Quality Framework for Patients with Dementia in Acute Care
How can consumers (i.e. carers of people with dementia) and older people in general be confident that a hospital is able to provide suitable care for people with dementia? This is a source of considerable anxiety for carers.
Similarly, hospital funders and administrators need to know that hospitals are delivering appropriate care to all of their patient groups, including frail older people and people with cognitive impairment, who will over time become a greater proportion of the hospital clientele.
These concerns raise questions about a hospital's 'readiness' to provide appropriate care for patients with dementia or delirium. Are the hospitals designed physically to accommodate patients with cognitive impairment? Are policies and procedures in place that minimise the risks associated with hospitalisation and optimise treatment when complications do occur (Complications include delirium, worsening behaviour, wandering, falls and injuries, etc).
This project aimed to develop a suite of quality indiactors (QI) to measure the quality of care associated with patient outcomes for perople with dementia in hospital.
The secondary aim is to develop a method to appraise the quality of care offered to patients with dementia or delirium in acute care hospitals through a quality framework.
Frail older patients with cognitive impairment, aged 70 years and over, experiencing a hospital episode resulting in a stay of longer than 48 hours in a general medical ward.
Final stages of the project are nearing completion.