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Bridging the gap betweenpractice & researchLizette Wattel UNO-VUmc

Dutch nursing homes,

Why nursing homes participate in our network;

The organisation of our network

Examples of research(projects)

Benefits and difficulties?

Nursing homes in The Netherlands

Long Term Care Factors in assessment:

Social life skills Psychosocial /cognitive functions ADL / Mobility / Challenging behaviour Structural care need, several times a day

Geriatric Rehabilitation

Home care

Why do organisations choose to participate in the UNO-VUmc? improve the quality of care,

advance the field,

improve the reputation of the organization as a center of

excellence,

improve recruitment and retention of (exceptional) staff,

establish ties with the university.

The bottom-up approach

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6MWT_T0 6MWT_T2

6MW

T (m

eter

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Results 6 MWT at T0 & T1

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clint 2

clint 3

clint 4

clint 5

clint 6

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Num

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Number of falls at T0 & T1

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clint 2

clint 3

clint 4

clint 5

clint 6

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Jul-Sept Nov Dec

Total number of falls per month

all fallers (n=63)

frequent fallers(n=35)

all participants(n=100)

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6MWT (T0) 6MWT (T1)

6 Minut Walk Test (median)

all fallers (n=55)

frequent fallers(n=29)

all participants(n=86)

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T0 T1

Number of falls per group at T0 & T1

intervention

control

What we do

Research Education Development of best practices Implementation

Short term vs. long term results Development vs. implementation

good care for people with brain diseases

good rehabilitation care

good organisation of care

Assistive technologyin care for people with brain diseases

Care for Stroke in LTC in NL

Conclusions

Irritability, depressive symptoms and apathy occur as the most frequent neuropsychiatric symptoms.

Almost 60% of the residents is in pain, despite treatment.

Nearly half of the residents has moderate or severecognitive impairment.

More than a quarter of the residents has poor expressive abilities.

Almost a third of the residents has a low social engagement.

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Conclusions

Irritability, depressive symptoms and apathy occur as the most frequent neuropsychiatric symptoms.

Almost 60% of the residents is in pain, despite treatment.

Nearly half of the residents has moderate or severecognitive impairment.

More than a quarter of the residents has poor expressive abilities.

Almost a third of the residents has a low social engagement.

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Apathy & Pain

Apathy 28% of residents. related to

cognitive impairment very severe ADL-dependency being >12 hours per day in bed

not related to depressive mood symptoms

(individualized) stimulating activities?

Substantial pain 28% of residents. related to

a 60% increase in NPIQ score clinically relevant symptoms of

delusions, agitation/aggression, depression, and anxiety

associated with low social engagement

Pain management!!

Benefits for research & practice For research:

New ideas Better research plan Easier access to care organisations Attention to results

For practice: Quick and easy access to results Useful results, suitable for improving quality of care Inspiring for professionals Influence on research Help and advice for small research projects Supported implementation Development of more professional climate

Difficulties for practice

Time

Achieving results in large organisations

Embedding research & innovation

Support by management

Implementation = changing = difficult

Changes in personnel

Research & practice

Bridging the gap between practice & researchLizette Wattel UNO-VUmcSlide Number 2Nursing homes in The NetherlandsSlide Number 4Slide Number 5Slide Number 6Slide Number 7Why do organisations choose to participate in the UNO-VUmc?The bottom-up approachSlide Number 10Slide Number 11Slide Number 12Slide Number 13What we doSlide Number 15Slide Number 16Slide Number 17Assistive technology in care for people with brain diseasesCare for Stroke in LTC in NLConclusionsConclusionsApathy & PainBenefits for research & practiceDifficulties for practiceResearch & practice

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