Identifying the causes, prevention and management of crises in dementia. An online survey of stakeholders

Ledgerd, Ritchard, Hoe, Juanita ORCID: https://orcid.org/0000-0003-4647-8950, Hoare, Zoë, Devine, Mike, Toot, Sandeep, Challis, David and Orrell, Martin (2016) Identifying the causes, prevention and management of crises in dementia. An online survey of stakeholders. International Journal of Geriatric Psychiatry, 31 (6). pp. 638-647. ISSN 0885-6230

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Abstract

Background
Crisis 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.

Objective
Our objective was to identify the main causes of crisis and interventions to treat or prevent crisis in persons with dementia based on different stakeholder perspectives.

Methods
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, and academia.

Results
The results ranked the main causes of crisis, interventions that can prevent a crisis and interventions that can 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.

Conclusions
We identified triggers and interventions that different stakeholders see as important for crisis in dementia. Recognition of these may be critical to planning effective and accepted support and care for people with dementia. Copyright © 2015 John Wiley & Sons, Ltd.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: [Ledgerd, R., Hoe, J., Hoare, Z., Devine, M., Toot, S., Challis, D., and Orrell, M. (2016) Identifying the causes, prevention and management of crises in dementia. An online survey of stakeholders. Int J Geriatr Psychiatry, 31: 638– 647. doi: 10.1002/gps.4371.], which has been published in final form at https://doi.org/10.1002/gps.4371. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Uncontrolled Keywords: dementia, crisis, interventions, comparisons
Subjects: Medicine and health > Clinical medicine > Dementia
Related URLs:
Depositing User: Juanita Hoe
Date Deposited: 10 Nov 2021 11:49
Last Modified: 23 Nov 2021 20:25
URI: http://repository.uwl.ac.uk/id/eprint/8417

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