The effectiveness and cost-effectiveness of a new care programme for managing behavioural problems, based on Dutch national guidelines, are discussed and evaluated.
The care programme consists of four steps: detection, analysis, treatment and evaluation. Fourteen dementia special care units are to implement the care programme. The primary outcome is the behavioural problems themselves. Secondary outcomes include quality of life, prescription rate of antipsychotics, use of physical restraints, staff workload and the job satisfaction of nursing staff.
This care programme is expected to be a cost-effective and effective approach to decreasing behavioural problems, the workload of nursing staff and for increasing quality of life of residents.
Zwijsen, SA. Smalbrugge, M. [and] Zuidema, SU. [et al] (2011). Grip on challenging behaviour: a multidisciplinary care programme for managing behavioural problems in nursing home residents with dementia. Study protocol. BMC Health Services Research, 2011, Vol.11(41), pp.. (Click here to view the PubMed abstract).