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Cornelia
Beck, PhD, RN, FAAN
My research involves using nonpharmacologic interventions
to improve function and reduce behavioral symptoms in persons
with dementia. Currently, I am the principal investigator on a
grant called “Problematic Vocalizations: Background and Proximal
Factors” from the National Institute of Nursing Research ($1,668,787). It is one of three interactive grants investigating behavioral
symptoms of dementia. My
colleagues at the University of Michigan are studying wandering
and nonaggression and physical aggression. We plan to develop
a model of background (i.e., health state, demographics) and proximal
variables (i.e., physiological need state: hunger/thirst and psychosocial
need state: affect) to determine when, how often, and how long
behavioral symptoms of dementia occur. We are taking a variety
of measurements in nursing home residents to meet our goal.
Currently, my colleagues
and I are preparing manuscripts for a grant we just finished entitled
“Partnership Approach for Sustaining Best Practice” from the National
Institute of Nursing Research ($2,690,059). This study sought to involve staff, residents, and family
in improving quality of care in an experimental nursing home.
We instituted a nursing based best practice protocol for incontinence
at the experimental nursing home and a control nursing home. Preliminary
results show that there was no difference between the two homes
in sustaining the protocol and the experimental home had a higher
level of dryness, but only for 1.5 months. The experimental home
has continued to several activities established when we were working
within the home to improve quality of care. These include Family
Council meetings, care planning meetings that involve several
members of the health care team, employing a full-time social
worker, and providing a lead nursing assistant for day, evening,
and weekend shifts.
In addition, I am the principal investigator on
the Alzheimer’s Disease Core Center funded by the National Institute
on Aging through June 30, 2006 ($4,753,364). This center conducts
both clinical and basic research, provides pilot funding for small
research projects, and educates the public on Alzheimer’s Disease.
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