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Identifying the causes, prevention and management of crises in dementia
 — an online survey of stakeholders
Author(s)Ritchard Ledgerd, Juanita Hoe, Zoe Hoare
Journal titleInternational Journal of Geriatric Psychiatry, vol 31, no 6, June 2016
PublisherWiley Blackwell, June 2016
Pagespp 638-647
Sourcewww.orangejournal.org
KeywordsDementia ; Crisis intervention.
AnnotationCrisis situations in dementia can lead to hospital admission or institutionalisation. Offering immediate interventions may help avoid admission, whilst stabilising measures can help prevent future crises. The objective of this study was to identify the main causes of crisis and interventions to treat or prevent crisis in persons with dementia based on different stakeholder perspectives. An online questionnaire was developed to identify the causes of crisis and appropriate interventions in a crisis. Participants included people with dementia, family carers and staff working in health and social care, including emergency and voluntary sectors as well as academia. The results ranked the main causes of crisis, interventions that could prevent a crisis and interventions that could be useful in a crisis. Wandering, falls and infection were highly rated as risk factors for crises across all stakeholder groups. Consumers rated aggression as less important but severity of memory impairment as much more important than the other groups did. Education and support for family carers and home care staff were highly valued for preventing crises. Well-trained home care staff, communication equipment, emergency contacts and access to respite were highly valued for managing crises. Also identified were triggers and interventions that different stakeholders saw as important for crisis in dementia. Recognition of these may be critical to planning effective and accepted support and care for people with dementia. (JL).
Accession NumberCPA-160520208 A
ClassmarkEA: IH

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