title: Provision of morning care to nursing home residents with dementia: opportunity for improvement?
abstract: Significant contact between nursing staff and nursing home residents with dementia occurs during assistance with activities of daily living during morning care; however, the content and process of morning care have received little attention in the scientific literature. To better understand the morning care process and its role in generation of pain symptoms, 51 videotaped episodes of morning care involving 17 nursing home residents from 3 long-term care facilities were coded and analyzed; each resident had a diagnosis of dementia and concern about possible pain during assistance with activities of daily living. The typical morning care episode involved performance of multiple activities of daily living during a short period of time, during which pain stimulation and expression occurred frequently. Much could be done to make morning care more an activity to be enjoyed rather than a task to be completed.
authors.affiliation: Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill, North Carolina 27599-7590, USA. psloane@med.unc.edu
authors.forename: Philip D
authors.initials: PD
authors.lastname: Sloane
authors.forename: Lois L
authors.initials: LL
authors.lastname: Miller
authors.forename: C Madeline
authors.initials: CM
authors.lastname: Mitchell
authors.forename: Joanne
authors.initials: J
authors.lastname: Rader
authors.forename: Kristen
authors.initials: K
authors.lastname: Swafford
authors.forename: Shirin O
authors.initials: SO
authors.lastname: Hiatt
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000544:Alzheimer Disease / Q000523:psychology / Q000628:therapy*; D001519:Behavior; D003071:Cognition; D003695:Delivery of Health Care / Q000592:standards*; D003704:Dementia / Q000523:psychology / Q000628:therapy*; D005260:Female; D006707:Homes for the Aged / Q000592:standards*; D006801:Humans; D008134:Long-Term Care / Q000592:standards; D008297:Male; D009735:Nursing Homes / Q000592:standards*; D009922:Oregon; D010146:Pain / Q000453:epidemiology / Q000209:etiology; D014743:Videotape Recording