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"Managing advanced dementia, advance care planning for dementia patients"

Journal Article


Abstract


  • Aims: To trial a staff education and training program

    designed to facilitate the adoption of a palliative care

    approach for residents with end stage dementia in aged care

    facilities.

    Methods: A cluster randomised controlled trial of 12 residential

    aged care facilities in regional and rural setting with

    530 residents in the intervention and 520 in the control

    facilities. The intervention was delivering a tailor made evaluated

    education tool and training program for aged care

    staff conducted in two stages. The outcomes recorded were

    Incidence of presentations to Emergency Department, hospital

    admissions and mortality.

    Results: Post intervention a signifi cant difference was

    observed in Emergency presentations χ2 = 18.8, p < 0.0001;

    OR = 0.44; 95% CI 0.31–0.65, 8.8% of intervention residents

    versus 17.88% of control residents. (The intervention

    group had a −5.88% reduction in Emergency presentations

    and control group an increase of 14.6%.) Similar results

    were found for the number of hospital admissions (intervention

    6.9% versus control 11.3%), χ2 = 6.16, p < 0.013;

    OR = 0.58 95%CI 0.38 to 0.89. The mortality was not

    signifi cantly different p = 0.6.

    Conclusions: A specifi c education and training program can

    signifi cantly reduce emergency presentations and hospital

    admissions without compromising resident care or mortality.

    Training is a crucial and cost effective way to improve care

    at end of life in dementia.

Publication Date


  • 2012

Citation


  • Potter, J., Humpel, N., Grenyer, B. F. S. . & Yeo, W. W. (2012). "Managing advanced dementia, advance care planning for dementia patients". In The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting: Dementia: Managing Not to Forget, 2-4 May, Hilton Hotel, Sydney. Australasian Journal on Ageing, 31 14-14.

Scopus Eid


  • 2-s2.0-84860853352

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/2991

Number Of Pages


  • 0

Start Page


  • 14

End Page


  • 14

Volume


  • 31

Place Of Publication


  • Australia

Abstract


  • Aims: To trial a staff education and training program

    designed to facilitate the adoption of a palliative care

    approach for residents with end stage dementia in aged care

    facilities.

    Methods: A cluster randomised controlled trial of 12 residential

    aged care facilities in regional and rural setting with

    530 residents in the intervention and 520 in the control

    facilities. The intervention was delivering a tailor made evaluated

    education tool and training program for aged care

    staff conducted in two stages. The outcomes recorded were

    Incidence of presentations to Emergency Department, hospital

    admissions and mortality.

    Results: Post intervention a signifi cant difference was

    observed in Emergency presentations χ2 = 18.8, p < 0.0001;

    OR = 0.44; 95% CI 0.31–0.65, 8.8% of intervention residents

    versus 17.88% of control residents. (The intervention

    group had a −5.88% reduction in Emergency presentations

    and control group an increase of 14.6%.) Similar results

    were found for the number of hospital admissions (intervention

    6.9% versus control 11.3%), χ2 = 6.16, p < 0.013;

    OR = 0.58 95%CI 0.38 to 0.89. The mortality was not

    signifi cantly different p = 0.6.

    Conclusions: A specifi c education and training program can

    signifi cantly reduce emergency presentations and hospital

    admissions without compromising resident care or mortality.

    Training is a crucial and cost effective way to improve care

    at end of life in dementia.

Publication Date


  • 2012

Citation


  • Potter, J., Humpel, N., Grenyer, B. F. S. . & Yeo, W. W. (2012). "Managing advanced dementia, advance care planning for dementia patients". In The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting: Dementia: Managing Not to Forget, 2-4 May, Hilton Hotel, Sydney. Australasian Journal on Ageing, 31 14-14.

Scopus Eid


  • 2-s2.0-84860853352

Ro Metadata Url


  • http://ro.uow.edu.au/hbspapers/2991

Number Of Pages


  • 0

Start Page


  • 14

End Page


  • 14

Volume


  • 31

Place Of Publication


  • Australia