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	<title>Symptom Advice .com &#187; clinical staff</title>
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		<title>Failings in care of dementia sufferers exposed</title>
		<link>http://symptomadvice.com/failings-in-care-of-dementia-sufferers-exposed/</link>
		<comments>http://symptomadvice.com/failings-in-care-of-dementia-sufferers-exposed/#comments</comments>
		<pubDate>Thu, 03 Feb 2011 03:17:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[dementia symptoms]]></category>
		<category><![CDATA[brain function]]></category>
		<category><![CDATA[clinical staff]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/failings-in-care-of-dementia-sufferers-exposed/</guid>
		<description><![CDATA[Elderly people suffering &#102;&#114;&#111;&#109; conditions such &#097;&#115; Alzheimer&#8217;s disease &#097;&#114;&#101; being denied food and drink, while just &#111;&#110;&#101; &#105;&#110; &#102;&#105;&#118;&#101; hospitals makes &#115;&#117;&#114;&#101; &#116;&#104;&#097;&#116; nurses &#097;&#114;&#101; &#116;&#111;&#108;&#100; if &#116;&#104;&#101;&#105;&#114; patients have such a diagnosis. The audit, involving &#097;&#108;&#109;&#111;&#115;&#116; 8,000 patients with dementia, found &#116;&#104;&#097;&#116; &#108;&#101;&#115;&#115; &#116;&#104;&#097;&#110; half were &#103;&#105;&#118;&#101;&#110; basic tests to assess &#116;&#104;&#101;&#105;&#114; brain [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/02/1296703031-70.jpg%3Fw%3D468%26h%3D313" style="clear:both;clear:both;margin:0 15px 15px 0;width:500px" />
<p>Elderly people suffering &#102;&#114;&#111;&#109; conditions such &#097;&#115; Alzheimer&#8217;s disease &#097;&#114;&#101; being denied food and drink, while just &#111;&#110;&#101; &#105;&#110; &#102;&#105;&#118;&#101; hospitals makes &#115;&#117;&#114;&#101; &#116;&#104;&#097;&#116; nurses &#097;&#114;&#101; &#116;&#111;&#108;&#100; if &#116;&#104;&#101;&#105;&#114; patients have such a diagnosis.</p>
<p>The audit, involving &#097;&#108;&#109;&#111;&#115;&#116; 8,000 patients with dementia, found &#116;&#104;&#097;&#116; &#108;&#101;&#115;&#115; &#116;&#104;&#097;&#110; half were &#103;&#105;&#118;&#101;&#110; basic tests to assess &#116;&#104;&#101;&#105;&#114; brain function &ndash; and diagnose &#116;&#104;&#101;&#105;&#114; condition, &#111;&#114; &#105;&#116;&#115; deterioration &ndash; &#119;&#104;&#101;&#110; they were admitted.</p>
<p>Just 19 per cent &#111;&#102; hospitals made &#115;&#117;&#114;&#101; staff on the wards were &#116;&#111;&#108;&#100; if &#116;&#104;&#101;&#105;&#114; patients were suffering &#102;&#114;&#111;&#109; conditions like Alzheimer&#8217;s disease and &#108;&#101;&#115;&#115; &#116;&#104;&#097;&#110; 5 per cent &#111;&#102; hospitals insisted &#116;&#104;&#097;&#116; clinical staff underwent compulsory training &#105;&#110; dementia awareness.</p>
<p>Although malnutrition &#105;&#115; known to be a factor &#119;&#104;&#105;&#099;&#104; can cause &#116;&#104;&#111;&#115;&#101; with dementia to deteriorate, 30 per cent &#111;&#102; patients were &#103;&#105;&#118;&#101;&#110; &#110;&#111; nutritional assessment &ndash; and by the time they left hospital, &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; 42 per cent had lost weight, the audit by the Royal College &#111;&#102; Psychiatrists found.</p>
<p>Separate statistics have shown &#116;&#104;&#097;&#116; &#105;&#110; 2009, &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; 13,500 elderly people &#098;&#101;&#099;&#097;&#109;&#101; malnourished while they were &#105;&#110; hospital.</p>
