Best practice for the management of older people with dementia in the acute care setting: a review of the literature

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Title Best practice for the management of older people with dementia in the acute care setting: a review of the literature
Author Moyle, Wendy; Olorenshaw, Rachel; Wallis, Marianne; Borbasi, Sally Ann
Journal Name International Journal of Older People Nursing
Year Published 2008
Place of publication United Kigndom
Publisher Blackwell Publishing
Abstract Aim.  This paper reviews the theoretical and research-based literature related to the management of people with chronic confusion as a consequence of dementia in the acute care setting. Background.  People aged 65 years and over are at increased risk of poor outcomes when admitted to the acute care setting as a result of comorbity and mismanagement of their chronic confusion. The challenge of caring for people with dementia in acute care is one that requires special attention. Results.  The theoretical literature outlines a number of principles of care necessary for best practice in the care of people with dementia. A number of different models of care are reported in the literature and some evaluative research has been undertaken to assess the benefits of the different models. Conclusion.  There are a number of interventions that if put into place in acute care may improve care of people with dementia and reduce the burden of care. There is emerging evidence that interventions such as staff education, skilled expertise, standardized care protocols and environmental modification help to meet the needs of people with dementia in acute hospital settings. This paper adds to our current understanding of management of dementia in the acute care setting, an area that demonstrates the need to move from descriptive to intervention studies to ensure evidence for care of persons with a dementing condition.
Peer Reviewed Yes
Published Yes
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Copyright Statement Copyright 2008 Wiley-Blackwell Publishing. This is the author-manuscript version of the paper. Reproduced in accordance with the copyright policy of the publisher.The definitive version is available at
Volume 3
Issue Number 2
Page from 121
Page to 130
ISSN 1748-3735
Date Accessioned 2008-07-03
Language en_AU
Research Centre Menzies Health Institute Qld; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject PRE2009-Aged Care Nursing
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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