The purpose of this study is to determine if the daily performance of a 7 step bedtime nursing protocol for hospitalized people living with dementia is feasible and if it has an effect on bedtime and daytime variables.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
40
Bedtime in minutes
Protocol of daily bedtime
Time frame: Daily for up to 14 days from date of giving informed consent to hospital discharge
Sleeps through the night consistently, 5 point ordinal scale from "severe compromised" to "not compromised"
Subitem of the Outcome 'Sleep' from the Nursing Outcome Classification (NOC) Scale: 1. severe compromised 2. substantial compromised 3. moderate compromised 4. mild compromised 5. not compromised
Time frame: Every second day for up to 14 days from date of giving informed consent to hospital discharge
Inappropriate napping, 5 point ordinal scale ranging from "sever" to "none"
Subitem of the Outcome 'Sleep' from the Nursing Outcome Classification (NOC) Scale: 1. severe 2. substantial 3. moderate 4. mild 5. none
Time frame: Every second day for up to 14 days from date of giving informed consent to hospital discharge
Cognitive performance (Mini-mental-status-test score)
Mini-mental-status-test score (range 0-30). Any score greater than or equal to 24 points (out of 30) indicates a normal cognition. Below this, scores can indicate severe (≤9 points), moderate (10-18 points) or mild (19-23 points) cognitive impairment
Time frame: Once in first three days after giving informed consent and another time 7 or 14 days later
Physical performance measured with the Handgrip strength test
Handgrip strength in Pascal
Time frame: Once in first three days after giving informed consent and another time 7 or 14 days later
Use of drugs promoting sleep (sedative neuroleptics, hypnotics, sedative antidepressant in the time between 18:00-24:00) (nominal variable: yes or no)
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Medical charts review for sedative neuroleptics (e.g. Quetiapine, Haloperidol), sedative antidepressives (e.g. Trazodon), hypnotics present (Benzodiazepines, benzodiazepine-like drugs) in the time between 18:00-24:00 (nominal variable: yes or no )
Time frame: day 1,2 and day 6,7 or 13,14
Medical chart review for discharge domicile after hospitalisation (nursing home, home, other institution, other)
Domicile after hospital discharge
Time frame: day 7 or 14