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AMDA Long Term Care Medicine - 2013


B07 - Changing the Philosophy of Care in Long Term Care Settings: Innovative Approaches


Mar 22, 2013 11:00am ‐ Mar 22, 2013 12:00pm

Standard: $24.00

Description

Accreditation
The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement:

The American Medical Directors Association designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AMDCP Credit Designation:
This session has been approved for a total of management 1.0 credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).

Session Description:
This session will discuss two innovative philosophies of care that introduce alternatives to how care is usually provided in long term care settings.  These innovative approaches, Function Focused Care and The Volunteer Kibbutz, focus on optimizing resident outcomes in terms of function, physical activity, mood, and resident behavior. In addition to theoretical background and evidence of beneficial outcomes, implementation materials and steps for how to integrate these philosophies of care into real world settings will be provided to participants. 

Learning Objective(s):

  • Describe two innovative philosophies of care developed for long term care settings: Function Focused Care approaches; and The Volunteer Kibbutz Approach.
  • State the benefits to implement of function focused care and the volunteer approach for residents and staff.
  • Describe the step approach to implementation of function focused care and the volunteer kibbutz approach in long term care settings. 




Speaker(s):
Elizabeth Galik, PhD, CRNP; Barbara Resnick, PhD, ANP 

Disclosure(s):
None

Reference(s):
For Function Focused Care Resnick B, Galik E, Gruber-Baldini A, et al. Perceptions and Performance of Function and Physical Activity in AL Communities. Journal of the American Medical Directors Association, 2010;11:406-14. Resnick B, Galik E, Gruber-Baldini A, et al. Implementing a restorative care philosophy of care in assisted living: pilot testing of Res-Care-AL. J Am Acad Nurse Pract 2009;21:123-33. Resnick B, Pretzer-Aboff I, Galik E, et al. Barriers and Benefits to Implementing a Restorative Care Intervention in Nursing Homes. J Am Med Dir Assoc 2008;9:102-8. Resnick B, Gruber-Baldini A, Zimmerman S, et al. Nursing Home Resident Outcomes from the Res-Care Intervention. J of the Am Geriatr Soc 2009; 57(7):1156-1165. . Resnick B, Gruber-Baldini A, Galik E, et al. Changing the philosophy of care in long-term care: testing of the restorative care intervention. Gerontologist 49 2009;49:175-84 Galik E, Resnick B. (in press). Psychotropic medication use and association with physical and psychosocial outcomes in nursing home residents. Journal of Psychiatric Mental Health Nursing. Resnick , B., Galik, E., Boltz, M., Wells, C. (in press). Physical Capability Scale: Psychometric Testing. Clinical Nursing Research. Resnick B, Galik E, Gruber-Baldini A, Zimmerman S. Understanding Dissemination and Implementation of a New Intervention in Assisted Living Settings: The Case of Function Focused Care. J of Applied Gerontology, In press. Resnick B, Galik E, Gruber-Baldini A, Zimmerman S. (2012). Falls and Fall-Related Injuries Associated With Function-Focused Care. Clinical Nursing Research, 21 (1), 34 - 54. Resnick B, Galik E, Gruber-Baldini A, Zimmerman S. (2011). Testing The Impact of Function Focused Care in Assisted Living. Journal of the American Geriatrics Society, 59(12):2233-40. Gruber-Baldini, A.L., Resnick, B., Hebel, J.R., Galik, E., & Zimmerman, S. (2011). Adverse Events Associated with the Res-Care Intervention. Journal of the American Medical Directors Association, 12(8):584–589 Galik EM, Resnick B, Pretzer-Aboff I. (2009). Knowing what makes them tick ': motivating cognitively impaired older adults to participate in restorative care. Int J Nurs Pract., 15(1), 48-55 Galik, E., Resnick, B., Aboff-Pretzer, I., Gruber-Baldini, A. (2008). Pilot Testing of the Restorative Care Intervention for the Cognitively Impaired. Journal of the American Medical Directors Association, 9 (7), 516-522. Galik, E., Resnick, B. & Aboff-Pretzer, I. (2009). Motivating Cognitively Impaired Older Adults to Participate in Restorative Care. International Journal of Older Adults. 