SLIDE 1
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 Vicki Leah Nurse Consultant Older People Dementia - - PowerPoint PPT Presentation
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 Alzheimers society Nurses
SLIDE 2
SLIDE 3
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
SLIDE 4
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
SLIDE 5
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
SLIDE 6
Dementia Care
- Discharge code of a dementia
- Admitted to UCLH for >2 days
- 168 patients recorded
- Average LOS April 2009-March
2010 – 25days
- Average LOS April 2010-Febuary
2011 – 16 days
- 9 day reduction in LOS
- 36% reduction in LOS
Monthly Average length of stay for patients with a diagnositic code of dementia for admissions of 2 days or more
0.00 10.00 20.00 30.00 40.00 50.00 60.00 70.00
Apr-09 M ay -09 J un-09 J ul-09 Aug-09 Sep-09 O c t-09 N ov -09 D ec -09 J an-10 F eb-10 M ar-10 Apr-10 M ay -10 J un-10 J ul-10 Aug-10 Sep-10 O c t-10 N ov -10 D ec -10 J an-11 F eb-11
Series1 Linear (Series1)
SLIDE 7
Dementia Care
- Complaints – None about dementia care in
the past 6 months
- Pressure ulcers - 1 in past 6 months
- Discharge alerts – 8/67 (12%)
SLIDE 8
Trend in number of falls on T07 during 2010 - 2011
10 8 7 8 7 3 2 4 6 8 10 12 Sept Oct Nov Dec Jan Feb March April May June July Aug 2010 - 2011
SLIDE 9
The Future
- Continue improving the essential care
- Education
- Research
– Complex nature of nutritional intake – Triggers of emergency admission – Pain assessment and antipsychotics
SLIDE 10