Physical complications of dementia: 12 months research in a special ward for the elderly with senile dementia

Abstract

Background: The Imaise Branch of Ichinomiya City Hospital proactively

Physical complications for elderly inpatients with senile dementia in the Imaise Branch of Ichinomiya City Hospital

“…18 Both categories of physical complications in the present study occurred at a high rate and the types of disease varied. Over 365 days, 100 physical complications occurred in our WED, which breaks down to an average of 45 patients per day.…”

“…These findings imply that geriatric psychiatrists must also be medical psychiatrists. [12][13][14][15][16][17][18] The most frequent disease occurring in our WED with a possible high risk of mortality was pneumonia, which occurred year round. An outbreak of pneumonia possibly related to S. pneumoniae occurred from the middle of April to the middle of May (Fig.…”

“…It is extremely important for all facilities to have the full cooperation of specialists in other medical departments. [18][19][20][21][22] Because of the 2006 revision to the medical fee system, almost all hospitals in Japan have fallen into severe financial difficulties, especially municipal hospitals that operate unprofitable departments, such as those that diagnose and treat psychogeriatric physical complications of the elderly with BPSD. On 30 June 2008, the IB-ICH was closed by the Ichinomiya City government due to financial difficulties.…”

“…The real concern is the growing difficulty in providing facilities for the treatment of patients with violent BPSD and/or physical complications in Japan. 17,18 In light of the aging society in Japan, more financial support and appropriate medical policies are urgently needed. Figure 1 Cases of pneumonia among inpatients in our ward for the elderly with senile dementia according to the date of onset of illness.…”

Health Resource Utilization and Comorbidities in Patients with Mental Disorders: Analysis Based on Health Insurance Claim Data

“…The elderly population rate is expected to rise in the future, and accordingly, an increase in the number of elderly patients with dementia is estimated [28]. It is reported that patients with dementia have high prevalence of physical diseases [29] [30], and the home treatment becomes more difficult as the severity of the physical diseases increases [31] [32] [33]. In order to realize the dementia patient's familiar living place and to improve patient's QOL, it is necessary to analyze the cost for mental disorders further and to improve service and infrastructure in the future.…”