Effectiveness of a clinical pathway for the diagnosis and treatment of dementia and for the education of families

International Journal of Geriatric Psychiatry
Hiroaki KazuiMasatoshi Takeda

Abstract

Clinical pathways (CPs) are rarely used in the treatment of dementia. We established a CP for a series of medical practices (diagnosis, treatment, establishment of a care system, and caregiver education) for patients with dementia hospitalized for a three-week period, and evaluated its usefulness. The length of hospital stay and hospital costs were compared between 23 consecutive patients with dementia hospitalized and treated using a CP and 20 controls treated by conventional medical practice without using a CP in a special ward for dementia patients. In the CP group, at the time of discharge, primary caregivers, physicians, and nurses were given a questionnaire to obtain their comments about the impression of treatment with the CP. The questionnaire survey indicated that the CP deepened the caregiver's understanding of the sequence of medical practices for the inpatient, the disorders of the inpatient, the treatment methods, and the methods for coping with the disorder. The CP was also useful for facilitating inpatient medical practice and promoting the establishment of a care system after discharge. The use of the CP significantly shortened the length of hospital stay and decreased hospital costs during hospitalization but i...Continue Reading

Citations

Dec 12, 2007·Journal of Evaluation in Clinical Practice·Noha El BazSijmen A Reijneveld
Dec 4, 2014·Journal of Clinical Nursing·Peter GriffithsRachel Thompson
Apr 14, 2017·American Journal of Alzheimer's Disease and Other Dementias·Dawn O SullivanSuzanne Timmons
Apr 28, 2007·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Mary Peterson, William Michael
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Thomas RotterJoachim Kugler
Nov 28, 2017·International Journal of Evidence-based Healthcare·Hosein ShabaninejadBahram Delgoshaei

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