title: Care mapping in clinical neuroscience settings: Cognitive impairment and dependency.
abstract: Person-centred care can improve the well-being of patients and is therefore a key driver in healthcare developments in the UK. The current study aims to investigate the complex relationship between cognitive impairment, dependency and well-being in people with a wide range of acquired brain and spinal injuries. Sixty-five participants, with varied acquired brain and spinal injuries, were selected by convenience sampling from six inpatient clinical neuroscience settings. Participants were observed using Dementia Care Mapping - Neurorehabilitation (DCM-NR) and categorised based on severity of cognitive impairment. A significant difference in the behaviours participants engaged in, their well-being and dependency was found between the severe cognitive impairment group and the mild, moderate or no cognitive impairment groups. Dependency and cognitive impairment accounted for 23.9% of the variance in well-ill-being scores and 17.2% of the variance in potential for positive engagement. The current study highlights the impact of severe cognitive impairment and dependency on the behaviours patients engaged in and their well-being. It also affirms the utility of DCM-NR in providing insights into patient experience. Consideration is given to developing DCM-NR as a process that may improve person-centred care in neuroscience settings.
authors.affiliation: a St George Healthcare Group , St Mary's Hospital , Warrington , UK.
authors.forename: Andrew James
authors.initials: AJ
authors.lastname: Leigh
authors.forename: Katie
authors.initials: K
authors.lastname: O'Hanlon
authors.forename: Russell
authors.initials: R
authors.lastname: Sheldrick
authors.forename: Claire
authors.initials: C
authors.lastname: Surr
authors.forename: Dougal Julian
authors.initials: DJ
authors.lastname: Hare
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000150:complications*; D003072:Cognition Disorders / Q000209:etiology / Q000523:psychology*; D003858:Dependency, Psychological; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care; D012720:Severity of Illness Index; D013124:Spinal Injuries / Q000150:complications*; D055815:Young Adult
keywords: Cognitive impairment; Dementia Care Mapping; Dependency; Neurorehabilitation