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Jacqueline Burton MBA, FICPD Director Repton Medical

Promoting high quality care solutions for people with long term conditions, the elderly and sufferers of dementia. Jacqueline Burton MBA, FICPD Director Repton Medical. Agenda: The size of the problem associated with dementia Overview of Posey & Repton Medical

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Jacqueline Burton MBA, FICPD Director Repton Medical

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  1. Promoting high quality care solutions for people with long term conditions, the elderly and sufferers of dementia. Jacqueline Burton MBA, FICPD Director Repton Medical

  2. Agenda: • The size of the problem associated with dementia • Overview of Posey & Repton Medical • Posey distraction techniques & fall management solutions

  3. Daily Mail Online In August 2012 it was published ‘Locked up and sedated: huge rise in number of dementia patients being restrained by hospital staff and carers’. Update CQC Care Quality Commission The report reveals 4,951 ‘restraining orders’ were granted to hospitals and care homes last year . . . up from 3,297 in 2009/10. http://www.dailymail.co.uk/health/article-2120849/Dementia-care-Number-patients-restrained-hospital-staff-carers-jumps-50-year.html

  4. The CQC (March 2012) reveals the restraints that breach basic rights: • Locking patients in rooms overnight to stop them from wandering • Strapping them into chairs with ‘lap belts’ - which are similar to seat belts • Locking them in beds with high rails so they cannot fall out, but they cannot reach things from bedside tables • Giving them powerful sedatives if they are agitated or aggressive • Leaving sticks or wheelchairs out of reach so they are unable to move about freely

  5. An Aging Population . . . at the start of the 21st Century • Around the half a million people who die each year in England follow a period of chronic illness commonly associated with . . . stroke, heart disease, cancer, diabetes, neurological or respiratory disease and now even more commonly DEMENTIA. • Most deaths (58%) occur in NHS hospitals, (18%) in the home, (17%) in care homes, (7%) in hospices or elsewhere. • Common problems of dementia: • Memory loss, problems with reasoning or thinking, confusion and reduced problem solving skills. Falls are a common feature with dementia sufferers which often result in fractures, injury from falls, serious injury such as subdural haematoma or even death.

  6. Some Statistics Cost of Falls – The size of the problem in the UK • (NPSA, 2009) The National Patient Safety Agency reported: • 152,000 falls in Acute hospitals • 26,000 falls in Mental Health Trusts • 28,000 falls in Community hospitals • Annual healthcare costs for treating falls in England & Wales in excess of £15m per year. • Victims of falls over age of 65 occupy hospital beds for more than 4 million days a year in England, costing . . . over £26bn annually.

  7. Falls and the elderly . . . According to the Royal College of Physicians (2008): • Falls affect approx 60,000 people per year in UK & result in up to 14,000 deaths. • Everyday 2,300 people will fall • 28-30% are 65-75 yrs • 32-42% are over 75 yrs • Hip fractures are the most common reason elderly people end up in hospital, around 76,000 cases every year . . . costing the NHS £1.4bn to treat. This figure doubles with social care.

  8. Common problems of dementia sufferers . . . Impaired balance and unsteadiness is a frequent complaint of older people and is strongly associated with the risk of injurious falls, particularly hip fractures . . . Fall related hip fractures occur as a result of a number of interrelated factors: Loss of bone strength & hip padding (fat & muscle) Loss of balance Delayed protective responses resulting in a fall Inability to break the impact of a fall Falling onto or near the hip Severity of impact of the fall Floor surface hardness

  9. The Cost of Falls . . . • Of those individuals who sustain a hip fracture as a result of a fall: • 24% die within a year of the fall • 50% never return to their normal level of functioning • The NHS cost of treating serious injury relating to a hip fracture is estimated at £7,092 based on a 20 day stay. • This figure does not include: • Ambulance costs • Social care after the hip fracture • Long stay residential • Excess GP/Outpatient usage & Clinic costs • Productivity of family costs French et al (1995)

  10. The treatment of hip fractures as a result of falls in the UK imposes a considerable cost upon the NHS and society. • The total cost to society is almost £726 million • Over half this cost is attributed to social care of patients recovering from hip fractures • The cost of a single hip fracture patient spending a year in long stay residential care is approx £25,424 • Hospital Care £4,760 • Ambulance £171 • Long stay residential care £20,010 • GP use £164 • Outpatient use £319 £25,424 France, F., Torgeson, D.J., Porter, R.A. (1995) A cost analysis of hip fracture: Age & Aging

  11. Conclusion . . . • One of the biggest problems associated with dementia are falls. • The treatment of hip fractures as a result of falls places a heavy burden on the NHS and social care services. • As the age of the UK population increases, the cost of falls is expected to escalate. • Therefore measures to reduce the incidence of falls will generate significant savings to the NHS and society as a whole.

  12. Reasons for falls . . . Intrinsic Risk Factors Extrinsic Risk Factors Environmental factors: beds, tables, chairs incorrectly positioned. Incorrect footwear. Slippery, uneven floor. Poor lighting. Poor communication between staff, patient/resident and family member. Inappropriate walking aids/devices. Lack of resources available to help with distraction from stresses & frustrations. • Increasing aging population – 30% of people aged 65 or over. • Patient/residents who take 4 or more prescription drugs. • Those with medical conditions/gait or balance deficits. • Those with reduced visual acuity. • Those with loss of hearing, functional impairment. • Those with changes in mental status. • Those with a history of wandering.

  13. Posey products are designed to reduce the incidence of falls & will generate significant benefits to the NHS, patients, their carers & society as a whole. • Repton Medical is the sole supplier for Posey products in the UK. • Posey specialise in Neuroscience solutions (Patient Safety, Wound Management, Fall Management & Rehabilitation Specialty Products). • The Posey company is family owned and was founded in 1937, based in Los Angeles, California. • 600 healthcare products sold in over 37 countries. • 600 staff world-wide. Ernie Posey CEO

  14. Selecting the right Posey product for your patient/resident’s needs.

  15. The CQC report concluded that: • Whilst the Chief Executive of the CQC stated that ‘safeguards are vital to ensure that a person’s best interests are carefully considered, their needs fully understood, their wishes taken into account & their human rights properly respected’. • Last year 52% of applications for restraining orders were for dementia sufferers and 65% were for patients 65yrs or over.

  16. Coming soon . . . www.alzheimersshop.co.uk

  17. Thank you for listening.

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