2.50
Hdl Handle:
http://hdl.handle.net/10755/159201
Type:
Presentation
Title:
Evaluating Follow-up Care for Patients With Dementia
Abstract:
Evaluating Follow-up Care for Patients With Dementia
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Higgins, Patricia, PhD
P.I. Institution Name:Cleveland Veteran Affairs Medical Center
Contact Address:111C (W), Cleveland, OH, 44106, USA
Co-Authors:T. Hornick, E. Dunlop, N. Fisher, M.A. Greene, D. Kresevic, L. Abood, and M. Pallaki, GRECC, Cleveland Veterans Affairs Medical Center, Cleveland, OH; T. Hornick, D. Kresevic, and M. Pallaki, , Case Western Reserve University, Cleveland, OH
Unlike diabetes mellitus, in which there are detailed, well-established guidelines for routine assessment and follow-up care, guidelines of care for dementia patients are less well defined and in particular, type and frequency of follow-up care is left to the individual provider. The purpose of this study is to compare outpatient care routinely provided by a Veterans Affairs Medical Center geriatrics team in the follow-up treatment of elderly patients diagnosed with dementia and/or diabetes mellitus. The case load for this urban, academic geriatrics clinic is approximately 1000 patients; each patient averages 5 clinic visits per year; 34% of the patients have a dementia diagnosis; approximately 20% have a diabetes mellitus diagnosis. This retrospective study abstracted data from the medical records of 103 elderly patients (dementia diagnosis only, N=45; dementia and diabetes diagnoses, N=20; diabetes diagnosis only, N=38). All patients received follow-up treatment for at least 12 months during 2002-2004. For dementia patients, frequency of documentation of assessment of nine indicators is reported: MMSE, caregiver strain, patient behavior, ADLs and IADLs, respite needs, referral to Alzheimer's association services, driving status, and weapons discussion was recorded. Patients with diabetes were assessed on frequency of three indicators: eye exams, foot exams, and HbA1c blood studies. The sample reflected the general geriatric clinic population: 100% male; mean age = 79 (range = 62-87); mean MMSE = 21 (range 4-29). On the initial visit, documentation of the dementia indicators varied from 100% (patient behavior: decision-making) to 3% (referral to Alzheimer's Association). During follow-up, documentation rates dropped, with mental status most frequently recorded and caregiver needs least frequently recorded. Descriptive and graphical analyses are used to illustrate additional major findings. Based on this sample, we conclude that follow-up care for elderly patients with diabetes is more consistent with regard to known measures. This first phase of this project provided information about usual care practices in a veterans' geriatric outpatient clinic. The long-term objective is the development, implementation and evaluation of dementia care guidelines.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluating Follow-up Care for Patients With Dementiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159201-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluating Follow-up Care for Patients With Dementia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Higgins, Patricia, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cleveland Veteran Affairs Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">111C (W), Cleveland, OH, 44106, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">patricia.higgins@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">T. Hornick, E. Dunlop, N. Fisher, M.A. Greene, D. Kresevic, L. Abood, and M. Pallaki, GRECC, Cleveland Veterans Affairs Medical Center, Cleveland, OH; T. Hornick, D. Kresevic, and M. Pallaki, , Case Western Reserve University, Cleveland, OH</td></tr><tr><td colspan="2" class="item-abstract">Unlike diabetes mellitus, in which there are detailed, well-established guidelines for routine assessment and follow-up care, guidelines of care for dementia patients are less well defined and in particular, type and frequency of follow-up care is left to the individual provider. The purpose of this study is to compare outpatient care routinely provided by a Veterans Affairs Medical Center geriatrics team in the follow-up treatment of elderly patients diagnosed with dementia and/or diabetes mellitus. The case load for this urban, academic geriatrics clinic is approximately 1000 patients; each patient averages 5 clinic visits per year; 34% of the patients have a dementia diagnosis; approximately 20% have a diabetes mellitus diagnosis. This retrospective study abstracted data from the medical records of 103 elderly patients (dementia diagnosis only, N=45; dementia and diabetes diagnoses, N=20; diabetes diagnosis only, N=38). All patients received follow-up treatment for at least 12 months during 2002-2004. For dementia patients, frequency of documentation of assessment of nine indicators is reported: MMSE, caregiver strain, patient behavior, ADLs and IADLs, respite needs, referral to Alzheimer's association services, driving status, and weapons discussion was recorded. Patients with diabetes were assessed on frequency of three indicators: eye exams, foot exams, and HbA1c blood studies. The sample reflected the general geriatric clinic population: 100% male; mean age = 79 (range = 62-87); mean MMSE = 21 (range 4-29). On the initial visit, documentation of the dementia indicators varied from 100% (patient behavior: decision-making) to 3% (referral to Alzheimer's Association). During follow-up, documentation rates dropped, with mental status most frequently recorded and caregiver needs least frequently recorded. Descriptive and graphical analyses are used to illustrate additional major findings. Based on this sample, we conclude that follow-up care for elderly patients with diabetes is more consistent with regard to known measures. This first phase of this project provided information about usual care practices in a veterans' geriatric outpatient clinic. The long-term objective is the development, implementation and evaluation of dementia care guidelines.</td></tr></table>en_GB
dc.date.available2011-10-26T21:48:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:48:00Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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