Impact of Patient Centred Care in a Dementia Ward in an Acute Hospital | Stephy publishers

 


Innovative Journal of Neurology and Neuroscience | Stephy Publishers

Abstract
The older persons with dementia will occupy more hospital beds in the years to come. Caring for a patient living with dementia is challenging for the hospital staff, especially for those exhibiting neuropsychiatric symptoms. Providing person centred care has been recognised as the ideal model of care for the persons with dementia. However, this care model is time consuming and requires training and education. Provision of good care in the hospital for the older persons with dementia include avoidance of restraints, prescription of psychotropics, in-hospital fall reduction, minimising risk of cognitive and functional decline with discharge home to their families and loved ones.Person centred care is effective in the acute setting,with proper training, guidance and leadership.

 

Keywords
Dementia, Falls, Restraints, Person-Centred Care, Neuropsychiatric Symptoms

Introduction
Dementia represents a significant health and psychosocial problem in the context of an ageing population.1 The prevalence of dementia and cognitive disorder in Singapore is expected to increase rapidly over the years, as we face the silver tsunami. In high income countries about 50% of the elderly living with dementia is not formally diagnosed. This may be due to lack of public awareness, coupled with lack of confidence among the medical professionals in making a diagnosis. Currently, only 20-50% of cases with dementia are documented in the primary care setting.2 Without formal diagnosis of dementia, the elderly miss out on treatment options, referrals to community services, education, support and counselling for their caregivers. As such, the caregivers often experience caregiver stress leading to burn out as they face increasing difficulties, in terms of symptoms management due to declining cognition, physical burden and emergence of behavioural symptoms. The persons with dementia (PWD) also miss out on opportunities to be included in research. Neuropsychiatric symptoms (NPS) are of primary concern in dementia care. The NPS are difficult to manage, because caregivers stress and increase the risk of institutionalization. The use of psychotropic drugs to control the NPS is known to have harmful side effects, such as falls, extrapyramidal side effects and sedation. Non Pharmacological interventions should be the first approach in managing the NPS, as these are associated with less harm and are more rewarding for the caregivers.

 

The NPS of dementia make little sense to the untrained staff working in an acute hospital with high turnover, except that they frequently cause frustrations and interfere with everyone’s busy work schedule, while worrying about the patients’ safety. These symptoms are often challenging for untrained staff, particularly when they have to balance against patients’ safety when the agitated and restless patients are confused and don’t seem to follow instructions consistently.

To read more #Neurology #Neuroscience
https://www.stephypublishers.com/neurology-and-neuroscience/fulltext/IJNN.MS.ID.000502.php

#Openaccessjournals
https://www.stephypublishers.com/


Comments

Post a Comment

Popular posts from this blog

Image
 Lateral Rock Characteristic Evidence of Hydrocarbon Restoration from Post-Stack Impedance Inversion: A Case Study of ZED-field Offshore Niger Delta Lateral predictions of rock properties that are descriptive of a reservoir have been studied using a model-established seismic inversion approach that was used to convert input seismic data into an acoustic impedance structure to optimize hydrocarbon restoration in the field. This was actualized by integrating wireline logs and 3D post stack seismic data procured from ZED-Field offshore Niger Delta. The inversion system employed in this study comprises of forward modelling of reflection coefficients starting with a low-frequency impedance model induced from well logs and convolution of the reflection coefficients with the source wavelet extracted from the seismic input. P-impedance analysis at reservoir C5000 delineated from the control well gave a near perfect correlation of 0.998109 (≈ 99.8 %) between the original P-impedance log, in...
Read more
Image
Prediction of Ionic Liquids Methane Hydrate Average Depression Temperature via COSMO-RS COSMO-RS is a tool used to pre-screen and pair ionic liquids for gas hydrate mitigation. However, the ionic liquids properties estimated from COSMO-RS lack direct connectivity to the determination of the safety margin (hydrate depression temperature) the inhibitor can alter on the hydrate phase boundary conditions. In this study, a parametric function that relates COSMO-RS estimated ionic liquid surface area and hydrogen bonding energies to the methane hydrate average depression temperature (∆T) have been presented. The statistical model in this study was developed using multiple linear regression techniques on about 90 data samples at 10 wt.% ionic liquids. The developed model in this work accurately predicts the methane hydrate average depression temperature with standard error of 3.14 and average deviation error of 0.92. Also, the ionic liquid surface area and hydrogen bonding energy contribute t...
Read more
Image
 How to Treat Cancer Properly Cancer is one of the deadliest diseases in the world, chemotherapy is effective under some conditions, but has too heavy side effects, and it is not effective to a considerable proportion of cases while the side effects are often life-threatening, drugs (not unhealthy addictive drugs mentioned in reference four, the drug in reference four only mean those makes people addictive but does no good to health, destroying health quickly) are not always available to improve the condition. However, sport is a potential treatment that is effective to cancer before the cancer is disseminated, this gets little attention but is true both in theory and practice. The physical activities that have moderate intensity and duration should have devastating effects on cancer cells, they make the body hot and reduce the nutritional resources that cancer cells can get, also renew the proteins in the body and improve one’s mood, cancer cells are hard to live when one is activ...
Read more