<p>Charities say frail dementia sufferers who &#097;&#114;&#101; too weak and confused to feed &#116;&#104;&#101;&#109;&#115;&#101;&#108;&#118;&#101;&#115; &#097;&#114;&#101; left to starve, with meal trays &#112;&#108;&#097;&#099;&#101;&#100; &#098;&#101;&#121;&#111;&#110;&#100; reach &#111;&#102; bedridden patients and then &#116;&#097;&#107;&#101;&#110; away, completely untouched.</p>
<p>Campaigners &#102;&#101;&#097;&#114; nurses &#097;&#114;&#101; too busy to carry &#111;&#117;&#116; basic duties &#111;&#102; care, such &#097;&#115; helping the most vulnerable to eat and drink.</p>
<p>Professor Alistair Burns, the Government&#8217;s dementia tsar, &#104;&#097;&#115; written to NHS senior managers &#097;&#099;&#114;&#111;&#115;&#115; the country urging them to act on the &#8220;disappointing&#8221; findings &#102;&#114;&#111;&#109; the national independent audit. </p>
<p>The report says ward staff who do &#110;&#111;&#116; realise &#116;&#104;&#097;&#116; patients admitted &#102;&#111;&#114; &#111;&#116;&#104;&#101;&#114; reasons suffer &#102;&#114;&#111;&#109; dementia can neglect &#116;&#104;&#101;&#105;&#114; &#110;&#101;&#101;&#100;&#115;, leaving such patients &#097;&#116; risk and with &#116;&#104;&#101;&#105;&#114; dignity compromised. </p>
<p>Symptoms &#111;&#102; dementia can include aggression and agitation, and &#119;&#104;&#101;&#110; staff &#097;&#114;&#101; unaware &#116;&#104;&#097;&#116; a patient &#105;&#115; suffering &#102;&#114;&#111;&#109; the condition then they &#097;&#114;&#101; &#109;&#111;&#114;&#101; &#108;&#105;&#107;&#101;&#108;&#121; to give an &#8220;inappropriate&#8221; response to such behaviour, the report points &#111;&#117;&#116;.</p>
<p>Nurses &#097;&#114;&#101; advised &#110;&#111;&#116; to &#109;&#111;&#118;&#101; patients suffering dementia too &#111;&#102;&#116;&#101;&#110;, and &#105;&#110; particular, to try &#110;&#111;&#116; to &#109;&#111;&#118;&#101; such patients &#097;&#116; night, &#119;&#104;&#101;&#110; they &#097;&#114;&#101; &#109;&#111;&#114;&#101; &#108;&#105;&#107;&#101;&#108;&#121; to feel panicked by changes. &#121;&#101;&#116; the audit found &#116;&#104;&#097;&#116; &#108;&#101;&#115;&#115; &#116;&#104;&#097;&#110; &#111;&#110;&#101; &#105;&#110; &#116;&#104;&#114;&#101;&#101; hospitals maintained &#116;&#104;&#097;&#116; standard. </p>
<p>After being admitted to a ward, 40 per cent &#111;&#102; dementia patients were moved around the hospital, with some being transferred &#102;&#114;&#111;&#109; &#111;&#110;&#101; bed to another &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; &#102;&#105;&#118;&#101; times. </p>
<p>Patients &#097;&#114;&#101; moved within hospitals &#105;&#110; order to &#109;&#097;&#107;&#101; space &#102;&#111;&#114; &#110;&#101;&#119; patients on particular wards, and &#097;&#102;&#116;&#101;&#114; operations, &#111;&#114; because &#111;&#102; outbreaks &#111;&#102; infections. </p>
<p>The report found &#116;&#104;&#097;&#116; 12 per cent &#111;&#102; patients with dementia were moved &#098;&#101;&#116;&#119;&#101;&#101;&#110; two and six times during &#116;&#104;&#101;&#105;&#114; hospital stay. </p>
<p>About 750,000 people suffer &#102;&#114;&#111;&#109; dementia, and &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; half &#111;&#102; &#116;&#104;&#111;&#115;&#101; suffer &#102;&#114;&#111;&#109; Alzheimer&#8217;s disease. The figures &#097;&#114;&#101; expected to double &#105;&#110; 40 years, &#097;&#115; the population ages. </p>
<p>Andrew Chidgey, head &#111;&#102; policy &#097;&#116; charity the Alzheimer&#8217;s Society, &#115;&#097;&#105;&#100; the findings &#102;&#114;&#111;&#109; the national audit had left experts feeling concerned.</p>
<p>He &#115;&#097;&#105;&#100;: &#8220;We knew the situation &#119;&#097;&#115; &#113;&#117;&#105;&#116;&#101; bad &#105;&#110; some hospitals, but I think a lot &#111;&#102; &#117;&#115; &#097;&#114;&#101; pretty shocked to &#115;&#101;&#101; a national picture like &#116;&#104;&#105;&#115; &ndash; a lot &#111;&#102; &#116;&#104;&#101;&#115;&#101; failings &#097;&#114;&#101; &#118;&#101;&#114;&#121; basic.&#8221; </p>
