Dementia Care Vicki Leah Nurse Consultant Older People Dementia - PowerPoint PPT Presentation

Dementia Care Vicki Leah Nurse Consultant Older People

Dementia care • Dementia and Dignity group – Patient representivies – Carer – PALS – Complaints Department – Dementia champions – Alzheimer’s society – Nurses • Reports to Older Peoples Strategic Group

Dementia Care • Dementia care guideline approved – Best practice – Care pathway – Care plan – Appropriate use of sedation – Abbey pain score – Well-being score • Butterfly scheme – At-a-glance identification scheme – Education package for non-clinical staff

Dementia Care • Workforce – Skills for Care Knowledge Set – 3-day course – 1-day – Department specific – DVD for Trust induction – RN induction – HCA induction – Student nurse programme

Dementia Care • Decision making – Capacity assessments and IMCA’s – Best Interest meetings – Deprivation of Liberty Authorisations • Environment – Change to the meal service – Change in breakfast time – More volunteers – Red card system – Comfort rounds – Sisters rounds – Activity table

Dementia Care • Discharge code of a dementia Monthly Average length of stay for patients with a diagnositic code of dementia for admissions of 2 days or more • Admitted to UCLH for >2 days 70.00 60.00 • 168 patients recorded 50.00 40.00 • Average LOS April 2009-March 30.00 2010 – 25days 20.00 10.00 • Average LOS April 2010-Febuary 0.00 2011 – 16 days M ay -09 J un-09 J ul-09 O c t-09 N ov -09 D ec -09 J an-10 F eb-10 M ar-10 M ay -10 J un-10 J ul-10 O c t-10 N ov -10 D ec -10 J an-11 F eb-11 Apr-09 Aug-09 Sep-09 Apr-10 Aug-10 Sep-10 • 9 day reduction in LOS Series1 Linear (Series1) • 36% reduction in LOS

Dementia Care • Complaints – None about dementia care in the past 6 months • Pressure ulcers - 1 in past 6 months • Discharge alerts – 8/67 (12%)

Trend in number of falls on T07 during 2010 - 2011 12 10 10 8 8 8 7 7 6 4 3 2 0 Sept Oct Nov Dec Jan Feb March April May June July Aug 2010 - 2011

The Future • Continue improving the essential care • Education • Research – Complex nature of nutritional intake – Triggers of emergency admission – Pain assessment and antipsychotics

Any Questions?