The Acute Perspective

1
The Acute Perspective

• Barry Pinkney
• BSc (Hons) DipHE DipM RMN RGN EN
• Matron

Where you come first
2
Challenges

• Increase in patients admitted to JPUH with
  confirmed/suspected dementia
• Workforce
• Skill Mix
• Establishments
• Knowledge and understanding
• Increase in length of stay/delayed discharge
• Exacerbate symptoms
• Medically fit
• Awaiting assessments
• Risk averse

3
Challenges

• Patients admitted to AE out of hours from care
  homes
• After 7pm
• Overnight stay
• Patients with end stage dementia admitted to die
• End of life
• Management Plans
• Resuscitation Review
• Advanced directives

4
Transforming Care Providing Person Centred
CareInnovation in Nursing Midwifery Practice
Project (INMPP)More about Me
5
Person Centred Care

• Providing Education Training Dementia
  Champions
• Dementia Pathway
• Quality Initiatives
• Red Jugs
  
• Red Trays
• Yellow wrist band
• This is Me
• More about Me
• Nursing Key Performance Indicators Nursing
  Metrics
• Multi Disciplinary Dementia Steering Group
• Dementia Clinical Sub-Group

6
Future

• Roll out across the Trust
• Designated Area for Patients with Dementia
• Family Centred Care
• Reducing Length of Stay Expected Discharge
  Dates
• Environment
• Dementia Academic Research Post