1. Implementation of a model of care for hospitalised older persons with cognitive impairment (the Confused Hospitalised Older Persons program) in six New South Wales hospitals.
- Author
-
Kurrle, Susan, Bateman, Cath, Cumming, Anne, Pang, Glen, Patterson, Sigrid, and Temple, Anthea
- Subjects
RISK of delirium ,DELIRIUM in old age ,HOSPITAL care of older people ,COGNITION disorders ,CONFIDENCE ,DEMENTIA ,INTERVIEWING ,MEDICAL care ,MEDICAL quality control ,MEDICAL records ,PROFESSIONS ,RISK assessment ,SURVEYS ,EVALUATION of human services programs ,ACQUISITION of data methodology ,ODDS ratio ,OLD age - Abstract
Objective: To evaluate the implementation of a model of care known as the Confused Hospitalised Older Persons (CHOPs) program to improve recognition, assessment and management of older persons with cognitive impairment (delirium and/or dementia) admitted to acute hospitals. Methods: The model of care was implemented in six selected hospitals across New South Wales. Pre‐ and postimplementation medical record audits, environmental audits, and staff knowledge and care confidence surveys were performed. Interviews with clinical leads postimplementation identified enablers and barriers. Results: There were significant increases in cognitive screening within 24 hours (OR = 3.32 [2.50‐4.91]), delirium risk identification (OR = 4.04 [2.89‐5.64]), assessment of cognitive impairment (OR = 2.55 [1.90‐3.43]) and interaction with families (OR = 2.81 [2.09‐3.79]). Staff education and care confidence were improved, and positive environmental changes occurred in all hospitals. Barriers and enablers to implementation were identified. Conclusion: The CHOPs program improved identification, risk assessment and management of cognitive impairment in older hospitalised patients. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF