The Rapid Assessment Interface and Discharge service and its implications for patients with dementia

Inderpal Singh,1 Sharan Ramakrishna,1 Kathryn Williamson21Department of Geriatric Medicine, 2Department of Old Age Psychiatry, Ysbyty Ystrad Fawr, Ystrad Mynach, Caerphilly, United KingdomAbstract: The rising prevalence of dementia will have an effect on acute care hospitals around the world. At pre...

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Autores principales:	Singh I, Ramakrishna S, Williamson K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Co-morbidity aged hospitals dementia cost Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/485df5c6963b4c4fb93da6380f4b2ef9
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spelling	oai:doaj.org-article:485df5c6963b4c4fb93da6380f4b2ef92021-12-02T06:03:43ZThe Rapid Assessment Interface and Discharge service and its implications for patients with dementia1178-1998https://doaj.org/article/485df5c6963b4c4fb93da6380f4b2ef92013-08-01T00:00:00Zhttps://www.dovepress.com/the-rapid-assessment-interface-and-discharge-service-and-its-implicati-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Inderpal Singh,1 Sharan Ramakrishna,1 Kathryn Williamson21Department of Geriatric Medicine, 2Department of Old Age Psychiatry, Ysbyty Ystrad Fawr, Ystrad Mynach, Caerphilly, United KingdomAbstract: The rising prevalence of dementia will have an effect on acute care hospitals around the world. At present, around 40% of patients older than 70 years with acute medical admissions have dementia, but only half of these patients have been diagnosed. Patients with dementia have poorer health outcomes, longer hospital stays, and higher rates of readmissions and institutionalization. Worldwide, health care budgets are severely constrained. National Institute for Health and Care Excellence (NICE) has listed ten quality standards for supporting people in living well with dementia. NICE resource implications and commissioning support to implement these guidelines and improve dementia services have been recently published. Although most of the frail elderly patients with dementia are cared for by geriatricians, obstacles to making a diagnosis and to the management of dementia have been recognized. To provide a timely diagnosis of dementia, better care in acute hospital settings, and continuity of care in the community, services integrating all these elements are warranted. Extra resources also will be required for intermediate, palliative care, and mental health liaison services for people with dementia. The Birmingham Rapid Assessment Interface and Discharge service model uses a multiskilled team that provides comprehensive assessment of a person's physical and psychological well-being in a general hospital setting. It has been shown to be an effective model in terms of reducing both length of stay and avoiding readmission. The aim of this review is to discuss the implications of the Rapid Assessment Interface and Discharge model in people with dementia and to critically compare this model with similar published service provisions.Keywords: comorbidity, aged, hospitals, dementia, costSingh IRamakrishna SWilliamson KDove Medical PressarticleCo-morbidityagedhospitalsdementiacostGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1101-1108 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Co-morbidity aged hospitals dementia cost Geriatrics RC952-954.6
spellingShingle	Co-morbidity aged hospitals dementia cost Geriatrics RC952-954.6 Singh I Ramakrishna S Williamson K The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
description	Inderpal Singh,1 Sharan Ramakrishna,1 Kathryn Williamson21Department of Geriatric Medicine, 2Department of Old Age Psychiatry, Ysbyty Ystrad Fawr, Ystrad Mynach, Caerphilly, United KingdomAbstract: The rising prevalence of dementia will have an effect on acute care hospitals around the world. At present, around 40% of patients older than 70 years with acute medical admissions have dementia, but only half of these patients have been diagnosed. Patients with dementia have poorer health outcomes, longer hospital stays, and higher rates of readmissions and institutionalization. Worldwide, health care budgets are severely constrained. National Institute for Health and Care Excellence (NICE) has listed ten quality standards for supporting people in living well with dementia. NICE resource implications and commissioning support to implement these guidelines and improve dementia services have been recently published. Although most of the frail elderly patients with dementia are cared for by geriatricians, obstacles to making a diagnosis and to the management of dementia have been recognized. To provide a timely diagnosis of dementia, better care in acute hospital settings, and continuity of care in the community, services integrating all these elements are warranted. Extra resources also will be required for intermediate, palliative care, and mental health liaison services for people with dementia. The Birmingham Rapid Assessment Interface and Discharge service model uses a multiskilled team that provides comprehensive assessment of a person's physical and psychological well-being in a general hospital setting. It has been shown to be an effective model in terms of reducing both length of stay and avoiding readmission. The aim of this review is to discuss the implications of the Rapid Assessment Interface and Discharge model in people with dementia and to critically compare this model with similar published service provisions.Keywords: comorbidity, aged, hospitals, dementia, cost
format	article
author	Singh I Ramakrishna S Williamson K
author_facet	Singh I Ramakrishna S Williamson K
author_sort	Singh I
title	The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
title_short	The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
title_full	The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
title_fullStr	The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
title_full_unstemmed	The Rapid Assessment Interface and Discharge service and its implications for patients with dementia
title_sort	rapid assessment interface and discharge service and its implications for patients with dementia
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/485df5c6963b4c4fb93da6380f4b2ef9
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The Rapid Assessment Interface and Discharge service and its implications for patients with dementia

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