Extended Psychiatric Nurse Liaison Team For Older People in Acute Care

Examples of Practice

The service aims to promote the understanding of the need for an integrated approach in care of the elderly in acute care.  It demonstrates the impact that psychiatric morbidity can have on physical health and rehabilitation and how joint working with other professional groups can improve the quality of care and outcomes for elderly patients.  It has developed and implemented an acute pathway for people with cognitive impairment entering the acute hospital, and assisted in early identification and diagnosis of dementia by providing specialist assessment and treatment interventions, education and support to patients, staff and carers.

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Elderly Care Assessment Nurses

Examples of Practice

Many older people were being admitted to appropriate wards from an acute medical perspective but were missing the opportunity to benefit from a coordinated comprehensive geriatric assessment which would potentially ensure a better patient journey and reduce the hospital stay.

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Alternative Housing Models and Intermediate Care

Examples of Practice

Issues the projects addressed were:

  • Supporting people to live more independently in the community for longer, thereby reducing care home admissions
  • Making better use of care services to move away from the rigid model of home carers visiting
  • Working with Registered Social Landlords to bring together the Housing Support function with personal care
  • Filling the gap of reduced social and community based activities as a result of the move from institutional models of care

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Integrated AHP Service in Acute Medical Receiving Wards

Examples of Practice

In the view of ‘Care closer to home ’(Darzi) 2008, AHPs  play an integral role in deciding whether a patient is safe for discharge.  They are well positioned to deal with the wide range of pathologies and complexities presented.  Additionally, evidence relating to emergency admissions of older people suggests assessment should take place as early as possible depending on medical stability (RCPL – Management of the older medical patient, RCPL 2000).

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