Table 2 2-day education program for COSMOS ambassadors, physicians and nursing home managers
Themes | |
|---|---|
Day 1 | |
08:30 | Registration, welcome and introduction of participants and nursing homes (NH) |
09:00 | The multicomponent concept of COSMOS, introduction and plan for teaching, education and follow-up of patients, relatives, NH staff including managers |
09:45 | Module 1: Assessment and treatment of pain |
Pain physiology; pain behaviour in people with dementia; stepwise protocol of treatment pain | |
10:30 | Break |
10:45 | Efficacy of treating pain on neuropsychiatric symptoms in people with dementia |
11:15 | Practical exercises in the use of MOBID-2 Pain Scale; introduction of the manual and demonstration material for the cluster/NH unit |
12.15 | Lunch |
13.00 | Module 2: Organization of activities |
What is the evidence base for different types of activities | |
13:45 | How to assess the efficacy of activities? |
14:30 | Break |
14:45 | The patient’s individual plan |
15:30 | Practical exercises in identification of the resources in my NH; introduction of the manual and demonstration material for the cluster/NH unit |
16:15 | Feedback and evaluation of the day |
16:30 | Take home message |
Day 2 | |
08:30 | Welcome and coffee |
08:45 | Module 3: Medication review |
Polypharmacy in elderly people and NH patients with and without dementia | |
09:30 | Anticholinergic side effects; START and STOP criteria; www.interaksjoner.no |
10:15 | Break |
10:30 | Use of the medication review checklist and relevant patient tools |
11:15 | Practical exercises of medication review by patient examples; introduction of the manual and demonstration material for the cluster/NH unit |
12:15 | Lunch |
13:00 | Module 4: Communication in form of advance care planning (ACP) |
What do we know about ACP and communication in NH settings? | |
13:45 | How to assess the efficacy of ACP? |
14:30 | Break |
14:45 | Role play |
15:30 | 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 |
16.15 | What are the next steps? Contact with patients and relatives, telephone hotline, information posters/pocket cards, flyers, contact with media, web-site and more. |
16:30 | Program evaluation |
17:00 | Take home message |