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Dementia and the over-75 check: the role of the primary care nurse
Author(s)H Trickey, P Turton, I Harvey
Journal titleHealth & Social Care in the Community, vol 8, no 1, January 2000
Pagespp 9-16
KeywordsDementia ; Screening ; General practice ; Nurses ; Avon [1974-1996] ; Gloucestershire ; Somerset.
AnnotationPrimary care nurses are likely to provide a substantial part of the routine care for patients with dementia. In order to examine their knowledge and attitudes towards assessing and managing patients with symptoms of dementia, and to assess their level of support for a clinical practice guideline, a postal questionnaire survey was undertaken of primary care nurses responsible for the Over-75 Check in 209 general practices in Gloucester, Avon, and Somerset. The questionnaire included a case vignette describing a typical presentation of dementia at an Over-75 Check. Only 20% ever used formal validated cognitive tests as part of the Over-75 Check. In response to the vignette, nearly 10% took no action at all and a further 25% simply referred the patient on. Amongst the remainder there was considerable variation regarding the tasks considered to be within their remit. The respondents strongly supported the introduction of guidelines. Given the variation of professional responsibilities between practices, it is suggested that a clinical practice guideline should address the practice as a whole rather than be targeted to specific professionals. (AKM).
Accession NumberCPA-000118208 A
ClassmarkEA: 3V: L5: QTE: 8A: 8G: 8SO

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