• Australas J Ageing · Sep 2019

    Observational Study

    Implementation of a model of care for hospitalised older persons with cognitive impairment (the Confused Hospitalised Older Persons program) in six New South Wales hospitals.

    • Susan Kurrle, Cath Bateman, Anne Cumming, Glen Pang, Sigrid Patterson, and Anthea Temple.
    • Cognitive Decline Partnership Centre, University of Sydney, Sydney, New South Wales, Australia.
    • Australas J Ageing. 2019 Sep 1; 38 Suppl 2: 98-106.

    ObjectiveTo evaluate the implementation of a model of care known as the Confused Hospitalised Older Persons (CHOPs) program to improve recognition, assessment and management of older persons with cognitive impairment (delirium and/or dementia) admitted to acute hospitals.MethodsThe model of care was implemented in six selected hospitals across New South Wales. Pre- and postimplementation medical record audits, environmental audits, and staff knowledge and care confidence surveys were performed. Interviews with clinical leads postimplementation identified enablers and barriers.ResultsThere were significant increases in cognitive screening within 24 hours (OR = 3.32 [2.50-4.91]), delirium risk identification (OR = 4.04 [2.89-5.64]), assessment of cognitive impairment (OR = 2.55 [1.90-3.43]) and interaction with families (OR = 2.81 [2.09-3.79]). Staff education and care confidence were improved, and positive environmental changes occurred in all hospitals. Barriers and enablers to implementation were identified.ConclusionThe CHOPs program improved identification, risk assessment and management of cognitive impairment in older hospitalised patients.© 2019 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc.

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