Preliminary data from an advanced dementia consult service: integrating research, education, and clinical expertise.

ABSTRACT: Hospitalized individuals with advanced dementia often receive care that is of limited clinical benefit and inconsistent with preferences. An advanced dementia consultation service was designed, and a pre and post pilot study was conducted in a Boston hospital to evaluate it. Geriatricians and a palliative care nurse practitioner conducted consultations, which consisted of structured consultation, counseling and provision of an information booklet to the family, and postdischarge follow-up with the family and primary care providers. Individuals aged 65 and older with advanced dementia who were admitted were identified, and consultations were solicited using pop-ups programmed into the computerized provider order entry (POE) system. In the initial 3-month period, 24 subjects received usual c

SUBMITTER: Catic AG 

PROVIDER: S-EPMC3835152 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature