Evidence map›Paper›PMID 36057987›Full record

ArticleAge and ageing2022

New horizons for caring for people with dementia in hospital: the DEMENTIA CARE pointers for service change.

Rebecca A Abbott, Morwenna Rogers, Ilianna Lourida, Colin Green, Susan Ball, Anthony Hemsley, Debbie Cheeseman, Linda Clare, Darren Moore, Chrissey Hussey and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Dementia Care Partner Health Literacy as a Mediator Between Education and Burden at Hospital Discharge.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026
    Article
  8. Review
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Hospital admissions and emergency department visits for people with dementia.QJM : monthly journal of the Association of Physicians · 2024
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Rebecca A AbbottEvidence Synthesis Team, NIHR ARC South West Peninsula (PenARC), University of Exeter Medical School, College of Medicine and Health, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.ORCID 0000-0003-4165-4484
Morwenna RogersEvidence Synthesis Team, NIHR ARC South West Peninsula (PenARC), University of Exeter Medical School, College of Medicine and Health, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Ilianna LouridaEvidence Synthesis Team, NIHR ARC South West Peninsula (PenARC), University of Exeter Medical School, College of Medicine and Health, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Colin GreenHealth Economics Group, University of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Susan BallHealth Statistics Group, PenARC, University of Exeter Medical School, College of Medicine and Health, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Anthony HemsleyRoyal Devon and Exeter NHS Foundation Trust, Exeter EX2 5DW, UK.
Debbie CheesemanRoyal Devon and Exeter NHS Foundation Trust, Exeter EX2 5DW, UK.
Linda ClareCentre for Research in Aging and Cognitive Health, PenARC, University of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Darren MooreGraduate School of Education, College of Social Sciences and International Studies, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Chrissey HusseyHospiscare, Exeter EX2 5JJ, UK.
George CoxonPottles Court Care Home, Days-Pottles Lane, Exminster, Summercourt Care Home, Teignmouth, Exeter EX6 8DG, UK.
David J LlewellynMental Health Research Group, University of Exeter Medical School, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
Tina NaldrettHospiscare, Exeter EX2 5JJ, UK.
Jo Thompson CoonEvidence Synthesis Team, NIHR ARC South West Peninsula (PenARC), University of Exeter Medical School, College of Medicine and Health, St Luke's Campus, University of Exeter, Exeter EX1 2LU, UK.
University of Exeter · GBRoyal Devon & Exeter NHS Foundation Trust · GB

Funding

Department of Health
6 · The paper itself

Abstract

Approximately two-thirds of hospital admissions are older adults and almost half of these are likely to have some form of dementia. People with dementia are not only at an increased risk of adverse outcomes once admitted, but the unfamiliar environment and routinised practices of the wards and acute care can be particularly challenging for them, heightening their confusion, agitation and distress further impacting the ability to optimise their care. It is well established that a person-centred care approach helps alleviate some of the unfamiliar stress but how to embed this in the acute-care setting remains a challenge. In this article, we highlight the challenges that have been recognised in this area and put forward a set of evidence-based 'pointers for service change' to help organisations in the delivery of person-centred care. The DEMENTIA CARE pointers cover areas of: dementia awareness and understanding, education and training, modelling of person-centred care by clinical leaders, adapting the environment, teamwork (not being alone), taking the time to 'get to know', information sharing, access to necessary resources, communication, involving family (ask family), raising the profile of dementia care, and engaging volunteers. The pointers extend previous guidance, by recognising the importance of ward cultures that prioritise dementia care and institutional support that actively seeks to raise the profile of dementia care. The pointers provide a range of simple to more complex actions or areas for hospitals to help implement person-centred care approaches; however, embedding them within the organisational cultures of hospitals is the next challenge.

Indexed as

DementiaAgedCommunicationHospitalsHumansPatient-Centered Careacute caredementiadementia-friendly environmenthospitalolder peopleperson-centred care

Identifiers

PMID36057987
PMCPMC9441201
OpenAlexW4294566508

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.