Caring for patients with dementia in the acute care setting

Butcher, Lesley

doi:10.12968/bjon.2018.27.7.358

Cited by 16 publications

(17 citation statements)

References 27 publications

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“…Similarly, isolated patients are at a higher risk of AEs such as hospital-acquired pressure ulcers [ 37 ]. Our findings are also consistent with previous studies showing that mental status impairments are associated with hospital-acquired complications [ 38 , 39 ]. Furthermore, other studies have shown that frail people admitted to hospitals can develop geriatric syndromes, with a higher occurrence of CCIF such as communication disorders, incontinence, vascular fragility or nutritional syndromes [ 4 , 11 , 40 – 43 ].…”

Section: Discussionsupporting

confidence: 93%

Care complexity individual factors associated with adverse events and in-hospital mortality

et al. 2020

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Introduction Measuring the impact of care complexity on health outcomes, based on psychosocial, biological and environmental circumstances, is important in order to detect predictors of early deterioration of inpatients. We aimed to identify care complexity individual factors associated with selected adverse events and in-hospital mortality. Methods A multicenter, case-control study was carried out at eight public hospitals in Catalonia, Spain, from January 1, 2016 to December 31, 2017. All adult patients admitted to a ward or a step-down unit were evaluated. Patients were divided into the following groups based on the presence or absence of three adverse events (pressure ulcers, falls or aspiration pneumonia) and in-hospital mortality. The 28 care complexity individual factors were classified in five domains (developmental, mental-cognitive, psycho-emotional, sociocultural and comorbidity/complications). Adverse events and complexity factors were retrospectively reviewed by consulting patients' electronic health records. Multivariate logistic analysis was performed to identify factors associated with an adverse event and in-hospital mortality. Results A total of 183,677 adult admissions were studied. Of these, 3,973 (2.2%) patients experienced an adverse event during hospitalization (1,673 [0.9%] pressure ulcers; 1,217 [0.7%] falls and 1,236 [0.7%] aspiration pneumonia). In-hospital mortality was recorded in 3,996 patients (2.2%). After adjustment for potential confounders, the risk factors independently associated with both adverse events and in-hospital mortality were: mental status impairments, impaired adaptation, lack of caregiver support, old age, major chronic disease, hemodynamic instability, communication disorders, urinary or fecal incontinence, vascular

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Section: Discussionsupporting

confidence: 93%

Care complexity individual factors associated with adverse events and in-hospital mortality

et al. 2020

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“…In doing so, Dr. Alzheimer was credited for the discovery of the first of the Alzheimer's disease incidents (Ferri et al, 2005). Dementia has severe symptoms that include progressive memory loss, the inability to communicate/ reason, and a drastic change in personality (Butcher, 2018 Most notably, throughout the years, the Honduras' government has made significant improvements to the public health system. In Figure 1…”

Section: B) Honduras; Public Health Policy Discussionmentioning

confidence: 99%

The Challenges of the Elderly Population with Alzheimer’s and Dementia in Honduras

Rivero¹

2019

GJMBR

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The purpose of this paper is to analyze the number of Alzheimer’s and Dementia incidences occurring in Honduras and afford recommendations to improve public health policies to assist the elderly. According to The Institute for Health Metrics and Evaluation (2016), there has been an increase in the number of Alzheimer’s incidences in Honduras. Moreover, the numberof Alzheimer’s cases has increased by 51.4% from 2005-2016. The findings suggested that the country needs to consider a reevaluation of public health policies to tackle the influx of Alzheimer’s incidences in the upcoming years. Though the elderly population stands at a little less than 6% of Honduras; total population (Bermúdez-Madriz et al., 2011), it is critical that the elderly community be afforded the best possible healthcare services available. Research suggests that most of the elderly community reside in rural areas where minimal healthcare services are available. In the end, the recommendations will be afforded for the improvement of public health policies to assist the elderly and preparedness for the surge of Alzheimer’s disease in the country.

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“…Some studies explored the current state of health assistance for older people with dementia in the acute care setting but without mention to the integrated care pathway. Although there was an increase in the development and use of these pathways in the acute settings [62][63][64], however some concerns have emerged. In fact, there is still an insufficient evidence to support the effectiveness of these pathways in the acute setting and more studies should be encouraged.…”

Section: Discussionmentioning

confidence: 99%

Improving the HealthCare of People with Dementia beyond the Diagnosis: The “Carlo Poma Dementia Care Pathway” Study Protocol

Frisardi¹,

faroni²,

Bellani³

et al. 2018

obm geriatr

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The WHO global action plan on the public health response to dementia 2017-2025 stressed the need to have a comprehensive approach with deep interconnections and cross-cutting elements through several action areas. As the elderly population grows worldwide, the number of patients with dementia increases rapidly because age is an important risk factor for developing late-onset dementia. Currently, dementia syndrome represents a true emergency. Once a diagnosis of dementia was made, informal caregivers, patients and their household, they swing between desires, fear, concerns about the present and the future. In fact, in several clinical context there is not a possibility to have specific services able to address the critical issues, which could happen along the disease's course. Despite extensive research in the field of dementia, there still exist a deficiency in the quality of dementia care. There is a paucity of robust results concerning the care experiences of patients with dementia. It is mandatory to understand these experiences if we want to address care inequalities and create impactful dementia policies to improve services for supporting individuals and family caring, and promoting a good quality of life for all people affected by this devastating disease. Aim of this article is to describe the development of an operational protocol to improve the healthcare of people with cognitive impairment and their family. Unfortunately, it is not always easy to assure the whole services that a patient with dementia (PwD) needs. Frequently, this is due to a lack of communication between public hospitals and local authorities. We believe that it is possible to improve the quality of life of PwD and to optimize the public health expenditure through the creation of a specific care network. The services integration means to guarantee the continuity of care and the appropriateness of access to health care, avoiding inappropriate use. This could result in both reducing the healthcare costs and saving resources.

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Caring for patients with dementia in the acute care setting

Cited by 16 publications

References 27 publications

Care complexity individual factors associated with adverse events and in-hospital mortality

Care complexity individual factors associated with adverse events and in-hospital mortality

The Challenges of the Elderly Population with Alzheimer’s and Dementia in Honduras

Improving the HealthCare of People with Dementia beyond the Diagnosis: The “Carlo Poma Dementia Care Pathway” Study Protocol

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