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.
Improved assessment and care of patients with BPSD and dementia or delirium in keeping with national guidelines. It is recognised that prevalence of dementia, delirium and cognitive impairment otherwise unspecified is high in Geriatric Medicine departments.
Falls are the most common call received by the Scottish Ambulance Service in Aberdeen, with a mid-morning peak. The purpose of this project was to maximise the number of Older People who can be supported to remain at home, following a fall. This is intended to significantly reduce the number of unnecessary hospital admissions for older people.
It was recognised that an increasing number of older people with dementia and/or mental health problems are admitted to acute hospital inpatient settings. These patients often require additional supports and hospital staff are less able to manage these patients within a busy ward environment. In addition to increasing staff skills through staff training, often individual patients will highlight specific issues which require a more specialist understanding or assessment. The project sought to provide this additional support and assessment.