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P1‐514: CRITICAL ASPECTS IN LONG‐TERM CARE: FROM PERSON‐CENTERED CARE TO “DEMENTIA DYAD”‐CENTERED CARE: RESULTS FROM THE 2018‐SURVEY OF “VILLA CARPANEDA” ‐GRUPPO GHERON
Author(s) -
Frisardi Vincenza,
Giaretta Barbara,
Lavagetto Giampaolo,
Calamari Carlo Antonio
Publication year - 2019
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2019.06.1119
Subject(s) - courtesy , respite care , dyad , psychology , service (business) , nursing , person centered care , criticism , quality (philosophy) , dementia , medicine , social psychology , health care , economy , disease , pathology , political science , law , economics , economic growth , art , philosophy , literature , epistemology
status. A 10% re-abstraction ensured reliability of these data. Results: The sample included 241 patients with dementia (median age of 82; 57% female). Twenty-five percent had an activated HCPOA, and 42% had a caregiver documented as present. Dementia diagnoses were documented by providers for 51% of the sample; with 56% occurring in the triage note, 8% in the encounter note, and 36% in both. Having an activated HCPOA document (p<0.0001) was a predictor of dementia documentation by providers but having a caregiver present was not associated with such documentation (p1⁄40.29). Conclusions: Half of all patients with dementia presenting to the ED with chest pain do not have a dementia diagnosis documented by providers. Activated HCPOA documents may be helpful in promoting documentation. Additional study is needed to assess whether lack of documentation is associated with a lack of clinician awareness of the dementia diagnosis or with non-goal concordant care.