Resources

Title/link Description
RLO: Person centred care This RLO looks at what person-centered dementia care is and using filming of healthcare professionals caring for people with dementia, shows how person-centered care can be applied on a hospital ward.
RLO: Caring for people with dementia in the general hospital Dementia is very common. A quarter of general hospital in-patients have cognitive impairment, Dementia or dementia complicated by delirium. Almost all healthcare professionals who look after adults will encounter patients with these problems, we all need the knowledge and skills to care for them.
Website: Alzheimer's Society Alzheimer's Society is a membership organisation, which works to improve the quality of life of people affected by dementia in England, Wales and Northern Ireland.

Glossary

  • dementia - is characterised by progressive loss of memory plus changes in at least one other area of cognitive function, including aphasia, agnosia, apraxia or executive function. This leads to impairments in judgement, thinking, planning, reasoning and processing of information.

  • person-centred dementia care - an approach which aims to see the person with dementia as an individual, rather than focusing on their illness or on abilities they may have lost.

Books
Brooker, D.(2007) Person-Centred Dementia Care: Making Services Better (Bradford Dementia Group Good Practice Guides). London: Jessica Kingsley Publishers.
Kitwood, T. (1997) Dementia Reconsidered: The Person Comes First. Buckingham: OUP.
Waite, J. Harwood, R.H., Morton, R. and Connelly, D.J. (2009) Dementia Care - A Practical Manual. Oxford:OUP.

Journals

Whittamore, K.H., Goldberg, S.E., Bradshaw, L.E. and Harwood, R.H. (2014) Factors Associated with Family Caregiver Dissatisfaction with Acute Hospital Care of Older Cognitively Impaired Relatives. Journal of the American Geriatric Society [online] 62: pp. 2252-2260.
Available at: http://onlinelibrary.wiley.com/doi/10.1111/jgs.13147/pdf

Glover, A., Bradshaw, L.E., Watson, N., Laithwaite, E., Goldberg, S.E., Whittamore, K.H. and Harwood, R.H. (2014) Diagnoses, problems and healthcare interventions amongst older people with an unscheduled hospital admission who have concurrent mental health problems: a prevalence study. BMC Geriatrics [online] 14(43).
Available at: http://www.biomedcentral.com/content/pdf/1471-2318-14-43.pdf

Goldberg, S.E., Whittamore, K.H., Pollock, K., Harwood, R.H. and Gladman J.R.F. (2014) Caring for cognitively impaired older patients in the general hospital: A qualitative analysis of similarities and differences between a specialist Medical and Mental Health Unit and standard care wards.
International Journal of Nursing Studies. 51: pp. 1332-1343.

Spencer, K., Foster, P., Whittamore, K.H., Goldberg, S.E. and Harwood, R.H. (2013) Delivering dementia care differently - evaluating the differences and similarities between a specialist medical and mental health unit and standard acute care wards: a qualitative study of family carers' perceptions of quality of care. BMJ Open [online] 3.
Available at: http://bmjopen.bmj.com/content/3/12/e004198.full.pdf+html

Goldberg, S.E., Bradshaw, L.E., Kearney, F.C., Russell, C., Whittamore, K.H., Foster, E.R., Mamza, J., Gladman, J.R.F. Jones, R.G., Lewis, S.A., Porock D., Harwood, R.H. (2013) Care in specialist medical and mental health unit compared with standard care for older people with cognitive impairment admitted to general hospital: randomised controlled trial (NIHR TEAM trial) BMJ [online] 347.
Available at: http://www.bmj.com/content/347/bmj.f4132

Bradshaw, L.E., Goldberg, S.E., Lewis, S.A., Whitttamore, K., Gladman, J.R.F, Jones, R.G. and Harwood, R.H. (2013) Six-month outcomes following an emergency hospital admission for older adults with co-morbid mental health problems indicate complexity of care needs. Age and Ageing [online] 42: pp. 582-588.
Available at: http://ageing.oxfordjournals.org/content/42/5/582.full.pdf+html

Whittamore, K.H., Goldberg, S.E., Gladman, J.R.F., Bradshaw, L.E., Jones, R.G. and Harwood, R.H. (2014) The diagnosis, prevalence and outcome of delirium in a cohort of older people with mental health problems on general hospital wards. International Journal of Geriatric Psychiatry [online] 29(32): pp. 32-40.
Available at: http://onlinelibrary.wiley.com/doi/10.1002/gps.3961/epdf

Bradshaw, L.E., Goldberg, S.E., Schneider J.M. and Harwood R.H.(2012) Carers for older people with co-morbid cognitive impairment in general hospital: characteristics and psychological well-being. International Journal of Geriatric Psychiatry. 28 (7): pp.681-690.
Available at: http://onlinelibrary.wiley.com/doi/10.1002/gps.3871/epdf

Goldberg, S.E., Whittamore, K.H., Harwood R.H., Bradshaw, L.E., Gladman, J.R.F., Jones, R.G.(2012) The prevalence of mental health problems among older adults admitted as an emergency to a general hospital. Age and Ageing [online] 41: pp. 80-86.
Available at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3234074/pdf/afr106.pdf

Communication - Personal Print Summary

Learning Objectives for this resource

  • be aware of the problems faced by people with dementia in hospital
  • learn ways to make the experience of hospital easier for patients
  • make hospital care less stressful for staff and family carers
  • know how to reduce distress and disturbed behaviour, and manage it better when it occurs
  • fulfil legal and professional obligations towards people with dementia.

This RLO was developed by:

Rowan Harwood, Sarah Goldberg, Justine Schneider, Geraldine Dowling, Stewart Paviers-Mills, Kate Tweedie, Kate Sartain, Sara Deakin, Rebecca Allwood, Laura Daunt, Louise Howe, Owen Davies.

HELM Team - Michael Taylor and Richard Windle.

Alzheimers society This resource was supported by Alzheimer’s Society Dissemination grant number AS-DG-13-0005.