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Dementia Care:. A Comprehensive Exploration of Certified Nursing Assistant Training. Research indicates that there isn’t proper care given to those dementia patients living in long-term care facilitie s Dementia is the most common diagnosis in nursing home populations - PowerPoint PPT Presentation

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Dementia Care:

Dementia Care:A Comprehensive Exploration of Certified Nursing Assistant Training{BackgroundResearch indicates that there isnt proper care given to those dementia patients living in long-term care facilities

Dementia is the most common diagnosis in nursing home populationsNearly 90 percent of dementia sufferers will have at least one nursing home stay in their lifetime

Experts believe that nearly 4 million people in the United States are currently living with the disease

360,000 Americans are diagnosed each year

50,000 people are reported to die with the disease each year

DefinitionsCertified Nursing Assistant: A certified nursing assistant, or CNA, helps patients or clients with healthcare needs under the supervision of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN).

Dementia Special Care Unit: Dementia Special Care Units (SCUs) exist to better meet dementia residents' needs and to protect residents without dementia in nursing homes and residential care facilities.PurposeWhy?

Currently there is a lack of training and preparation given to certified nursing assistants in caring for older adults with dementia

In order to draw awareness to the lack of training further investigation of the current training needs to be considered

The CNAs basic training includes competencies dealing with older adults who have dementia, but the training is not extensive

Research QuestionsWhat special care is given for dementia patients?

Do CNAs receive adequate training to care for those patients with dementia?

Why is the current dementia training proving to be unsuccessful?

What improvements need to be made to the current training procedures for CNAs in relation to caring for dementia patients?

Hypothesis There is a gap in what is expected from the residents and families and what care the residents are actually receiving

The current training offered is inconsistent and ineffective

Current Dementia TrainingVary depending on the state

Focusing on Indiana

In 2003 Indiana proclaimed the requirement of dementia-specific training in all facilities that had contact with dementia residents

In addition to the required in-service hours, staff shall have a minimum of six hours of dementia-specific training within six months and three hours annually thereafter

Alzheimers Association partnered with the Indiana State Health Department to develop training modules

There is no consistency between methods of delivery between facilities

Training (cont)The Alzheimers Association and the State Health Department had visions but they have seemed to have failed

In result, CNAs arent receiving the needed theoretical knowledge because facilities are failing to offer adequate trainingMethodsQualitative Study

Systematic Approach evaluating the current dementia training approaches

Focus specifically on the facilities with Dementia SCUs Methods (cont)Interview 6 different facilities

Survey format

Executive director, Director of Nursing, and CNAsImportant to get perceptions from all

Each facility will have 20 or more surveys completed

Combine common themes

Compare types of training administered and the effectiveness the CNAs believe them to be

CNAs perceptions of their ability to care for dementia patients vs. The training they are being offered

Significance to the fieldMake state officials aware of the inconsistences

Ultimately require the same training procedures (i.e. materials, educators) across the stateLimitations Exaggerated training procedures given by the facility director or director of nursing

Biases from the researcher

References

Faracker, C., & Nilsson, A. (2009). The Competence of Certified Nurse Assistants caring for person with dementia diseases in residential facilities . Journal of Psychiatric and Mental Health Nursing , 16, 146-152.

Gruneir, A., Lapane, K. L., Miller, S. C., & Mor, V. (2008). Is Dementia Special Care Really Special? A New Look at an Old Question. The American Geriatrics Society , 56 (2), 199-205.

Hasson, H., & Arnetz, J. (2007). Nursing staff competence, work strain, stress and satisfaction in elderly care: a comparison of home-based care and nursing homes. Journal of Clinical Nursing , 469-480.

Heath, H. (2004, May 31). Nursing Older People. Retrieved February 15, 2012, from EBSCOhost: http://web.ebscohost.com/ehost/delivery?sid=82a5c4a5-408b-407c-b

Luo, H., Xiangming, F., Youlian, L., Elliot, A., & Zhang, X. (2010). Associations of Special Care Units and Outcomes of Residents With Dementia: 2004 National Nursing Home Survey. The Gerontologish , 50 (4), 509-518.

National Institutes of Health. (2012, December 8). National Institute of Neurological Disorders and Stroke. Retrieved February 8, 2012, from NINDS Dementia Information Page: www.http://ninds.nih.gov/disorders/dementias/dementia.htm

Squillace, M. R., Remsburg, R. E., Harris-Kojetin, L. D., Bercovitz, A., Rosenoff, E., & Han, B. (2009). The National Nursing Assistant Survey: Improving the Evidence Base for Policy Initiatives to Strengthen the Certified Nursing Assistants Workforce. The Gerontologist , 49 (2), 185-197.

Sullivan, M. (2012, February 9). Alzheimer's Assoication. (A. McGaughey, Interviewer)