Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/674
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dc.contributor.authorMacPhail, Aleeceen
dc.contributor.authorMcDonough, Michaelen
dc.contributor.authorIbrahim, Joseph E.en
dc.date.accessioned2015-04-28T01:27:10Zen
dc.date.available2015-04-28T01:27:10Zen
dc.date.issued2013en
dc.identifier.govdoc00653en
dc.identifier.issn0156-5788en
dc.identifier.urihttp://hdl.handle.net/11054/674en
dc.description.abstractIndividuals 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.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2015-04-28T01:26:32Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2015-04-28T01:27:10Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2015-04-28T01:27:10Z (GMT). No. of bitstreams: 0 Previous issue date: 2013en
dc.publisherCSIROen
dc.titleDelayed discharge in alcohol-related dementia: consequences and possibilities for improvement.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleAustralian Health Reviewen
dc.bibliographicCitation.volume37en
dc.bibliographicCitation.issue4en
dc.bibliographicCitation.stpage482en
dc.bibliographicCitation.endpage487en
dc.publisher.placeMelbourneen
dc.subject.healththesaurusBRAIN INJURYen
dc.subject.healththesaurusCOGNITIVE IMPAIRMENTen
dc.subject.healththesaurusLENGTH OF STAYen
dc.subject.healththesaurusHEALTH SERVICE ACCESSIBILITYen
dc.subject.healththesaurusALCOHOL-RELATED DEMENTIAen
dc.subject.healththesaurusDEMENTIAen
dc.subject.healththesaurusDISCHARGEen
dc.date.issuedbrowse2013-01-01en
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