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[The first experiences from a dementia-unit at a geriatric department]
D L Thudium1, L P Laugesen, S C Sanders
1Geriatrisk genoptraeningsafdeling, Sundby Hospital, København.
Ugeskrift for Laeger
|June 21, 1993
Summary
Geriatric wards can provide a stable environment for dementia patients, improving satisfaction. A structured approach helped identify needs, with many requiring nursing home placement or alternative sheltered living.
Area of Science:
- Geriatric Medicine
- Psychiatry
Context:
- Dementia patients traditionally treated in psychiatric wards.
- Geriatric patients often present with confusion/dementia, hindering recovery.
- A dedicated geriatric ward was utilized for specialized dementia patient care.
Purpose:
- To evaluate the effectiveness of a dedicated geriatric ward for dementia patient treatment.
- To assess patient, family, and staff satisfaction within this specialized environment.
- To analyze patient outcomes and discharge needs.
Summary:
- A study of 58 dementia patients (09.11.89-31.01.91) in a geriatric ward demonstrated the creation of a stable, satisfying environment with structured activities.
- A structured procedure and rating scales aided in problem identification.
- 25% of patients were temporarily confused, not demented. 33% of demented patients lacked public assistance.
- 60% of demented patients required nursing home discharge, compared to 10% of non-demented patients.
Impact:
- The study highlights the potential of geriatric wards to offer improved care and environments for dementia patients.
- Findings suggest sheltered, home-like living as a viable, cost-effective alternative to nursing homes.
- Identified a significant need for public assistance among demented patients.