Care mapping in clinical neuroscience settings: cognitive impairment and dependency

Leigh, Andrew James, O'Hanlon, Katie, Sheldrick, Russell, Surr, Claire and Hare, Dougal Julian 2015. Care mapping in clinical neuroscience settings: cognitive impairment and dependency. Neuropsychological Rehabilitation 25 (4) , pp. 574-592. 10.1080/09602011.2014.951366

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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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Subjects:	R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher:	Taylor & Francis
ISSN:	0960-2011
Date of Acceptance:	1 August 2014
Last Modified:	31 Oct 2022 10:53
URI:	https://orca.cardiff.ac.uk/id/eprint/86603

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