Clinical practice guidelines and care pathways for people with dementia living in the community

Palk, Elizabeth, Carlson, Lynette, Parker, Deborah, & Abbey, Jennifer A. (2008) Clinical practice guidelines and care pathways for people with dementia living in the community. Queensland University of Technology and Queensland Health.



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ID Code: 17393
Item Type: Report
Refereed: No
Additional Information: TABLE OF CONTENTS
1 Glossary 7
2 Services and Resources 9
3 On-Line Assessment and Measurement Tools 10
4 Introduction 11
4.1 Scope of The Guidelines 13
4.2 Development of the Guidelines 13
5 Recognition, Assessment And Diagnosis Phase 15
5.1 Definition of dementia 16
5.2 Different types of dementia 16
5.3 Detection 17
5.4 Assessment and diagnosis 18
5.5 Cognitive Assessment 18
5.6 Investigations for co-morbidities 19
5.7 Functional assessment 19
5.8 Differential diagnosis 20
5.9 Informing the patient and carer 21
5.10 General Practitioner's Recognition, Assessment and Diagnosis Phase Care Pathway 23
5.11 Health Professional's Recognition, Assessment and Diagnosis Phase Care Pathway 24
5.12 Care Worker's Recognition, Assessment and Diagnosis Phase Care Pathway 25
6 Post Diagnosis, Monitoring, Management And Care Phase 26
6.1 Management Strategies for Persons with Dementia 27
6.1.1 Treatment of co-morbidities 27
6.1.2 Behavioural management 27
6.1.3 Maintenance of function 28
6.1.4 Legal issues/Decision making capacity 30
6.1.5 Service provision 30
6.2 Strategies for Carer Support 31
6.2.1 Interventions to support the carer 31
6.2.2 Impact of caring on sexual relationships 31
6.2.3 Respite care 31
6.2.4 Abuse and neglect 32
6.2.5 Financial assistance 32
6.3 General Practitioner's Post Diagnosis, Monitoring, Management and Care Phase Care
Pathway 33
6.4 Health Professional's Post Diagnosis, Monitoring, Management and Care Phase Care
Pathway 34
6.5 Care Worker's Post Diagnosis, Monitoring, Management And Care Phase Care Pathway 35
7 Advanced Phase 36
7.1 Management Strategies for Persons With Dementia 37
7.1.1 A palliative approach 37
7.1.2 Hydration and nutrition 37
7.1.3 Fever and infection 37
7.1.4 Symptom management 37
7.1.5 Admission to Residential Care 38
7.2 Strategies for Carer Support 38
7.2.1 Decision making/advance directives 38
7.2.2 Grief and loss 38
7.3 General Practitioner's Advanced Phase Care Pathway 40
7.4 Health Professional's Advanced Phase Care Pathway 41
7.5 Care Worker's Advanced Phase Care Pathway 42
Appendix 1 The AGREE Instrument 43
Appendix 2 Guidelines Included 45
Appendix 3 Guidelines Excluded 46
Appendix 4 Levels of Evidence 47
Appendix 5 Alzheimer's Australia Referral Form 48
Keywords: Dementia -- Nursing., Dementia -- Patients -- Care., Dementia -- Patients -- Family relationships., Dementia -- Patients -- Care -- Queensland., Dementia -- Patients -- Care -- Evaluation., Palliative treatment -- Queensland
ISBN: 978-1-74107-264-8
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Copyright Statement: Copyright Notice and Disclaimer for the “Clinical Practice Guidelines (Guidelines) and Care Pathways (Pathways) for People with Dementia Living in the Community”. These Guidelines and Pathways together with the Education and Resource package form the Cognition/Dementia Care
System (CDCS). Copyright Notice and Disclaimer
These Guidelines and Pathways have been developed for use by Health Professionals as a guide to practice which is evidence based and focuses on holistic community support for people who have dementia and their carers.
Copyright in these Guidelines and Pathways rests with QUT and Queensland Health. These Guidelines and Pathways must not be reproduced or further disseminated without the written consent of the owners of the copyright except as lawfully allowed under the Copyright Act 1968 (Cth).
These Guidelines and Pathways have been prepared from information based on a collaborative research project between QUT and Queensland Health and is current at the time of printing. While QUT has used its best endeavours to ensure that the research and information provided in the
Guidelines and Pathways is accurate, you use the Guidelines and Pathways at your own risk. To the maximum extent permitted by law, QUT, its officers, employees and students exclude all express and implied warranties as to the reliability, accuracy or completeness of the information contained in the Guidelines and Pathways. It is not intended that these Guidelines and Pathways should override clinical decision making, existing organisational policies and procedures or the wishes of the person with dementia or their carer. QUT, its officers, employees and students will not be liable whether in contract, tort (including
negligence), statute or otherwise to the users of these Guidelines and Pathways or anyone else for any claim, demand, loss or damage incurred arising from the use of these Guidelines and Pathways.
Deposited On: 03 Apr 2009 01:05
Last Modified: 10 Aug 2011 13:28

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