Research Article

Personalising Management of Behavioural and Psychological Symptoms of Dementia in Nursing Homes: Exploring the Synergy of Quantitative and Qualitative Data

Table 4

The insights generated from data analysis and the subsequent modifications in the care plan from the care plan meeting.

Insights (input of the care plan meeting, represented by the quotes from the Professional Caregiver)Modifications in the care plan (output of the care plan meeting)

“If she is not being invited to the living room, she will call somebody, and if she is then being invited to the living room, then the problem is solved. Maybe she is thinking I have finished morning care and eating, why am I still in my room? So, to prevent her from getting high in stress, we should invite her to the living room around 9:30 am.”Invite the resident to the living room around 9:30 am
“After activities, most of the time she will be brought to her room. From the data, I can see sometimes she is brought to the living room. She tends to get high in stress when she is brought to the living room.”
“When she is high in stress, and gets invited to the living room, sometimes she is fine but sometimes she will have stress if she stays in the living room.”
“I will ask the physiotherapist to end the session in her room.”
Bring the resident to her room after activities
“There is one day that she had both music therapy and physiotherapy, it is too many stimuli for her.”
“There is one time that she went to the activity room with the volunteers, that was too much for her.”
“One hour of activity is enough for the day and not too long.”
Limit the number of activities per day
“If she had lots of activities in the day, like visits from the family, going to the church, music therapy, physio, it is better for her to eat in her own room.”
“If there are not so many things going on, she then eats in the living room.”
Choose dinner location based on the daily activities
“Sometimes when she is shouting in the living room and being brought back to her room, after a while, she is invited to the living room again, she does not shout anymore, she just mumbles unhappily.”
“I will let her stay in her room after activities. It does not need to take long. After around 30 mins, I will check if she is OK. If she needs more time, I will go check after another 30 mins.”
Invite the resident to the living room as soon as she is calmed down