Izlaganje sa skupa
DEMENTIA CARE ON MEDICAL AND MEDICINE FOR THE ELDERLY WARDS
Vanda Ho
; Murray Edwards College, Huntingdon Road, Cambridge, CB3 0DF, UK
Claire G. Nicholl
; Department of Medicine for the Elderly, Cambridge University Hospitals NHS Foundation Trust, Box 135, Addenbrooke's Hospital, Cambridge Biomedical Campus, Hills Road, Cambridge, CB2 0QQ, UK
Sažetak
Dementia is associated with increased health care resource utilisation and greater co-morbidity burden. Due to the
psychophysiological and social demands of dementia, specific approaches to care, communication, environment and clinical
treatment are needed. Timely diagnosis can greatly improve quality of life. Dementia is often not coded in hospitals as it is not
considered the primary reason for admission. These missed opportunities have potential to serve as important checkpoints for proper
diagnostic assessment. Upon discharge, adjustments can be made to manage these patients better.
In April 2012, the dementia CQUIN was introduced with goals for early diagnosis of dementia at point of hospital admission.
This study aims to investigate if the raised profile of dementia care has been generalised across the whole system, the impact on
management and whether there is a difference in dementia care between geriatric and medical wards.
There was excellent performance across the board for review of medication, prescription of anti-psychotics, ordering of routine
bloods and neurological examinations. . Increased awareness is needed for dementia-specific blood tests, namely: thyroid function
test, B12 and folate. Geriatric wards performed consistently better than medical wards for all aspects of clinical care examined. For
medical wards, incorporating multi-disciplinary care would be useful in managing these patients more holistically.
Ključne riječi
dementia; screening; blood tests; neurological examination; MDT care; elderly medicine; medical wards
Hrčak ID:
266689
URI
Datum izdavanja:
26.8.2013.
Posjeta: 181 *