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Podium Presentations: Monday, July 25, 2016
was highly acceptable, decreased caregiving stress and improved medication management skills. Intervention costs were $250 per patient enrolled. Conclusions: C-TraC shows promise for improving the post-hospital outcomes of AD patients. An NIA-funded 5-year randomized controlled trial to determine the effects of C-TraC versus usual care for AD patients discharged from the hospital to the community is on-going, and will determine C-TraC’s impact on 30-day rehospitalizations, caregiver stress, and patient outcomes including function. US Department of Veterans Affairs and the US Centers for Medicare and Medicaid Services are funding C-TraC pilots in rural and socioeconomically disadvantaged areas. O2-01-04
‘FAILURE TO MAINTAIN’ DEMENTIA PATIENTS IN HOSPITAL: A NEW METHOD OF QUALITY OUTCOME MEASUREMENT RELATED TO NURSING CARE
Kasia Bail, the Hospital Dementia Services Project, Australian Capital Territory and New South Wales, University of Canberra, Canberra, Australia. Contact e-mail:
[email protected] Background: Despite improvement in health care, hospital patient safety remains a concern. Quality outcome measures that are sensitive to nursing care provision, such as ‘Failure to Rescue’ (death following a complication) are used for the general population, but often exclude patients aged over 75. Yet half of hospital populations are aged over 65, and many of those have dementia. Developments of outcomes that are sensitive to nursing care, as well as sensitive to those with dementia, are needed. Method: A retrospective cohort of 426, 276 overnight hospital discharge episodes for patients aged 50 and above from public hospital discharge data from the state of New South Wales, Australia for 2006/07 provided a census sample. Patients with dementia were case matched on sex, age, comorbidity and surgical status on a 1:4 ratio to non-dementia patients. Episode level risk-adjustment for 12 complications that are known to be sensitive to nursing care was examined. Results: Controlling for age, sex, surgery and comorbidities, the highest rates and highest relative risk for dementia compared to non-dementia patients were found in four common complications: urinary tract infections, pressure areas, pneumonia and delirium (p 74, African Americans, Hispanics/ Latinos) but less likely to have had an AWV, suggesting opportunities for further improvement. Ongoing research examines how providers use AWV data on possible CI in subsequent clinical care. O2-01-06
TIME FOR DEMENTIA: DEVELOPMENT AND EVALUATION OF A MULTI-PROFESSIONAL EDUCATIONAL PROGRAMME TO DELIVER CLINICIANS OF THE FUTURE WITH THE UNDERSTANDING AND COMPASSION TO CARE WELL FOR PEOPLE WITH DEMENTIA
Sube Banerjee, Brighton and Sussex Medical School, Brighton, United Kingdom. Contact e-mail:
[email protected] Background: We need education to enable the next generation of health care professionals to rise to the challenge of dementia. Traditional healthcare education delivered through a series of timelimited placements may fail to deliver an understanding of the experiences of long term conditions such as dementia. Longitudinal Integrated clerkships (LIC) allow students longer term placements to provide continuity of experience to learn about chronic illness. We describe the development, delivery and initial evaluation of the Time for Dementia (T4D) programme, a novel interdisciplinary two-year placement with a family with dementia delivered as a compulsory element of medical and nursing undergraduate curricula in South East England. Methods: Case study of a mixed methods evaluation of T4D in terms of process and its impact on student knowledge, understanding, attitudes and behaviours towards dementia. This used standardised quantitative instruments and qualitative interviews. Results: T4D was developed in an iterative process by a partnership between the Alzheimer’s Society, participating universities and the NHS. T4D was made a core
