Irish National Audit of Dementia (INAD)
There are approximately 42,000 people with dementia in Ireland (expected to rise to 70,115 by 2026 and 103998 by 2036). In the UK, 42% of people over the age of 70 admitted to acute hospitals have dementia. Hospital stays often have a negative effect on the person’s symptoms of dementia, with many people becoming more confused and less independent than before admission. Acute hospital staff identify working with people with dementia as “challenging”. “Creating Excellence in Dementia Care” reported that the total yearly cost for dementia care in Irish acute hospitals is approximately €21 million. There is an enormous saving to be made if the quality of hospital care for the patient with dementia can be improved.
Dr Suzanne Timmons. Senior Lecturer, Centre for Gerontology and Rehabilitation. email: firstname.lastname@example.org
In 2010, the UK conducted a study of dementia care in acute hospitals and found many deficits in practice. We aim to replicate the UK audit, using minor modifications for the Irish setting, in all acute hospitals and orthopaedic hospitals in the Republic of Ireland.
The audit will comprise 4 work packages from the UK audit:
- Hospital organisation: hospital governance with respect to dementia care, patient assessment, challenging behaviour protocols, staff training, support, information/ communication
- Hospital chart review from patients with a diagnosis of dementia to compare the policy to the actual practice.
- Ward organisation: staffing numbers, reporting systems
- Ward environment: Examines user-friendliness of the ward e.g. appropriate signage, safe space to mobilise, etc.
Planning phase completed and audit phase commenced March 2013.
The Atlantic Philanthropies and the Meath Foundation
Publish preliminary findings quickly to inform the upcoming National Dementia Strategy. Expansion of the audit to community hospitals and nursing homes.