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Implementation of a working instrument into daily care in ambulant and stationary geriatric care

Project leader: Dr. Klaus Maria Perrar, Prof. Dr. Raymond Voltz
Contact: Holger Schmidt, Yvonne Eisenmann
Duration: 09/2015 - 08/2017
Funding institution: Federal Ministry of Family Affairs, Senior Citizens, Women and Youth (BMFSFJ)

People with severe dementia at the end of their lives often receive inadequate care. Their limited verbal communication possibilities lead to a more difficult access to their world of needs and to the necessity of a sensitive accompaniment. On this basis, a working aid was developed for inpatient care of the elderly. On the one hand, this should help carers to recognise the needs of people with severe dementia in the final phase of their lives. On the other hand, it offers suggestions as to how the needs can be met. The aim of the study is to implement the work aid in the care practice of outpatient and inpatient care for the elderly and to record the effect on the care of people with severe dementia in the final phase of life.

The quasi-experimental study design includes a pilot phase in which the work aid is first adapted to the specific requirements of the nursing staff. For this purpose, focus groups are carried out, on the basis of which an introductory concept (e.g. training or information event) is developed for the subsequent implementation phase. Nurses from ten outpatient and inpatient care facilities for the elderly then use the work aid for twelve weeks in everyday care. To illustrate possible effects on their work situation and on the quality of life of people with severe dementia, written surveys are carried out before and after implementation of the work aid (one-group pretest post-test design).