Nurse specialists have helped create a dementia-friendly X-ray room with woodland imagery and music tailored to each patient. To read the full article, log in using your MPFT NHS OpenAthens details.
Dementia affects a person’s ability and desire to eat and drink to meet their nutritional requirements. This article identifies problems associated with nutritional status in people living with dementia and outlines the effectiveness of interventions to counteract the negative effects on nutritional status. To read the full article, log in using your MPFT NHS OpenAthens details.
Hospital readmission in persons with dementia is becoming a critical safety and cost issue. The purpose of this review is to systematically assess published evidence on hospital readmissions in persons with dementia, including rate, clinical reasons, risk factors, and prevention programs. . To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
This article discusses perioperative variables that can be used to identify patients who are more vulnerable to experiencing cognitive decline after surgery. It also highlights some screening tools that could be useful for early detection and for planning nursing care. To read the full article, log in using your MPFT NHS OpenAthens details.
When nurses ‘think pain’ and take appropriate action, it can transform patients’ lives. In 2018 Julie Willoughby came up with the idea for a campaign to help raise awareness of pain in people with dementia. But the seeds of the campaign were sown many years ago, when a shocking incident on an acute hospital ward made her appreciate the lack of awareness of the issue in general healthcare settings. To read the full article, log in using your MPFT NHS OpenAthens details
In response to increasing numbers of older people in general hospitals who have cognitive impairment such as dementia and delirium, many hospitals have developed education and training programmes to prepare staff for this area of clinical practice.. To read the full article, log in using your MPFT NHS OpenAthens details.
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The authors took part in a national research project that evaluated an intervention to enhance person-centred care for people with dementia in hospital. The Person, Interactions, Environment (PIE) programme involves staff observing care on a ward, focusing on these three areas. Findings from observations form the basis for introducing changes to ward practices. To read the full article, log in using your MPFT NHS OpenAthens details.
To objectively quantify patients’ physical activity and analyze the relationships between physical activity levels, psychopathology and sedative medication in acute hospital dementia care.. To read the full article, log in using your MPFT NHS OpenAthens details.
Open access. Pain and delirium are common in people with dementia admitted to hospitals. These are often under-diagnosed and under-treated. Pain is implicated as a cause of delirium but this association has not been investigated in this setting.
Open access. Hospitalizations of people with dementia (PWD) are often accompanied by complications or functional loss and can lead to adverse outcomes. Unsystematic findings suggest an influence of comorbidities on the extent of differences in the length of hospital stay (LOS). This systematic review aimed to identify and evaluate all studies reporting LOS in PWD as compared to PwoD in general hospitals.
Patients with dementia in the acute setting are generally considered to impose higher costs on the health system compared to those without the disease largely due to longer length of stay (LOS). Many studies exploring the economic impact of the disease extrapolate estimates based on the costs of patients diagnosed using routinely collected hospital discharge data only. However, much dementia is undiagnosed and therefore in limiting the analysis to this cohort, we believe that LOS and the associated costs of dementia may be overestimated. We examined LOS and associated costs in a cohort of patients specifically screened for dementia in the hospital setting. . To read the full article, log in using your MPFT NHS OpenAthens details.
One of the main problems for people with dementia who are admitted to hospital is that they may feel a loss of dignity and increased confusion and disorientation because their condition is exacerbated by the sudden move to an unfamiliar environment, especially while they are feeling physically unwell. To read the full article, log in using your NHS OpenAthens details.
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We are in the process of developing a standardised treatment and management plan for people with confusion in hospital. (By confusion we mean people with dementia, delirium, or unspecified cognitive impairment.)
Delirium is an acute clinical emergency that requires prompt clinical intervention. A predisposing factor for delirium is dementia, and delirium may highlight the vulnerability of a patient to developing dementia. However, delirium also occurs during an acute illness in patients diagnosed with dementia; this is classified as delirium superimposed on dementia. This complex interplay of both dementia syndromes and the condition of delirium has been extensively studied. However, delirium continues to be under-recognised in the acute setting, which impacts negatively on patient outcomes.
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