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102
FiFtEENtH NatiONal CONFERENCE
It will also cover safety considerations in the
program's implementation. This paper will
demonstrate how innovative music technology
and traditional music therapy techniques can
increase connections between residents and
their families, decrease agitation and isolation
and improve quality of life for those living with
dementia.
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n
seRVIce
WHat iNFluENCEs OutCOmEs OF
aCutE HOsPitalisatiON OF PEOPlE
WitH dEmENtia? FiNdiNgs FROm
tHE HOsPital dEmENtia sERviCEs
PROJECt
Professor Brian Draper
1, 2
,
Professor Diane Gibson
4
,
Ann Peut
3, 4
, Rosemary Karmel
3, 4
,
Phil Anderson
3
, Charles Hudson
3
,
Kirk Hampel
3
, Nick von Sanden
3
1
University of NSW, Sydney
2
Prince of Wales Hospital, Randwick
3
Australian Institute of Health & Welfare,
Canberra,
4
University of Canberra, Canberra
Objectives:
The Hospital Dementia Services project aimed
to identify features of hospital and community
services that are associated with outcomes of
hospitalised people with dementia.
Method:
Data from three sources (NSW Admitted
Patient Data Collection, Dementia services
survey of NSW public hospitals (n =163,
response rate 82%), community-based and
residential care services from the Aged and
Community Care Management Information
System) were integrated to provide information
about each patient aged 50+ who had at
least one overnight stay in a NSW public
hospital that ended in the year to June 2007
(N=252,719). Analyses included multiple linear
and logistic regressions to determine factors
associated with outcomes including length of
stay (LOS) and new placement into residential
care (RACF).
Results:
Dementia was significantly associated with
higher risk of mortality (OR 1.25, CI 1.20-1.31),
longer LOS (mean 16.5 days vs 8.9 days)
and placement into residential care (14% vs
2%). For all patients, LOS was shorter when
the hospital had specialist aged care staff,
delirium policies and educational forums about
dementia, while longer LOS occurred with high
levels of comorbidity, low levels of regional
RACFs and new placement. Admissions on
weekends and increased age had shorter LOS
for patients with dementia but longer LOS
for patients without dementia. Higher levels
of regional community service provision had
shorter LOS for patients with dementia.
conclusion:
Specialist aged care staff, delirium policies
and higher regional provision levels of
residential and community aged care services
are associated with better outcomes of
hospitalisation for people with dementia.
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tHE mCCuskER NuRsE sERviCE
aN iNNOvativE aPPROaCH tO
quality dEmENtia CaRE
Karen Malone, Amana Living
The McCusker Nurse Service is an award
winning Amana Living initiative, which
has been in operation since June 2011,
and is funded by the McCusker Charitable
Foundation. The vision is to provide family