<p>Mr Chidgey &#115;&#097;&#105;&#100; &#116;&#104;&#097;&#116; too &#111;&#102;&#116;&#101;&#110;, elderly people with dementia, who were admitted to hospital &#102;&#111;&#114; &#111;&#116;&#104;&#101;&#114; reasons, such &#097;&#115; &#102;&#111;&#114; a hip operation, deteriorated while they were on the ward, and were &#105;&#110; worse physical and mental health by the time they left.</p>
<p>He &#115;&#097;&#105;&#100;: &#8220;Often because staff &#097;&#114;&#101; &#110;&#111;&#116; aware &#111;&#102; the dementia, the patient doesn&#8217;t &#103;&#101;&#116; the appropriate care and &#098;&#101;&#099;&#111;&#109;&#101;&#115; increasingly confused and agitated. </p>
<p>&#8220;They don&#8217;t &#103;&#101;&#116; the &#104;&#101;&#108;&#112; they need eating and drinking, they &#103;&#101;&#116; &#103;&#105;&#118;&#101;&#110; inappropriate medication, and by the time they leave they &#097;&#114;&#101; malnourished, and the symptoms &#111;&#102; &#116;&#104;&#101;&#105;&#114; condition have worsened.&#8221;</p>
<p>He &#115;&#097;&#105;&#100; giving patients with dementia the &#114;&#105;&#103;&#104;&#116; care &#119;&#111;&#117;&#108;&#100; save the NHS money, while failing to &#108;&#111;&#111;&#107; &#097;&#102;&#116;&#101;&#114; them properly meant they spent &#102;&#097;&#114; longer &#105;&#110; hospital &#116;&#104;&#097;&#110; they needed to. </p>
<p>Katherine Murphy, &#102;&#114;&#111;&#109; The Patients Association, &#115;&#097;&#105;&#100; the most vulnerable patients and &#116;&#104;&#101;&#105;&#114; families were left feeling &#8220;desperate&#8221; because &#111;&#102; repeated and unjustifiable failings &#097;&#099;&#114;&#111;&#115;&#115; the country. </p>
<p>She &#115;&#097;&#105;&#100;: &#8220;What does &#105;&#116; say &#097;&#098;&#111;&#117;&#116; &#111;&#117;&#114; society if &#119;&#101; can&#8217;t &#097;&#115;&#115;&#105;&#115;&#116; elderly people who need &#104;&#101;&#108;&#112; eating? </p>
<p>&#8220;These people &#097;&#114;&#101; vulnerable and require the utmost care and attention. They deserve &#116;&#104;&#101;&#105;&#114; humanity, they deserve to be treated with dignity,&#8221; &#115;&#104;&#101; added.</p>
<p>Mrs Murphy &#115;&#097;&#105;&#100; &#115;&#104;&#101; &#119;&#097;&#115; appalled &#097;&#116; the number &#111;&#102; times such patients were &#8220;shunted around the hospital&#8221; &#103;&#105;&#118;&#101;&#110; &#116;&#104;&#097;&#116; &#109;&#097;&#110;&#121; &#119;&#111;&#117;&#108;&#100; already feel bewildered and unsure &#111;&#102; &#116;&#104;&#101;&#105;&#114; surroundings&#8221;.</p>
<p>The charity &#105;&#115; calling on the Government to bring &#105;&#110; an independent matron &#102;&#111;&#114; &#101;&#118;&#101;&#114;&#121; hospital ward, to improve standards &#111;&#102; care. </p>
<p>Paul Burstow, the care minister, &#115;&#097;&#105;&#100;: &#8220;There can be &#110;&#111; excuses &#102;&#111;&#114; &#116;&#104;&#101;&#115;&#101; shocking findings. The audit &#105;&#115; a snapshot &#111;&#102; the state &#111;&#102; dementia care &#105;&#110; &#111;&#117;&#114; hospitals twelve months &#097;&#103;&#111;. </p>
<p>&#8220;It shines a spotlight on poor practice &#116;&#104;&#097;&#116; demands action &#102;&#114;&#111;&#109; the NHS.&#8221;</p>
<p>He &#115;&#097;&#105;&#100; the Government had already set &#111;&#117;&#116; ways &#105;&#110; &#119;&#104;&#105;&#099;&#104; hospitals &#109;&#117;&#115;&#116; take urgent action to improve the care &#111;&#102; people with dementia. </p></p>
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