Discharge Criteria and Follow-Up Support for Dementia Care Units
Abstract
Specialized dementia care units (DCUs) house individuals whose behaviors cannot be managed in other settings. To ensure environmental fit, admission/discharge criteria are recommended for DCUs; however, there is no consensus about what criteria should be used. This study aimed to describe, in a random sample of DCUs, the current admission criteria, current/recommended discharge criteria, and services to support discharge. Usable surveys were returned by 23 of 30 facilities. Residents were most frequently admitted because they had a diagnosis of dementia and exhibited cognitive/behavioral problems. The four most common discharge criteria in place/recommended were resident ability to manage in a non-specialized long-term care environment, lack of socially inappropriate behaviors, dependency in activities of daily living, and inability to participate in dementia care activities. These findings suggest that discharge from DCUs is relatively ad hoc. The study lays the groundwork for future research to evaluate the use/appropriateness of these criteria.
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Opinion is mixed whether multiple relocations for people with dementia cause further problems and should be minimised.
“This has clinical implications as opinion is mixed whether multiple relocations for people with dementia causes further problems and should be minimised [40].”
From Stakeholder perspectives of care for people living with dementia moving from hospital to care facilities in the community: a systematic review (2019) · cites this paper as [40]
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Richardson, A., Blenkinsopp, A., Downs, M., & Lord, K. (2019) · BMC Geriatrics · doi:10.1186/s12877-019-1220-1 · Cited by 25 · see citing works
- Authors
- Mortenson, W. B., & Bishop, A. M.
- Affiliations
- University of British Columbia (CA)
- Alberta Health Services (CA)
- Corresponding author
- Bishop, Anne Marie
- ORCID
- Mortenson, W. Ben
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2015-03-23
- Volume
- 35
- Issue
- 3
- Pages
- 321-330
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- OpenAlex
- W1992888585
- Cited by
- 5
- References
- 15
- Citations by year
- 2022: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1
- FWCI
- 1.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- dementia care units, discharge criteria, admission requirements, long-term care, behavioral and psychological symptoms of dementia, activities of daily living, specialized care facilities
- MeSH terms
- Activities of Daily Living, Administrative Personnel, Dementia, Follow-Up Studies, Hospital Units, Humans, Long-Term Care, Patient Admission, Patient Discharge
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