Hepburn K, Petrie M, Peterson C, VanLoy W
Department of Family Practice and Community Health, University of Minnesota, Minneapolis 55414, USA.
Gerontologist. 1995 Dec;35(6):831-5. doi: 10.1093/geront/35.6.831.
Eight years after opening, the patient mix on a 64-bed Special Care Unit (SCU) for Alzheimer's residents had become too diverse to allow the intended programming to be carried out. The unit was carefully reconfigured with residents moving within, to, and from the unit. Successful moves typically involve residents in pre-move planning and preparation activities, but since this isn't feasible with dementia patients, extensive planning, training, and preparation of staff substituted for the involvement of residents. The move met its objectives: resident mix and programming are back to the original intent, and quality of life has improved. Improved discharge policies maintain homogeneity of resident levels on the unit. The change produced unexpected changes, and staff, particularly the Certified Nursing Assistants (CNAs), had to make immediate adjustments. Greater CNA involvement is recommended.
开业八年后，一家拥有64张床位的老年痴呆症患者特殊护理单元（SCU）的患者组合变得过于多样化，以至于无法实施预定的项目规划。该单元进行了精心重新配置，患者在单元内移动、进出单元。成功的转移通常让患者参与转移前的规划和准备活动，但由于老年痴呆症患者无法做到这一点，因此工作人员进行了广泛的规划、培训和准备来替代患者的参与。这次转移达到了目标：患者组合和项目规划恢复到原来的意图，生活质量得到了改善。改进后的出院政策保持了单元内患者水平的同质性。这次变革产生了意想不到的变化，工作人员，尤其是注册护理助理（CNA），不得不立即做出调整。建议让CNA更多地参与进来。
