What happens when a person with dementia is hospitalized? It is usually a fall, a hip fracture, a serious infection, or an acute exacerbation of congestive heart failure, diabetes, or another chronic medical condition that precipitates hospitalization, not the person's dementia. Gain insight into the issues and gaps in quality of hospital care for patients with dementia.

Contributors

ix

Preface

xv

Foreword by Eric G. Tangalos, MD

xvii

Acknowledgments

xxi

Introduction by Nina M. Silverstein & Katie Maslow

xxiii

Part I: Background and Significance

1 How Many People with Dementia Are Hospitalized?

3

(20)

Katie Maslow

2 In Search of Dementia-Friendly Hospitals: A Survey of Patient Care Directors in Massachusetts

23

(12)

Nina M. Silverstein

3 Acute Care for Nursing Home Residents with Alzheimer's Disease: Understanding Variations in Hospital Use Rates

35

(20)

Mary W. Carter & Frank W. Porell

Part II: Four Perspectives on the Hospital Experience for Persons with Dementia

4 The Hospital Experience: Perspectives of Assisted Living Providers

55

(8)

Joan Hyde

5 A Geriatric Social Worker's Perspective on Alzheimer's Patients in the Emergency Room

63

(12)

Sonia Michelson

6 The Acute Care Experience in the Emergency Department

75

(24)

Mary Pat McKay, Susan Farrell, Khama Ennis, & Emily Spilseth Binstadt

7 The InPatient Experience from the Perspective of the Isolated Adult with Alzheimer's Disease

99

(20)

Charles E. Drebing & Tamara Harden

Part Three: Promising Approaches for Improving Care for Hospitalized Elders with Dementia

8 Changing Dementia Care in a Hospital System: The Providence Milwaukie Experience

119

(20)

Frances Conedera & Jackie Beckwith

9 A NICHE Delirium Prevention Project for Hospitalized Elders

139

(28)

Patricia F. Guthrie, Susan Schumacher, & Germaine Edinger

10 Care of the Patient with Dementia in the Acute Care Setting: The Role of the ACE Unit

167

(16)

Cheryl A. Lehman, Susan Tyler, & Luis Felipe Amador

11 Windows to the Heart: Creating an Acute Care Dementia Unit

183

(22)

Jeffrey N. Nichols

Part Four: Strategies for Making a Difference

12 Try This: Best Practices in Nursing Care for Hospitalized Older Adults with Dementia

205

(32)

Cora Zemhrzuski, Meredith Wallace, & Marie Boltz

13 Alzheimer's Association New York City Chapter: Strategies for Improving Hospital Care

237

(14)

Jed A. Levine & Jean Marks

Conclusion: Toward a Vision of Dementia-Friendly Hospitals

251

(8)

Nina M. Silverstein & Katie Maslow

Index

259

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Improving Hospital Care for Persons with Dementia

9780826139153

0826139159

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