The Family-Centered Function-Focused Care Intervention: Implementation and Measurement Considerations

Chair(s)

• MB

  Marie Boltz, PhD, GNP-BC, FGSA, FAAN

  Professor
  Ross and Carol Nese College of Nursing
  Penn State
  State College, Pennsylvania, United States

  Slides

Discussant(s)

• 

  Jane Flanagan, PhD, ANP-BC, AHN-BC, FNP, FAAN

  Associate Professor and Department Chair
  Nursing
  Boston College
  Chestnut Hill, Massachusetts, United States

Individual Symposium Abstract First Author(s)

• MB

  Marie Boltz, PhD, GNP-BC, FGSA, FAAN

  Professor
  Ross and Carol Nese College of Nursing
  Penn State
  State College, Pennsylvania, United States

  Slides
• AP

  Anju Paudel, PhD, RN

  Assistant Professor
  Rese College of Nursing
  Penn State Ross and Carol Nese College of Nursing
  State College, Pennsylvania, United States
• 

  Ashley Kuzmik, DrPH, MPH

  Post-Doctoral Fellow
  Nursing
  Penn State University
  University Park, Pennsylvania, United States
• BR

  Barbara Resnick, PhD, FGSA

  Professor
  Organizational Systems and Adult Health
  University of Maryland
  Baltimore, Maryland, United States

Family care partners can play an important role in promoting the functional recovery of hospitalized older adults living with dementia. Family-centered function-focused care (Fam-FFC) aims to create an “enabling” milieu for the person with dementia through, staff education, unit-based champions, environmental and policy assessment/modification, and individualized goal setting. In this patient/family-centered care approach, nurses purposefully engage family care partners in the assessment, decision-making, care delivery and evaluation of function-focused care during hospitalization and the 60-day post-acute period. Staff are provided with techniques to support positive interaction with patients and families and respect the role of care partners as advocates. The goal is to promote functional recovery and well-being in the patient, and prevent unnecessary long-term care admissions, while improving care partners’ preparation for caregiving and well-being. Fam-FFC was developed with the input of patients, families, nurses, and rehab therapists. This symposium focuses on key factors associated with the implementation of Fam-FFC, and relevant measures. After an introductory overview of Fam-FFC, the nature of staff/patient interaction during hospitalization, including the influence of gender, will be discussed in the first presentation. Two presentations will address the planning for transition to the post- acute setting, including the intrinsic factors associated with preparation for caregiving, in contrast to the decision to seek long-term care. The final presentation will describe the approach to promoting fidelity to the Fam-FFC intervention, within the context imposed by COVID-19 restrictions. Our symposium will conclude with a discussion of future direction for policy, practice, and research.

Presentations:

• 8:00 AM – 9:30 AM ET

  Family Preparedness at Hospital Discharge of the Person Living with Dementia
  

  Individual Symposium Abstract First Author: Marie Boltz, PhD, GNP-BC, FGSA, FAAN – Penn State
• 8:00 AM – 9:30 AM ET

  Gender Differences in Interactions and Well-Being Among Hospitalized Patients Living with Dementia
  

  Individual Symposium Abstract First Author: Anju Paudel, PhD, RN – Penn State Ross and Carol Nese College of Nursing
• 8:00 AM – 9:30 AM ET

  Predictors of the Desire to Institutionalize in Care Partners of Hospitalized Persons with Dementia at Discharge
  

  Individual Symposium Abstract First Author: Ashley Kuzmik, DrPH, MPH – Penn State University
• 8:00 AM – 9:30 AM ET

  Intervention Fidelity in the Family-Centered Function-Focused Care Intervention
  

  Individual Symposium Abstract First Author: Barbara Resnick, PhD, FGSA – University of Maryland