How well are the diagnosis and symptoms of dementia recorded in older patients admitted to hospital?

Crowther, George; Bennett, Mike; Holmes, John

doi:10.1093/ageing/afw169

Cited by 25 publications

(39 citation statements)

References 18 publications

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“…Estimates of the prevalence of dementia in hospitals vary across published studies [5] but range between 15% to 42% [6–10]. To put this in context, if two-thirds of hospital bed-days are in people over 65 years of age, then 25% of people in general hospitals will have dementia.…”

Section: What Is the Problem?mentioning

confidence: 99%

Challenges and opportunities in understanding dementia and delirium in the acute hospital

et al. 2017

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Section: What Is the Problem?mentioning

confidence: 99%

Challenges and opportunities in understanding dementia and delirium in the acute hospital

et al. 2017

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“…One of the most widely accepted strategies to relieve distress in this group is to identify the distressed individual, establish the cause of distress and treat accordingly. Standardised symptom recognition tools exist to help healthcare professionals (HCPs) do this [9][10][11].However, such tools are often impractical and rarely used in hospitals in the United Kingdom (UK) [12,13]. If distress is identified, algorithm driven management protocols, and targeted holistic or pharmacological treatment strategies exist to treat the causes [14,15].…”

Section: Introductionmentioning

confidence: 99%

The barriers and facilitators for recognising distress in people with severe dementia on general hospital wards

2018

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distress may be a simple and easily identified marker of unmet need in people with dementia in hospital. However, modifiable and unmodifiable barriers are suggested that reduce the chance of distress being identified or acted on. Improving our understanding of how distress is identified in this environment, and in turn developing systems that overcome these barriers, may improve the accuracy with which distress is identified on hospital wards.

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“…Dementia is more prevalent with age, increasing frailty and with comorbid conditions, which results in complex health and social needs for these people. It is recognised [5] that hospitalisation has adverse effects for patients living with dementia [6]. Their differing needs resulting from changes in their memory, orientation, comprehension, calculation, learning capability, language and judgment [6] are often unrecognised and unaddressed.…”

Section: Introductionmentioning

confidence: 99%

“…It is recognised [5] that hospitalisation has adverse effects for patients living with dementia [6]. Their differing needs resulting from changes in their memory, orientation, comprehension, calculation, learning capability, language and judgment [6] are often unrecognised and unaddressed. Regardless of the reason for hospitalisation people living with dementia are reported to have half the survival time of those without dementia following acute admission [7] and a functional outcome which is 64% worse [8].…”

Section: Introductionmentioning

confidence: 99%

Optimising care for patients with cognitive impairment and dementia following hip fracture

et al. 2017

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The global shift in demographics towards aging populations is leading to a commensurate increase in age-related disease and frailty. It is essential to optimise health services to meet current needs and prepare for anticipated future demands. This paper explores issues impacting on people living with cognitive impairment and/or dementia who experience a hip fracture and are cared for in acute settings. This is important given the high mortality and morbidity associated with this population. Given the current insufficiency of clear evidence on optimum rehabilitation of this patient group, this paper explored three key themes namely: recognition of cognitive impairment, response by way of training and education of staff to optimise care for this patient group and review of the importance of outcomes measures. Whilst there is currently insufficient evidence to draw conclusions about the optimal ways of caring for patients living with dementia following hip fracture, this paper concludes that future research should improve understanding of healthcare staff education to improve the outcomes for this important group of patients.

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How well are the diagnosis and symptoms of dementia recorded in older patients admitted to hospital?

Cited by 25 publications

References 18 publications

Challenges and opportunities in understanding dementia and delirium in the acute hospital

Challenges and opportunities in understanding dementia and delirium in the acute hospital

The barriers and facilitators for recognising distress in people with severe dementia on general hospital wards

Optimising care for patients with cognitive impairment and dementia following hip fracture

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