Moderation: J. Bauer, Heidelberg
Dementia is one of the most common co-morbidities seen in older patients in acute care, yet it is often poorly and inconsistently managed, with adverse outcomes. This presentation looks at two Australian approaches to management of dementia and delirium in acute care. The fi rst is directed at the individual patient and ward level of care, and looks at the implementation and evaluation of a model of care known as the Care of Confused Hospitalised Older Persons program (CHOPs) in a number of hospitals across the state of New South Wales. It describes the seven key principles of care, how implementation occurred, and the results of evaluation of the program. It discusses the barriers and enablers to implementation and sustainability of the program. The second approach relates to the use of the Australian hospital accreditation standards, used for accreditation of all public and private hospitals in Australia, as a basis for ensuring that appropriate screening, evaluation, and management of dementia occurs in all older patients presenting to acute hospitals. The Australian Commission for Safety and Quality in Health Care, which is responsible for the standards, has developed an information and education program known as “A Better Way to Care”, to allow all hospitals undergoing accreditation to prepare. The implementation of this program and enablers for its sustainability will be discussed.
Prof. Susan Kurrle
Curran Professor in Health Care of Older People Faculty of Medicine, University of Sydney Director, NHMRC Cognitive Decline Partnership Centre Senior Staff Specialist Geriatrician Hornsby Kuring-gai Health Service