A Psychogeriatric outreach service to nursing homes in Sydney

Brian Draper, Susanne Meares, Helen McIntosh

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

Objective: To describe nursing home referrals to a multidisciplinary psychogeriatric outreach service. Methods: Retrospective case note audit of all nursing home referrals to a psychogeriatric outreach service in Sydney during 1996. Results: Of 106 referrals (mean age 76.9 years) from 22 nursing homes, 101 (95%) were assessed in the home. Behavioural problems were identified in 87 referrals (82%), usually being associated with chronic organic brain syndromes including dementia (n = 75, 86%). Aggressive behaviours (45%), agitation (32%), uncooperativeness (17%) and vocally disruptive behaviour (16%) were the most frequently identified problems. Depression was diagnosed in 33 referrals (31%), often comorbid with dementia (n = 16). Multiple diagnoses were present in 58 (55%) referrals. The most frequent treatment recommendations related to the use of nursing interventions (73%), psychotropic medication (70%), behavioural programs (29%) and family involvement (29%). Admission to the acute psychogeriatric ward occurred in 18 cases (17%). Conclusion: Psychogeriatric services should provide adequately staffed outreach teams to nursing homes.
Original languageEnglish
Pages (from-to)184-186
Number of pages3
JournalAustralasian Journal on Ageing
Volume17
Issue number4
DOIs
Publication statusPublished - 1998
Externally publishedYes

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