FINAL BOOK OF ABSTRACTS 2019

School of Nursing and Midwifery Scoil an Altranais agus an Chnáimhseachais

addition to this in line with National Clinical Guideline No. 11 Communication (Clinical Handover) in Acute and Children’s Hospital Services a structured handover format was implemented (ISBAR tool).

An interim audit was conducted after three weeks. Results were disseminated to staff. A final audit was conducted after completion of the six week period and feedback from clinical staff was collated. Results: Initial Audit Results Interim Results End of Pilot Results Outcome Average number of patients: 5.2 patients 4.7 patients 4.8patients Average time per patient: 17.5min per patient 3.6mins per patient 2.5mins per patient 85% Improvement Average interruptions: 3 per handover 2.8 per handover 0.25 per handover 91% Improvement Tool used: N/A 76% of time 87.5% of time Conclusion: The overall result was very positive. As evident by audit results above it significantly reduced the handover time and provided more time for direct patient care. It also enabled better co- ordination of ward routine.

A Structured Review of Post-Diagnostic Support Processes for People Living with Younger Onset Dementia

Author(s) FOX Siobhan 1 , CAHILL Suzanne 2 , CAHILL Siobhan 3 , FOLEY Tony 4 , ROCK Bernadette 5 , SWEENEY Brian 6 , MCGOWAN Rachel 7 , KILTY Caroline 8

Affiliation(s)

1 Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland, 2 Trinity College Dublin, Dublin, Ireland, 3 Assessment and Treatment Centre, St Finbarr’s Hospital, Cork, Ireland, 4 Department of General Practice, University College Cork, Cork, Ireland, 5 Alzheimer Society of Ireland, Dublin, Ireland, 6 Cork University Hospital, Cork, Ireland, 7 Centre for Gerontology and Rehabilitation, University College Cork, Cork, Ireland, 8 School of Nursing and Midwifery, University College Cork, Cork, Ireland Abstract Background: The term younger onset dementia (YOD) describes any form of dementia diagnosed in people under 65 years. Recent prevalence estimates suggest that in Ireland there are 4,066 people with a diagnosis of YOD, with a projected 20% (4,887) increase expected by 2046. Once diagnosed, post-diagnostic care is problematic for this group because many of the typical dementia supports developed may either be inappropriate or not available due to age restrictions. This study, commissioned by the National Dementia Office of the Department of Health, aimed to review post- diagnostic supports for people with YOD (PwYOD) in order to support national decision-making on dementia services and pathways for Ireland. Method: A structured literature review was conducted to identify optimum post-diagnostic care pathways for PwYOD. A systematic search strategy was devised that identified all relevant peer-reviewed research papers. Databases searched included: PubMed/Medline, PsychInfo, Cinahl, Embase, The Cochrane library, Lenus and Google Scholar. Grey literature including conference proceedings, national dementia strategies, and dissertations were also reviewed. A narrative synthesis approach was used to assess and summarize the literature identified in the review.

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