The article is developed under the hypothesis that environmental design is an important factor in providing quality care. The article uses data collected from analyzing the responses of nurses in their suitability to provide care as influenced by environmental design. From the responses, the article develops the conclusion that the suitability of nurses to provide care is influenced by the surrounding infrastructure. References Arrighi, H., Neumann, P., Lieberburg, M. & Townsend, R. (2010). Lethality of Alzheimer disease and its impact on nursing home placement. Alzheimer Disease & Associated Disorders, 24(1), 90. Ballard, C., Gauthier, S., Cummings, L., Brodaty, H., Grossberg, T., Robert, P., & Lyketsos, G. (2009). Management of agitation and aggression associated with Alzheimer disease. Nature Reviews Neurology, 5(5), 245-255. Bramble, M., Moyle, W., & McAllister, M. (2009). Seeking connection: Family care experiences following long-term dementia care placement. Journal of Clinical Nursing, 18(22), 3118-3125. Chan, H. Y. L., & Pang, S. (2010). Let me talk–an advance care planning program for frail nursing home residents. Journal of Clinical Nursing, 19(21-22), 3073-3084. Davis, J. D., Tremont, G., Bishop, D. S., & Fortinsky, R. H. (2011). A telephone-delivered psychosocial intervention improves dementia caregiver adjustment following nursing home placement. International Journal of Geriatric Psychiatry, 26(4), 380-387 De Moraes, R. & Da Silva, S. (2009). An evaluation of the burden of Alzheimer patients on family caregivers. Cad Saude Publica, 25:1807-1815. Dodel, R., Neff, F., Noelker, C., Pul, R., Du, Y., Bacher, M. & Oertel, W. (2010). Intravenous Immunoglobulin as a Treatment for Alzheimers Disease: Rationale and Current Evidence. Drugs, 70(5):513–528. Ducharme, C., Lévesque, L., Lachance, M., Kergoat, J., Legault, J., Beaudet, M. & Zarit, H. (2011). Learning to become a family caregiver: Efficacy of an intervention program for caregivers following diagnosis of dementia in a relative. The Gerontologist, 51(4), 484-494. Gaugler, E., Yu, F., Krichbaum, K. & Wyman, F. (2009). Predictors of nursing home admission for persons with dementia. Med Care, 47:191-198. Gitlin, N., Winter, L., Dennis, P., Hodgson, N. & Hauck, W. (2010). Targeting and managing behavioral symptoms in individuals with dementia: A randomized trial of a non-pharmacological intervention. Journal of the American Geriatrics Society, 58(8), 1465-1474. Hazzan, A., Ploeg, J., Shannon, H., Raina, P. & Oremus, M. (2013). Association between caregiver quality of life and the care provided to persons with Alzheimer’s disease: protocol for a systematic review. Systematic Reviews, 2:17. Heijmen, P. & Manthorp, C. (2011). Design for dementia care: international models. Journal of Dementia Care, 19(2): 20-22. Heo, H. & Lee, M. (2013). The possible role of antioxidant vitamin C in Alzheimers disease treatment and prevention. American Journal of Alzheimers Disease and Other Dementias. 28(2):120–5. Kastenholz, B., Garfin, E., Horst, J. & Nagel, A. (2009). Plant Metal Chaperones: A Novel Perspective in Dementia Therapy. Amyloid: The International Journal of Experimental and Clinical Investigation: The Official Journal of the International Society of Amyloidosis, 16(2):81–3. Lopez, P., Amella, J., Mitchell, L. & Strumpf, E. (2010). Nurses perspectives on feeding decisions for nursing home residents with advanced dementia. Journal of Clinical Nursing, 19(5-6), 632-638. Marit, M., Kirkevold, M., Janne, R., Geir, S. & Knut, E. (2014). Variables associated to quality of life among nursing home patients with dementia. Aging & Mental Health, 18(8). Rose, K. & Lopez, R. (2012) "Transitions in Dementia Care: Theoretical Support for Nursing Roles" OJIN: The Online Journal of Issues in Nursing, 17 (2). Solfrizzi, V., Panza, F., Frisardi, V., Seripa, D., Logroscino, G., Imbimbo, P. & Pilotto, A. (2011). Diet and Alzheimers disease risk factors or prevention: the current evidence. Expert Review of Neurotherapeutics, 11(5):677–708. Van Hoof, J., Kort, H. &Van Waarde, H. (2010). Environmental interventions and the design of homes for older adults with dementia: an overview. American Journal of Alzheimers Disease & Other Dementias, 25(3): 202-232. Zekry, D., Herrmann, R., Grandjean, R., Vitale, M., De Pinho, F., Michel, P., Gold, G. & Krause, K. (2009) Does dementia predict adverse hospitalization outcomes? A prospective study in aged inpatients. International Journal of Geriatric Psychiatry, 24:283-291. Read More