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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Dementia palliative care in the acute psychiatric hospital: A feasibility study

Melanie T Gentry¹, Matthew M Clark¹, Susan M Ryan¹

¹Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota.

Perspectives in Psychiatric Care

|January 17, 2020

Abstract

Purpose:

We explored the feasibility of a clinical pathway to identify hospitalized patients with dementia who would benefit from a palliative intervention.

Design And Methods:

Consecutive geropsychiatric admissions were screened for terminal dementia to be randomized to a palliative consultation vs usual care.

Findings:

A total of 43 of the 188 patients (23%) had dementia; however, dementia stages were severe but not terminal. The pathway was not feasible because of the lack of the target population in the inpatient setting for the intervention.

Practice Implications:

New clinical pathways are needed to identify patients with dementia who would benefit from palliative care.

Keywords:

Alzheimer neurodegenerative disorder psychogeriatric quality of life well-being

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