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.
The Care Home Peripatetic Liaison team have encountered several instances of service users requiring provision of sub-cutaneous fluids (S/C fluids) within the Nursing Home setting. Service users were admitted to Acute Care setting in order to readdress their hydration deficits and receive treatment that would be deemed more invasive. In order to support the hydration requirements of residents without the need to transfer to the acute hospital setting, it was recognised that the commencement of S/C fluids would negate/reduce the need for transfer to hospital. In addition residents would receive appropriate treatment more timely.
Anticipating patients that are moving towards a health transition because of emerging health issues.
In Moray we monitor daily the number of patients that are over 65yrs, who attend A&E and are subsequently discharged. We used the Change Fund to second a senior nurse practitioner to work alongside a Consultant Geriatrician to follow up the patients who were discharged. Case studies suggest that early intervention of this type has prevented further deterioration or enabled planned interventions removing the unpredictability of an unscheduled admission.