Registration, welcome and introduction of participants and nursing homes (NH)
The multicomponent concept of COSMOS, introduction and plan for teaching, education and follow-up of patients, relatives, NH staff including managers
Module 1: Assessment and treatment of pain
Pain physiology; pain behaviour in people with dementia; stepwise protocol of treatment pain
Efficacy of treating pain on neuropsychiatric symptoms in people with dementia
Practical exercises in the use of MOBID-2 Pain Scale; introduction of the manual and demonstration material for the cluster/NH unit
Module 2: Organization of activities
What is the evidence base for different types of activities
How to assess the efficacy of activities?
The patient’s individual plan
Practical exercises in identification of the resources in my NH; introduction of the manual and demonstration material for the cluster/NH unit
Feedback and evaluation of the day
Take home message
Welcome and coffee
Module 3: Medication review
Polypharmacy in elderly people and NH patients with and without dementia
Anticholinergic side effects; START and STOP criteria; www.interaksjoner.no
Use of the medication review checklist and relevant patient tools
Practical exercises of medication review by patient examples; introduction of the manual and demonstration material for the cluster/NH unit
Module 4: Communication in form of advance care planning (ACP)
What do we know about ACP and communication in NH settings?
How to assess the efficacy of ACP?
Practical exercises in identification of promoters and barriers to conduct ACP in my NH; introduction of the manual and demonstration material for the cluster/NH unit
What are the next steps? Contact with patients and relatives, telephone hotline, information posters/pocket cards, flyers, contact with media, web-site and more.
Take home message