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Age and Ageing Advance Access originally published online on March 22, 2008
Age and Ageing 2008 37(4):390-395; doi:10.1093/ageing/afn055
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Copyright © The Author 2008. Published by Oxford University Press on behalf of the British Geriatrics Society.

The feasibility of care mapping to improve care for physically ill older people in hospital

Rosemary J. Woolley1, John B. Young1, John R. Green1 and Dawn J. Brooker2

1 Academic Unit of Elderly Care and Rehabilitation, Bradford Teaching Hospitals NHS Foundation Trust and University of Leeds, Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, BD9 6RJ, UK
2 Bradford Dementia Group, Division of Dementia Studies, School of Health Studies, University of Bradford, Bradford BD7 1DP, UK

Address correspondence to: Rosemary Jane Woolley. Tel: 01274 383403/383406; Fax: 01274 382766. Email: rosemary.woolley{at}bradfordhospitals.nhs.uk

Background: providing dignity in health care for older people is an important policy and clinical objective but requires implementation using reliable methods. Our objective was to investigate the feasibility of a person-centred observational practice development method known as dementia care mapping (DCM) in hospital wards for physically ill older people, including those who do not have dementia.

Methods: DCM (version 8) was conducted in three elderly care general hospital wards and in two community hospitals. Summary statistics were calculated from the DCM data to assess feasibility and adequacy of the DCM coding system.

Results: fifty-eight participants were mapped for 84 observation hours/414 patient hours (4,968 5-min time frames). There was a relatively high proportion (942/2,376; 40% time frames) of missing data in the community hospitals due to time patients spent away from the area under observation. All 3,624 of the time frames with patient-observed data could be coded utilising the existing Behaviour Category and Mood/Engagement Value coding frameworks.

Discussion: the results from this preliminary study are promising and indicate that DCM is potentially feasible in elderly care general hospital wards, without the need for major modification.

Keywords: elderly, personhood, general wards, person-centred care, DCM

Received 20 July 2007; accepted in revised form 11 December 2007.


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