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Psychiatry of Old Age Acute Hospital & Care Home Liaison

Psychiatry of Old Age Acute Hospital & Care Home Liaison. AIM. Improve services for older people by shifting the balance towards anticipatory care and prevention. Reshaping care pathway. Preventative & anticipatory care Proactive care and support at home Effective care at time of transition

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Psychiatry of Old Age Acute Hospital & Care Home Liaison

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  1. Psychiatry of Old Age Acute Hospital & Care Home Liaison

  2. AIM • Improve services for older people by shifting the balance towards anticipatory care and prevention.

  3. Reshaping care pathway • Preventative & anticipatory care • Proactive care and support at home • Effective care at time of transition • Hospital and care homes *

  4. Care Homes • 2 liaison nurses • 3 sessions per week • 30 care homes • CMHN’s still provide link • Other areas in Tayside have dedicated care home teams

  5. What we tried • Education • Work based practice/shadowing • Gathered statistics

  6. What we found • We were keen to promote person centred work! • More effective to trial specific pieces of work e.g. Life Story, DCM,CST.

  7. Future ? • Continue with DCM and CST • Specific Education – e.g. Prevention and Management of Delirium • Support Best Practice Facilitators • Carer support/relatives meetings?

  8. Acute Hospitals • Rapid response to referrals • Joint assessments • Early identification of cognitive impairment • Signpost • Refer to relevant agencies • Identification/treatment and management of delirium • Butterfly awareness training

  9. Older People in Acute Care Collaborative (involvement in improvement projects) • Challenge risk aversion • Follow up home visits • Support acute hospital staff to manage challenging situations • Facilitate links and joint work with partner agencies

  10. Future Developments? • To provide a more proactive service • To continue to initiate patient focused improvements • Work alongside staff to promote person centred care • Explore possibility of carer support within the care home/acute settings

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