New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change
Approximately two-thirds of hospital admissions are older adults and almost half of these are likely to have some form of dementia. People with dementia are not only at an increased risk of adverse outcomes once admitted, but the unfamiliar environment and routinised practices of the wards and acute...
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ftpubmed:oai:pubmedcentral.nih.gov:9441201 2023-05-15T18:32:39+02:00 New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change Abbott, Rebecca A Rogers, Morwenna Lourida, Ilianna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissey Coxon, George Llewellyn, David J Naldrett, Tina Thompson Coon, Jo 2022-09-03 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441201/ http://www.ncbi.nlm.nih.gov/pubmed/36057987 https://doi.org/10.1093/ageing/afac190 en eng Oxford University Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441201/ http://www.ncbi.nlm.nih.gov/pubmed/36057987 http://dx.doi.org/10.1093/ageing/afac190 © The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com CC-BY-NC Age Ageing New Horizons Text 2022 ftpubmed https://doi.org/10.1093/ageing/afac190 2022-09-11T00:39:55Z Approximately two-thirds of hospital admissions are older adults and almost half of these are likely to have some form of dementia. People with dementia are not only at an increased risk of adverse outcomes once admitted, but the unfamiliar environment and routinised practices of the wards and acute care can be particularly challenging for them, heightening their confusion, agitation and distress further impacting the ability to optimise their care. It is well established that a person-centred care approach helps alleviate some of the unfamiliar stress but how to embed this in the acute-care setting remains a challenge. In this article, we highlight the challenges that have been recognised in this area and put forward a set of evidence-based ‘pointers for service change’ to help organisations in the delivery of person-centred care. The DEMENTIA CARE pointers cover areas of: dementia awareness and understanding, education and training, modelling of person-centred care by clinical leaders, adapting the environment, teamwork (not being alone), taking the time to ‘get to know’, information sharing, access to necessary resources, communication, involving family (ask family), raising the profile of dementia care, and engaging volunteers. The pointers extend previous guidance, by recognising the importance of ward cultures that prioritise dementia care and institutional support that actively seeks to raise the profile of dementia care. The pointers provide a range of simple to more complex actions or areas for hospitals to help implement person-centred care approaches; however, embedding them within the organisational cultures of hospitals is the next challenge. Text The Pointers PubMed Central (PMC) Age and Ageing 51 9 |
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New Horizons Abbott, Rebecca A Rogers, Morwenna Lourida, Ilianna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissey Coxon, George Llewellyn, David J Naldrett, Tina Thompson Coon, Jo New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change |
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New Horizons |
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Approximately two-thirds of hospital admissions are older adults and almost half of these are likely to have some form of dementia. People with dementia are not only at an increased risk of adverse outcomes once admitted, but the unfamiliar environment and routinised practices of the wards and acute care can be particularly challenging for them, heightening their confusion, agitation and distress further impacting the ability to optimise their care. It is well established that a person-centred care approach helps alleviate some of the unfamiliar stress but how to embed this in the acute-care setting remains a challenge. In this article, we highlight the challenges that have been recognised in this area and put forward a set of evidence-based ‘pointers for service change’ to help organisations in the delivery of person-centred care. The DEMENTIA CARE pointers cover areas of: dementia awareness and understanding, education and training, modelling of person-centred care by clinical leaders, adapting the environment, teamwork (not being alone), taking the time to ‘get to know’, information sharing, access to necessary resources, communication, involving family (ask family), raising the profile of dementia care, and engaging volunteers. The pointers extend previous guidance, by recognising the importance of ward cultures that prioritise dementia care and institutional support that actively seeks to raise the profile of dementia care. The pointers provide a range of simple to more complex actions or areas for hospitals to help implement person-centred care approaches; however, embedding them within the organisational cultures of hospitals is the next challenge. |
format |
Text |
author |
Abbott, Rebecca A Rogers, Morwenna Lourida, Ilianna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissey Coxon, George Llewellyn, David J Naldrett, Tina Thompson Coon, Jo |
author_facet |
Abbott, Rebecca A Rogers, Morwenna Lourida, Ilianna Green, Colin Ball, Susan Hemsley, Anthony Cheeseman, Debbie Clare, Linda Moore, Darren Hussey, Chrissey Coxon, George Llewellyn, David J Naldrett, Tina Thompson Coon, Jo |
author_sort |
Abbott, Rebecca A |
title |
New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change |
title_short |
New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change |
title_full |
New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change |
title_fullStr |
New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change |
title_full_unstemmed |
New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change |
title_sort |
new horizons for caring for people with dementia in hospital: the dementia care pointers for service change |
publisher |
Oxford University Press |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441201/ http://www.ncbi.nlm.nih.gov/pubmed/36057987 https://doi.org/10.1093/ageing/afac190 |
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The Pointers |
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The Pointers |
op_source |
Age Ageing |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9441201/ http://www.ncbi.nlm.nih.gov/pubmed/36057987 http://dx.doi.org/10.1093/ageing/afac190 |
op_rights |
© The Author(s) 2022. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1093/ageing/afac190 |
container_title |
Age and Ageing |
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51 |
container_issue |
9 |
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