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Table 2 Agenda and timeframe for the case conference

From: TIME to reduce agitation in persons with dementia in nursing homes. A process evaluation of a complex intervention

Agenda for the case conference 60–90 min

Activity

Preparation: Convene a meeting and prepare a meeting room with a blackboard or similar facilities (projector, if available). Check that a flip pad and markers are available

TIME administrators:

One is the chairman for the meeting.

One takes notes on the whiteboard.

One writes the minutes on the 5-column sheet.

Responsible

 

1. Status Report: Personal history and main points from the patient’s medical record are presented.

10–15 min

Decide in advance who should prepare and present the patient’s personal history and the main points from the medical record.

2. Create a problem list

10 min

Staff (as many as possible should attend the conference)

The leading registered nurse and the nursing home physician should attend the conference, if possible.

3. Prioritise problems from the list

4. Draw a 5-column sheet on the whiteboard:

facts – interpretations (thoughts) - emotions – actions – evaluation

60 min

5. Describe facts from the registration and assessment phase: one problem at a time

6. Suggest interpretations – guided discovery – discuss and reflect on them

7. Describe any emotions experienced by the staff – with interpretations by the staff

8. Suggest SMARTa actions – based on the interpretations – decide how and when to perform an evaluation of the actions

9. Summarise interpretations and actions – close the meeting

5–10 min

TIME-administrator (chairman)

  1. Notes: aSMART (Specific, Measurable, Actual, Realistic, Time-framed) [30]