𝔖 Bobbio Scriptorium
✦   LIBER   ✦

Effectiveness of a clinical pathway for the diagnosis and treatment of dementia and for the education of families

✍ Scribed by Hiroaki Kazui; Mamoru Hashimoto; Yoko Nakano; Keiji Matsumoto; Shuhei Yamamura; Kentaro Nagaoka; Etsuro Mori; Hidetoshi Endo; Hiromasa Tokunaga; Yoshitaka Ikejiri; Masatoshi Takeda

Publisher
John Wiley and Sons
Year
2004
Tongue
English
Weight
83 KB
Volume
19
Category
Article
ISSN
0885-6230

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Aims

Clinical pathways (CPs) are rarely used in the treatment of dementia. We established a CP for a series of medical practices (diagnosis, treatment, establishment of a care system, and caregiver education) for patients with dementia hospitalized for a three‐week period, and evaluated its usefulness.

Methods

The length of hospital stay and hospital costs were compared between 23 consecutive patients with dementia hospitalized and treated using a CP and 20 controls treated by conventional medical practice without using a CP in a special ward for dementia patients. In the CP group, at the time of discharge, primary caregivers, physicians, and nurses were given a questionnaire to obtain their comments about the impression of treatment with the CP.

Results

The questionnaire survey indicated that the CP deepened the caregiver's understanding of the sequence of medical practices for the inpatient, the disorders of the inpatient, the treatment methods, and the methods for coping with the disorder. The CP was also useful for facilitating inpatient medical practice and promoting the establishment of a care system after discharge. The use of the CP significantly shortened the length of hospital stay and decreased hospital costs during hospitalization but increased the amount of work per day and made the medical staff feel that their freedom to choose medical procedures had been restricted.

Conclusions

The CP was useful for execution of inpatient medical practices for patients with dementia. Copyright Β© 2004 John Wiley & Sons, Ltd.

πŸ“œ SIMILAR VOLUMES

Clinical and cost effectiveness of servi
Clinical and cost effectiveness of services for early diagnosis and intervention in dementia
✍ Sube Banerjee; Raphael Wittenberg πŸ“‚ Article πŸ“… 2009 πŸ› John Wiley and Sons 🌐 English βš– 130 KB πŸ‘ 1 views

## Abstract ## Background This paper analyses the costs and benefits of commissioning memory services for early diagnosis and intervention for dementia. ## Method A model was developed to examine potential public and private savings associated with delayed admissions to care homes in England as

A memory clinic for the early diagnosis
A memory clinic for the early diagnosis of dementia
✍ Michael P. Philpot; Raymond Levy πŸ“‚ Article πŸ“… 1987 πŸ› John Wiley and Sons 🌐 English βš– 492 KB πŸ‘ 1 views

The aims and experience of work in a specialist memory assessment clinic are described with reference to the first 100 patients attending the service. Fifty-one patients were found to suffer from dementia and a further 26 from mild but significant memory disorder. The open referral system proved a r

What are patients and their families tol
What are patients and their families told about the diagnosis of dementia? Results of a family survey
✍ Suzanne Holroyd; Quentin Turnbull; Andrew M. Wolf πŸ“‚ Article πŸ“… 2002 πŸ› John Wiley and Sons 🌐 English βš– 49 KB πŸ‘ 1 views

## Abstract ## Background Controversy exists as to whether dementia patients should be told their diagnosis and prognosis. ## Objective This study examined the experience of patients and families when a diagnosis of dementia is given. ## Method Fifty‐seven family members from community dementi

CAMcog as a screening tool for diagnosis
CAMcog as a screening tool for diagnosis of mild cognitive impairment and dementia in a Brazilian clinical sample of moderate to high education
✍ Paula V. Nunes; Breno S. Diniz; Marcia Radanovic; Izabella D. Abreu; Danilo T. B πŸ“‚ Article πŸ“… 2008 πŸ› John Wiley and Sons 🌐 English βš– 110 KB πŸ‘ 1 views

## Abstract ## Background The CAMCOG is a brief neuropsychological battery designed to assess global cognitive function and ascertain the impairments that are required for the diagnosis of dementia. To date, the cut‐off scores for mild cognitive impairment (MCI) have not been determined. Given the