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Updated: Jun 11, 2026
06:52
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Study of discharge support in dementia cases]
Naoko Shioji1, Miyoji Aiba, Hiroshi Tsuda
1Department of Regional Alliances, Juntendo Tokyo Koto Geriatric Medical Center, Juntendo University Faculty of Medicine.
Summary
Post-discharge support from a psychiatric social worker (PSW) is crucial for dementia patients. Higher support frequency was needed for institutionalized patients, especially for drug administration in facilities.
Area of Science:
- Gerontology
- Psychiatry
- Social Work
Background:
- Dementia care requires comprehensive post-discharge support.
- Psychiatric social workers (PSWs) play a vital role in patient transitions.
Purpose of the Study:
- To investigate the impact of psychiatric social worker (PSW) post-discharge support on dementia patient outcomes.
- To analyze the relationship between support intensity and discharge destination.
Main Methods:
- Retrospective analysis of 192 dementia patients discharged from a ward.
- Data collected on hospitalization, post-discharge status, nutrition, medications, and PSW support.
- Support frequency and duration analyzed based on discharge setting.
Main Results:
- Approximately 50% of patients had Alzheimer's disease; 32.3% moved to home care.
- 50% entered various institutions (insurance facilities, nursing homes, group homes).
- Higher support frequency was observed for institutionalized patients, particularly for gastrostomy feeding and medication management in insurance facilities.
Conclusions:
- Post-discharge support by PSWs is indispensable for dementia patients.
- Institutionalized patients require more intensive support than those receiving home care.
- Frequent support for drug administration is essential for patients in long-term care facilities and insurance facilities.
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