Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review
Abstract Introduction After being diagnosed with dementia, patients need a medical professional to empathetically address their fears and get initial questions answered. This scoping review therefore addresses how patients newly diagnosed with dementia are cared for in the general practitioner (GP)...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-023-04638-y |
| _version_ | 1797355530489954304 |
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| author | Flora-Marie Hegerath Chantal Giehl Michael Pentzek Horst Christian Vollmar Ina Carola Otte |
| author_facet | Flora-Marie Hegerath Chantal Giehl Michael Pentzek Horst Christian Vollmar Ina Carola Otte |
| author_sort | Flora-Marie Hegerath |
| collection | DOAJ |
| description | Abstract Introduction After being diagnosed with dementia, patients need a medical professional to empathetically address their fears and get initial questions answered. This scoping review therefore addresses how patients newly diagnosed with dementia are cared for in the general practitioner (GP) setting and how the communication between different healthcare professionals and the GP is handled. Methods The scoping review was conducted based on the PRISMA Extension for Scoping Reviews checklist. After developing a search algorithm, literature searches were performed in PubMed, Scopus, Web of Science, Cochrane Library, PsychInfo, GeroLit and Cinahl using defined search criteria, such as a focus on qualitative study designs. After the removal of duplicates, title/abstract and full text screening was carried out. Results Final data extraction included 10 articles out of 12,633 records. Strategies regarding the post-acute care of newly diagnosed patients included providing clarity and comfort to the patients and giving support and information both pre- and post-diagnosis. Care efforts were focused on advanced care planning and deprescribing. Involving people with dementia and their caregivers in further care was seen as crucial to provide them with the support needed. GPs emphasised the importance of listening to concerns, as well as ensuring wishes are respected, and autonomy is maintained. All studies found communication between the GP setting and other healthcare professionals regarding post-acute care to be inadequate. Lack of information sharing, clinical notes and recommendations for the GP setting resulted in inefficient provision of support, as GPs feel limited in their ability to act. Discussion Sharing necessary information with the GP setting could promote patient-centred care for people living with dementia and facilitate appropriate and timely resource allocation and effective healthcare collaboration between the settings, for example, by defining clear care pathways and clarifying roles and expectations. |
| first_indexed | 2024-03-08T14:12:29Z |
| format | Article |
| id | doaj.art-bbe3bfeeb734403abe4b84b6302b937c |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-03-08T14:12:29Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-bbe3bfeeb734403abe4b84b6302b937c2024-01-14T12:35:39ZengBMCBMC Geriatrics1471-23182024-01-0124111210.1186/s12877-023-04638-yTransition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping reviewFlora-Marie Hegerath0Chantal Giehl1Michael Pentzek2Horst Christian Vollmar3Ina Carola Otte4Institute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University BochumInstitute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University BochumInstitute of Family Practice, Medical Faculty, University of Duisburg-EssenInstitute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University BochumInstitute of General Practice and Family Medicine (AM RUB), Medical Faculty, Ruhr University BochumAbstract Introduction After being diagnosed with dementia, patients need a medical professional to empathetically address their fears and get initial questions answered. This scoping review therefore addresses how patients newly diagnosed with dementia are cared for in the general practitioner (GP) setting and how the communication between different healthcare professionals and the GP is handled. Methods The scoping review was conducted based on the PRISMA Extension for Scoping Reviews checklist. After developing a search algorithm, literature searches were performed in PubMed, Scopus, Web of Science, Cochrane Library, PsychInfo, GeroLit and Cinahl using defined search criteria, such as a focus on qualitative study designs. After the removal of duplicates, title/abstract and full text screening was carried out. Results Final data extraction included 10 articles out of 12,633 records. Strategies regarding the post-acute care of newly diagnosed patients included providing clarity and comfort to the patients and giving support and information both pre- and post-diagnosis. Care efforts were focused on advanced care planning and deprescribing. Involving people with dementia and their caregivers in further care was seen as crucial to provide them with the support needed. GPs emphasised the importance of listening to concerns, as well as ensuring wishes are respected, and autonomy is maintained. All studies found communication between the GP setting and other healthcare professionals regarding post-acute care to be inadequate. Lack of information sharing, clinical notes and recommendations for the GP setting resulted in inefficient provision of support, as GPs feel limited in their ability to act. Discussion Sharing necessary information with the GP setting could promote patient-centred care for people living with dementia and facilitate appropriate and timely resource allocation and effective healthcare collaboration between the settings, for example, by defining clear care pathways and clarifying roles and expectations.https://doi.org/10.1186/s12877-023-04638-yScoping reviewDementiaAlzheimer’s diseasePrimary careHospitalDischarge management |
| spellingShingle | Flora-Marie Hegerath Chantal Giehl Michael Pentzek Horst Christian Vollmar Ina Carola Otte Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review BMC Geriatrics Scoping review Dementia Alzheimer’s disease Primary care Hospital Discharge management |
| title | Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review |
| title_full | Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review |
| title_fullStr | Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review |
| title_full_unstemmed | Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review |
| title_short | Transition of patients with recently diagnosed Dementia from inpatient to outpatient setting– a scoping review |
| title_sort | transition of patients with recently diagnosed dementia from inpatient to outpatient setting a scoping review |
| topic | Scoping review Dementia Alzheimer’s disease Primary care Hospital Discharge management |
| url | https://doi.org/10.1186/s12877-023-04638-y |
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