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The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
The rising prevalence of dementia will have an effect on acute care hospitals around the world. At present, around 40% of patients older than 70 years with acute medical admissions have dementia, but only half of these patients have been diagnosed. Patients with dementia have poorer health outcomes,...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3754487/ https://www.ncbi.nlm.nih.gov/pubmed/23986633 http://dx.doi.org/10.2147/CIA.S36398 |
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author | Singh, Inderpal Ramakrishna, Sharan Williamson, Kathryn |
author_facet | Singh, Inderpal Ramakrishna, Sharan Williamson, Kathryn |
author_sort | Singh, Inderpal |
collection | PubMed |
description | The rising prevalence of dementia will have an effect on acute care hospitals around the world. At present, around 40% of patients older than 70 years with acute medical admissions have dementia, but only half of these patients have been diagnosed. Patients with dementia have poorer health outcomes, longer hospital stays, and higher rates of readmissions and institutionalization. Worldwide, health care budgets are severely constrained. National Institute for Health and Care Excellence (NICE) has listed ten quality standards for supporting people in living well with dementia. NICE resource implications and commissioning support to implement these guidelines and improve dementia services have been recently published. Although most of the frail elderly patients with dementia are cared for by geriatricians, obstacles to making a diagnosis and to the management of dementia have been recognized. To provide a timely diagnosis of dementia, better care in acute hospital settings, and continuity of care in the community, services integrating all these elements are warranted. Extra resources also will be required for intermediate, palliative care, and mental health liaison services for people with dementia. The Birmingham Rapid Assessment Interface and Discharge service model uses a multiskilled team that provides comprehensive assessment of a person’s physical and psychological well-being in a general hospital setting. It has been shown to be an effective model in terms of reducing both length of stay and avoiding readmission. The aim of this review is to discuss the implications of the Rapid Assessment Interface and Discharge model in people with dementia and to critically compare this model with similar published service provisions. |
format | Online Article Text |
id | pubmed-3754487 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-37544872013-08-28 The Rapid Assessment Interface and Discharge service and its implications for patients with dementia Singh, Inderpal Ramakrishna, Sharan Williamson, Kathryn Clin Interv Aging Review The rising prevalence of dementia will have an effect on acute care hospitals around the world. At present, around 40% of patients older than 70 years with acute medical admissions have dementia, but only half of these patients have been diagnosed. Patients with dementia have poorer health outcomes, longer hospital stays, and higher rates of readmissions and institutionalization. Worldwide, health care budgets are severely constrained. National Institute for Health and Care Excellence (NICE) has listed ten quality standards for supporting people in living well with dementia. NICE resource implications and commissioning support to implement these guidelines and improve dementia services have been recently published. Although most of the frail elderly patients with dementia are cared for by geriatricians, obstacles to making a diagnosis and to the management of dementia have been recognized. To provide a timely diagnosis of dementia, better care in acute hospital settings, and continuity of care in the community, services integrating all these elements are warranted. Extra resources also will be required for intermediate, palliative care, and mental health liaison services for people with dementia. The Birmingham Rapid Assessment Interface and Discharge service model uses a multiskilled team that provides comprehensive assessment of a person’s physical and psychological well-being in a general hospital setting. It has been shown to be an effective model in terms of reducing both length of stay and avoiding readmission. The aim of this review is to discuss the implications of the Rapid Assessment Interface and Discharge model in people with dementia and to critically compare this model with similar published service provisions. Dove Medical Press 2013 2013-08-21 /pmc/articles/PMC3754487/ /pubmed/23986633 http://dx.doi.org/10.2147/CIA.S36398 Text en © 2013 Singh al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Ltd, provided the work is properly attributed. |
spellingShingle | Review Singh, Inderpal Ramakrishna, Sharan Williamson, Kathryn The Rapid Assessment Interface and Discharge service and its implications for patients with dementia |
title | The Rapid Assessment Interface and Discharge service and its implications for patients with dementia |
title_full | The Rapid Assessment Interface and Discharge service and its implications for patients with dementia |
title_fullStr | The Rapid Assessment Interface and Discharge service and its implications for patients with dementia |
title_full_unstemmed | The Rapid Assessment Interface and Discharge service and its implications for patients with dementia |
title_short | The Rapid Assessment Interface and Discharge service and its implications for patients with dementia |
title_sort | rapid assessment interface and discharge service and its implications for patients with dementia |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3754487/ https://www.ncbi.nlm.nih.gov/pubmed/23986633 http://dx.doi.org/10.2147/CIA.S36398 |
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