of Veterans with Dementia For use in VA Primary Care Clinics November 2016 Highrisk Care of Veterans with Dementia Keeping Veterans Safe at Home is Everyones Job People with dementia are at great risk of accidents amp injury in the home ID: 693474
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Home Safety Workbook for Caregivers of Veterans with Dementia
For use in VA Primary Care ClinicsNovember 2016Slide2
High-risk Care of
Veterans with DementiaKeeping Veterans Safe
at Home is… Everyone’s JobPeople with dementia are at great risk of accidents & injury in the homeSafety issues are a leading cause of hospitalization, nursing home placement and death in all older adults, especially those with dementiaThese events are often
preventable (Kramarow et al., 2016; Lindquist et al., 2015)Slide3
Now Available in Primary Care Clinics
Workbook with evidence based information
Practical tips for home safety for caregiversHas an itemized list to take to the storeEasy to read with helpful illustrations22 pagesSlide4
From Research to Practice
A home safety toolkit with this
workbook was tested in a randomized control trial (RCT) with safety equipment (such as night lights and motion sensors)
Horvath et al., 2013Slide5
Outcomes of the RCT
The Home Safety Workbook & Items
Made a DifferenceVeterans had significantly fewer (p ≤ 0.001) risky behaviors and accidents
Caregivers had significantly improved:Home environmental safety (p < 0.001)Caregiver self-efficacy (confidence in their caregiving skills) (p< 0.006)
Caregiver strain
(p<.001)Slide6
What are the Safety Items?
Identification Bracelet
Motion Sensor*Slide Bolt Lock
Stove knob CoversMedication dispenser*
Keyed Doorknob
Grab bars*
Colored (Duct Tape) Contrasting tape
Surge protector*
Smoke alarm/Carbon Monoxide alarm
Flashlight
Rubber Tub Mat
Nightlights
Some safety items may be
available
through Prosthetics
.
* Others can be purchased at local storesSlide7
Care Coordination:
Getting the Booklet to Caregivers
Verify there is a caregiver who speaks English living with the VeteranDownload the Home Safety Workbook from _____ website: LINK HEREPrint and give workbook to caregiver
Explain the workbook to the caregiverSlide8
Teaching Points for the Caregiver
Focus is on prevention– safety changes should be made before an accident occurs
This book helps families to know what to expect (advice from other caregivers)Self-paced, they might not need all the items right awayA comprehensive OT order may help to get safety interventions started in the home but is not necessary in all casesSlide9
Examples of Safety Hints
Stove knob covers to prevent kitchen fires
Duct tape on stair edges for color contrast
and fall prevention
Slide bolt lock to prevent getting lost or
other consequences from wanderingSlide10
Cabinet slide lock
To prevent accidental overdose or poisoningSlide11
Sample Page from the WorkbookSlide12
References
Kathy J. Horvath, Scott A. Trudeau, James L. Rudolph, Paulette A. Trudeau, Mary E. Duffy, Dan Berlowitz, “Clinical Trial of a Home Safety Toolkit for Alzheimer’s Disease”, International Journal of Alzheimer’s Disease, vol. 2013, 11pages.
Ellen Kramarow, Ph.D.; Li-Hui Chen, Ph.D.; Holly Hedegaard, M.D., M.S.P.H.; and Margaret Warner,Deaths From Unintentional Injury Among Adults Aged 65 and Over: United States, 2000–2013; May 2015. Retrieved from http://www.cdc.gov/nchs/data/databriefs/db199.pdfLindquist, Ramirez-Zohfeld,
Sunkara, Forcucci, Campbell, Mitzen, & Cameron. (2016). Advanced life events (ALEs) that impede aging-in-place among seniors. Archives of Gerontology and Geriatrics, 64, 90-95.Stetler, C. B., McQueen, L., Demakis, J., &
Mittman
, B. S. (2008). An organizational framework and strategic implementation for system-level change to enhance research-based practice: QUERI series. Implementation Science, 3(30
).Slide13
Contacts for More Information
Lauren Moo, MD (Bedford, MA) Lauren.moo@va.gov
Kathryn Hancock, MSN, RN (Asheville, NC) Kathryn.hancock@va.govWhitney Sprinkle, MSN, RN (Asheville, NC Whitney.sprinkle@va.govEleanor McConnell, PhD, RN (Durham, NC)
Eleanor.mcconnell@va.govMarkedia Mason (Durham, NC) Markedia.mason@va.gov
Created by: P. Trudeau, L. Moo, W. Sprinkle, C. Hebert