Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/674
Title: Delayed discharge in alcohol-related dementia: consequences and possibilities for improvement.
Authors: MacPhail, Aleece
McDonough, Michael
Ibrahim, Joseph E.
Issue Date: 2013
Publisher: CSIRO
Place of publication: Melbourne
Journal title: Australian Health Review
Volume: 37
Issue: 4
Start Page: 482
End Page: 487
Abstract: Individuals with alcohol-related dementia (ARD) are over-represented among ‘difficult to discharge’ patients. ARD is associated with prolonged hospital stay and high rates of discharge at own risk. Risk factors for delayed discharge in patients with ARD include: a lack of appropriate medical and social support; multiple and complex needs; psychiatric symptoms; challenging behaviours; and an unmet need for appropriate residential care. Integration into present services is problematic and aged care is not an acceptable option for these patients. The present paper identifies three key possibilities to reduce the burden of prolonged hospitalisation of patients with ARD. These are: improved availability of specialised, multidisciplinary care pathways for patients with ARD, many of which could be developed out of existing services; the development of flexible supported-accommodation options, including harm minimisation, for the subset of patients who are not able to live independently; and improved practice in the emergency department (ED) to ensure timely administration of parenteral thiamine to all patients at risk of developing ARD.
URI: http://hdl.handle.net/11054/674
ISSN: 0156-5788
Internal ID Number: 00653
Health Subject: BRAIN INJURY
COGNITIVE IMPAIRMENT
LENGTH OF STAY
HEALTH SERVICE ACCESSIBILITY
ALCOHOL-RELATED DEMENTIA
DEMENTIA
DISCHARGE
Type: Journal Article
Article
Appears in Collections:Research Output

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