Publication

Care mapping in clinical neuroscience settings: Cognitive impairment and dependency

Leigh, A.J.
O'Hanlon, K.
Sheldrick, R.
Surr, Claire A.
Hare, D.J.
Publication Date
2015-08
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Accepted for publication
2014-08-01
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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.
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Citation
Leigh A, Surr C, Sheldrick R et al (2015) Care Mapping in Clinical Neuroscience Settings: Cognitive Impairment and Dependency. Neuropsychological rehabilitation. 25(4): 574-592.
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