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Implementation of Function Focused Care for Acute Care Using the Evidence Integration Triangle.

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Function Focused Care (FFC-AC-EIT) improved function and physical activity in hospitalized dementia patients, reducing pain increase. This care approach supports sustained functional gains post-discharge.

Keywords:
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Area of Science:

  • Gerontology
  • Clinical Nursing
  • Evidence-Based Practice

Background:

  • Hospitalized patients with dementia often experience functional decline.
  • Acute care settings present challenges in maintaining patient function.
  • Evidence Integration Triangle framework guides care interventions.

Purpose of the Study:

  • To evaluate the impact of Function Focused Care for Acute Care Using the Evidence Integration Triangle (FFC-AC-EIT) on hospitalized dementia patients.
  • To assess FFC-AC-EIT's effect on function, physical activity, pain, behavioral symptoms, and delirium.

Main Methods:

  • Clustered randomized clinical trial across 12 hospitals.
  • 455 hospitalized patients with dementia participated.
  • Intervention group received FFC-AC-EIT; control group received FFC Education Only.

Main Results:

  • The intervention group experienced a smaller increase in pain at discharge compared to the control group.
  • Significant improvements in function and physical activity were observed at 1 month post-discharge for the intervention group.
  • No significant group differences were found in behavioral symptoms or delirium.

Conclusions:

  • Function Focused Care interventions in acute settings can help maintain and improve function and physical activity in older adults with dementia.
  • This approach may facilitate continued functional gains after hospital discharge.
  • Evidence-based care strategies are crucial for managing dementia patients in acute care.