Differences in transitional care provided to patients with and without dementia
Abstract
Older adults with dementia experience more care transitions than those without dementia yet are routinely excluded from transitional care studies. The purpose of the current study was to understand the transitional care delivered to older adults with dementia compared to those without dementia. The medical charts of 210 patients (126 with dementia, 84 without dementia) 70 years and older hospitalized at a single hospital were reviewed for evidence of transitional care, including discharge planning, patient education, and follow-up appointments. Patients with dementia were significantly less likely to receive education related to their follow-up needs, whom to contact after discharge, medication regimens after discharge, and symptoms after discharge than patients without dementia. Caregivers to patients with dementia have previously reported a desire for more education and information from hospital providers so they can advocate for patients in aftercare; therefore, nurses and social workers should consider providing education regardless of a patient's dementia diagnosis. [Journal of Gerontological Nursing, 45(8), 15-22.].
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Compared to individuals without dementia, those with dementia were significantly less likely to receive accurate medication histories, comprehensive discharge education, or follow-up instructions.
“Compared to individuals without dementia, those with dementia were significantly less likely to receive accurate medication histories, comprehensive discharge education, or follow-up instructions (Prusaczyk et al., 2019).”
From Mind the gap: a systematic review of barriers, facilitators, and experiences of care transitions for people living with dementia and their informal caregivers. (2026) · cites this paper as Prusaczyk et al., 2019
Earlier studies reported similar challenges and demonstrated the value of educating people with dementia and family caregivers on how to lessen emotional and behavioral symptoms of dementia.
“Earlier studies reported similar challenges31–33 and demonstrated the value of educating PWD and family caregivers on how to lessen emotional and behavioral symptoms of dementia.34, 35”
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- Authors
- Prusaczyk, B., Olsen, M. A., Carpenter, C. R., & Proctor, E.
- Venue
- Journal of Gerontological Nursing
- Publisher
- SLACK, Inc.
- Published
- 2019-08
- Volume
- 45
- Issue
- 8
- Pages
- 15-22
- ISSN
- 0098-9134 (ISSN-L)
- 1938-243X
- OpenAlex
- W2949829962
- Cited by
- 12
- References
- 36
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2022: 2 · 2021: 4 · 2020: 1
- FWCI
- 2.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gerontological Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Hospital Admissions and Outcomes
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- dementia, care transitions, older adults, discharge planning, patient education, follow-up care, caregiver education, hospital discharge
- MeSH terms
- Transitional Care, Aged, Aged, 80 and over, Dementia, Female, Humans, Male, Case-Control Studies
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