15(1):48-55. Pomeroy SH, Scherer Y, Runkawatt V, Iamsumang W, Lindemann J, Resnick B. (2011). Person--environment fit and functioning among older adults in a long-term care setting.Geriatric Nursng, 32(5), 368-78. For Volunteer Activities Ayalon, L. (2008). Volunteering as a predictor of all cause mortality: What aspects of volunteering really matter? Internationl Psychogeriatrics, 20, 1000-1013. Borgonovi, F. (2008). Doing well by doing good: The relationship between formal volunteering and self reported health. Social Science and Medicine, 66, 2321-2334. Borson, S., Scanlan, J.M., Chen, P., et al. (2003). The Mini-Cog as a screen for dementia: Validation in a population-based sample. Journal of the American Geriatrics Society, 51, 1451-1454. Brown, J., Mefford, L., Chen, S., & Brown, A. (2009). Health and function of older persons volunteering for Habitat for Humanity. Southern Online Journal of Nursing Research, 9(3). Burr, J., Tavares, J., & Mutchler, J.E. (2011). Volunteering and hypertension risk in later life. Journal of Aging and Health, 23(1), 24-51. Choi, N., & Bohman, T.M. (2007). Predicting the changes in depressive symptomatology in later life: How much do changes in health status, marital and caregiving status, work and volunteering, and health-related behaviors contribute? Journal of Aging and Health, 19(1), 152-177. Cocca-Bates, K., & Neal-Boylan, L. (2011). Retired RNs: Perceptions of Volunteering. Geriatric Nursing, 32(2), 96-105. Cole, M., & Macdonald, K.C. (2011). Retired occupational therapists' experiences in volunteer occupations. Occupational Therapy International, 18(1), 18-31. Farrell, C., & Bryant, W. (2009). Voluntary work for adults with mental health problems: An exploration of the perspectives of recruiters. British Journal of Occupational Therapy, 72(5), 188-196. Gottlieb, B., Gillespie, A.A. (2008). Volunteerism, health, and civic engagement among older adults. Canadian Journal on Aging, 27(4), 399-406. Harris, A. Thorensen, C.E. (2005). Volunteering is associated with delayed mortality in older people: Analysis of the Longitudinal Study of Aging. Journal of Health Psychology, 10(6), 739-752. Hong, S., & Morrow-Howell, N. (2010). Health outcomes of Experience Corps: a high-commitment volunteer program. Social Science & Medicine, 71(2), 414-420. Howgate, D. (2008). Increasing volunteersm among older adults: Benefits and strategies for states. NGA Center for Best Practices, Issue Brief. Available at: http://www.nga.org/files/live/sites/NGA/files/pdf/0805CIVICENGBRIEF.PDF. Kim, J., & Pai, M. (2010). Volunteering and trajectories of depression. Journal of Aging & Health, 22(1), 84-105. Li, Y., & Ferraro, KF. (2006). Volunteering and depression in later life: Social benefit or selection processes? Journal of Health and Social behavior, 46, 68-84. Librett, J., Yore, M.M., Buchner, D.M., & Schmid, T.L. (2005). Take pride in America's health: Volunteering as a gateway to physical activity. American Journal of Health Education, 36(1), 8-13. Lum, T., & Lightfoot, E. (2005). The effects of volnteering on the physical and mental health of oler people. Research on Aging, 27, 31-55. Luoh, M., & Herzog, A.R. (2002). Health and mortality as individual consequences of volunteer and paid work in old age. Journal of Health and Social Behavior, 43, 490-509. Morrow-Howell, N., Hinterlong, J., Rozario, P.A., & Tang, F. (2003). The effects of volunteering on the well-being of older adults. Journals of Gerontology: Social Sciences, 58B, S137-S145. Pillemer, K., Wagenet, L.P., Goldman, D., Bushway, L., & Meador, R.H. (2009-2010). environmental volunteering in later life: Benefits and barriers. Generations: Journal of the American Society on Aging, 33(4), 58-63. Sarid, O., Melzer, I., Kurz, I., Shahar, D.R., & Ruch, W. (2010). The Effect of Helping Behavior and Physical Activity on Mood States and Depressive Symptoms of Elderly People. Clinical Gerontologist, 33(4), 270-282. Tang, F. (2009). Late-life volunteering and trajectories of physical health. Journal of Applied Gerontology , 28(4), 524-533. van Willignen, M. (2000). Differential benefits of volunteering across the life course. Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 55B, S308-S318. von Bonsdorff, M., & Rantanen, T. (2011). Benefits of formal voluntary work among older people. Aging Clinical & Experimental Research, 23(3), 162-169.

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