Claudia Frankenberg

Erwartungshaltungen, Kommunikation und Kooperation von Pflegenden und Ärzten in der stationären Altenpflege

ZusammenfassungHintergrundEine gute Zusammenarbeit von Pflegenden und Ärzten in der stationären Altenpflege bildet die Grundlage für die Versorgungsqualität von Heimbewohnern.Ziel der ArbeitZiel der Untersuchung ist die Offenlegung der von den Pflegenden und Ärzten wahrgenommenen Probleme und Verbesserungsmöglichkeiten in der Zusammenarbeit mit der jeweils anderen Berufsgruppe.Material und MethodenMithilfe einer standardisierten Fragebogenerhebung mit geschlossenen und offenen Fragen wurden 172 Pflegefach- und Hilfskräfte sowie 83 an der Heimversorgung beteiligte Haus- und Fachärzte zu Kommunikation und Kooperation zwischen Pflegenden und Ärzten befragt.ErgebnissePflegende wünschen sich einen offenen und respektvollen Umgang mit den Ärzten. Hingegen sehen die Ärzte in den strukturellen Rahmenbedingungen der Heimversorgung das Hauptproblem der Kooperation.BackgroundGood cooperation between professional caregivers and physicians in nursing home care is the basis of healthcare quality for residents.AimThe aim of the study was the disclosure of perceived problems and improvements by professional caregivers and physicians concerning cooperation with the other professional group.Material and methodsA total of 172 professional caregivers and auxiliary staff as well as 83 physicians and specialists involved in nursing home care were surveyed using a standardized questionnaire with closed and open questions about communication and cooperation between professional caregivers and physicians.ResultsProfessional caregivers wanted an open and respectful relationship with physicians, whereas physicians considered the structural framework of nursing home care as the main problem for cooperation.ConclusionThe different perceptions of problems and positive aspects of cooperation are a starting point for interventional measures.

12-Year Associations of Health with Personality in the Second Half of Life

We examined longitudinal associations between personality, objective (physician-rated) and self-rated health over 12 years in two German cohorts (midlife cohort, born 1950/52, nT0 = 502; late-life cohort, born 1930/32, nT0 = 500) from the Interdisciplinary Longitudinal Study of Adult Development (ILSE). Based on cross-lagged panel design analyses controlling for sex, education, depression, and cognitive abilities, we found that after 12 years better baseline objective health predicted lower Neuroticism and higher Agreeableness, whereas baseline Extraversion and Conscientiousness were positive predictors of later self-rated health. Our findings thus illustrate that the direction of longitudinal personality-health associations is dependent on whether objective or self-rated health is considered, whereas relations do not seem to be considerably different in midlife vs. in old age.

NEUROPSYCHOLOGICAL PERFORMANCE IN TWO BIRTH COHORTS BORN 20 YEARS APART: DATA FROM THE INTERDISCIPLINARY LONGITUDINAL STUDY OF ADULT DEVELOPMENT AND AGING (ILSE)

2back accuracy rate Gender -0.135 (0.079) -0.049 (0.519) -0.054 (0.470) Age -0.325 (< 0.001) -0.222 (0.006) -0.276 (0.001) Education 0.229 (0.004) 0.151 (0.049) 0.156 (0.041) Right IPG activation – 0.322 (< 0.001) 0.348 (< 0.001) Right IPG left MCG connectivity – – 0.168 (0.028) 0back reaction time Gender 0.124 (0.118) 0.127 (0.105) 0.113 (0.144) Age 0.235 (0.005) 0.187 (0.027) 0.251 (0.005) Education -0.114 (0.158) -0.094 (0.241) -0.104 (0.191) Left ACG activation – 0.175 (0.028) 0.198 (0.013) Left ACG left IPG connectivity – – -0.184 (0.027)

PSYCHOTROPIC MEDICATION IN NURSING HOMES

with an information booklet set. Ten participants were recruited from the Mental Health Clinic during PWD out-patient clinic sessions in Hong Kong. Caregivers’ self-efficacy and subjective burden were measured prior to the program, immediately after the completion of the program, and one month after the program. Data analysis was conducted using SPSS. Results: The adherence rate was over 70% among the 10 participants. Due to the limitation of the small sample size, a non-parametric test was employed to analyze the differences among the participants. The results showed improving trends in both caregiving self-efficacy and psychological burden of the participants in the two post-intervention time-points. Conclusions:After the intervention program employed in the pilot study, both the caregiving self-efficacy and psychological burden of the participants improved, which suggests that it is a feasible and cost-effective program for dementia caregivers. However, for more robust evidence, a RCT with sufficient effect size should be performed.

CAREGIVERS’ EDUCATION IMPROVES ORAL HEALTH OF OLDER PEOPLE SUFFERING FROM DEMENTIA

HEALTH OF OLDER PEOPLE SUFFERING FROM DEMENTIA Andreas Zenth€ofer, Inga Meyer-K€uhling, Claudia Frankenberg, Nadja Andrejeva, Petra Wetzel, Johannes Schr€oder, Tomas Cabrera, Christina Degen, Peter Rammelsberg, Alexander Hassel, University Hospital Heidelberg, Heidelberg, Germany; 2 Institute of Gerontology, University of Heidelberg, Heidelberg, Germany; Section of Geriatric Psychiatry, University Hospital Heidelberg, Heidelberg, Germany; 4 University Hospital Heidelberg, Heidelberg, Germany; 5 Section for Geriatric Psychiatry, University of Heidelberg, Germany, Heidelberg, Germany. Contact e-mail: andreas.zenthoefer@med.uni-heidelberg.de

Mortality, apathy, and atypical drugs

MiDD was 9.90% in NCD, 16.89% in MCI, and 19.51% in ADD. The frequency of NIMH-dAD was 26.23%, 33.56%, and 40.24%, respectively. While the frequency of MaDD did not show any significant difference among cognitive subgroups, those of MiDD and NIMH-dAD, i.e., relatively milder depression syndromes, had significant group difference with gradual increase from NCD to ADD. Conclusions: The current findings obtained from a large number of cognitively diverse elderly individuals who visited a memory clinic indicated that mild depressive conditions are highly prevalent in general and more common in individuals with poorer cognitive condition, while the frequency of severe depressive disorder like MaDD is not related to cognitive status.