clinical matrons stroke & older people’s services presentation to health scrutiny panel...
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Clin
ical
Mat
ron
sStroke & Older People’s Services
Presentation to Health Scrutiny Panel
Thursday 26 March 2009
Jeanette Power-Jepson, Clinical Matron David Broughton, Clinical Director
Anne Sutcliffe, Deputy Director of Nursing & Patient Safety
Clin
ical
Mat
ron
sWhat tools/processes does the Trust have at its disposal to assess older patients who may display symptoms of dementia?
• Physical Assessment
• Recognised Mini Mental State Exam Tool
• Mood assessment tool
• Trust G52 Policy – observation policy
Clin
ical
Mat
ron
sWhere applicable, is the Trust informed when a patient has a diagnosed Dementia?
• From GP letter
• Previous medical notes
• Patients Relatives/ Carers
• However not always a robust system
Clin
ical
Mat
ron
sWhat sort of Dementia awareness training do staff on the wards have particularly on those wards where a significant proportion of patients will be in the older category?
• Dementia awareness training since 2006
• Introduction of NVQ mental health
• Support from Teesside University to deliver mental health awareness training sessions
• In service training with Medical Staff
Clin
ical
Mat
ron
sWhat use do wards make of liaison staff?
• High demand for support from liaison staff
• Provide assessment service
• Provide educational support to staff and patients needs
• Identify appropriate discharge arrangements
Clin
ical
Mat
ron
sDoes the Trust have a systematic discharge procedure for patients with Dementia? How are carers involved in the discharge process?
• Process for referral to Older People’s Mental Health Team
• Relatives/ Carers involved with this process
• Communication with Medical/ Nursing/Occupational /Physiotherapy/ Social Worker/ Trust Discharge Team
Clin
ical
Mat
ron
sIs the Trust satisfied with the way it deals with patients with Dementia?
• Trust recognise the need to continually monitor care and implement new guidance.
• Continue to work in partnership with mental health and social care colleagues
• Further develop the pathway for patients with mental health needs for elective and emergency care
• Currently collecting information to identify the number of patients who access our services
• Develop a working group led by Clinical Matrons in Elderly to include service users and health and social care representatives.
• Support the delivery of the Dementia strategy
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