Employment-activity status and multidisciplinary care engagement in patients with newly diagnosed dementia: a 16-month audit study within an inner sydney community neurology clinic

Louise Rigney, Alexis Selby, Lily Chen, Tejas Patel, Yun T. Hwang, Anthony E. D. Mobbs, Rowena E. A. Mobbs

Research output: Contribution to journalMeeting abstractResearchpeer-review

Abstract

Introduction Dementia is one of the leading causes of mortality and morbidity in Australia. Attitudes towards dementia in the workplace, tailored adjustments for disability, and patient-centred ‘exit with dignity’ strategies are of objective and subjective importance to patient wellbeing. This study aimed to assess employment characteristics in those with newly diagnosed dementia, and engagement with multidisciplinary supports.

Methods An audit of patients with diagnosis of dementia (n=136,age51–96 yrs,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,age56–83M:F0.6:1) over a 16 month period in 2017–18 was performed using online server data collection and retrospective analysis of general and employment demographic characteristics, presenting clinical information, and care across clinical psychology, psychotherapy, occupational therapy, speech pathology, and dietetics.

Results Younger onset dementia was present in 14(10%). Of the 122 dementia cases aged above 65 years, 24(20%) were employed-active, 98(80%) were retired, and none were unemployed. Approximately 5% had a background in healthcare. Allied health support was provided in 106 cases (78%) with ≥3 supports in 28(21%) and was more common in those who were retired(76%) versus employed-active (21%). Clinical psychology or psychotherapy support was provided in 50(37%) cases of dementia.

Conclusions The onset of dementia often co-exists with active employment. Community perception of employment status in dementia would be of future research interest. Provision of multidisciplinary allied health supports in dementia may facilitate coping, adjustment and cooperative strategies for exit with dignity but further studies are required in this cohort.

Fingerprint

Patient Participation
Neurology
Dementia
Clinical Psychology
Psychotherapy
Speech-Language Pathology
Social Adjustment
Dietetics
Occupational Therapy
Health
Workplace
Demography
Morbidity
Delivery of Health Care

Cite this

@article{40edb3da371e47eca2ad12408e416ae4,
title = "Employment-activity status and multidisciplinary care engagement in patients with newly diagnosed dementia: a 16-month audit study within an inner sydney community neurology clinic",
abstract = "Introduction Dementia is one of the leading causes of mortality and morbidity in Australia. Attitudes towards dementia in the workplace, tailored adjustments for disability, and patient-centred ‘exit with dignity’ strategies are of objective and subjective importance to patient wellbeing. This study aimed to assess employment characteristics in those with newly diagnosed dementia, and engagement with multidisciplinary supports. Methods An audit of patients with diagnosis of dementia (n=136,age51–96 yrs,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,age56–83M:F0.6:1) over a 16 month period in 2017–18 was performed using online server data collection and retrospective analysis of general and employment demographic characteristics, presenting clinical information, and care across clinical psychology, psychotherapy, occupational therapy, speech pathology, and dietetics. Results Younger onset dementia was present in 14(10{\%}). Of the 122 dementia cases aged above 65 years, 24(20{\%}) were employed-active, 98(80{\%}) were retired, and none were unemployed. Approximately 5{\%} had a background in healthcare. Allied health support was provided in 106 cases (78{\%}) with ≥3 supports in 28(21{\%}) and was more common in those who were retired(76{\%}) versus employed-active (21{\%}). Clinical psychology or psychotherapy support was provided in 50(37{\%}) cases of dementia. Conclusions The onset of dementia often co-exists with active employment. Community perception of employment status in dementia would be of future research interest. Provision of multidisciplinary allied health supports in dementia may facilitate coping, adjustment and cooperative strategies for exit with dignity but further studies are required in this cohort.",
author = "Louise Rigney and Alexis Selby and Lily Chen and Tejas Patel and Hwang, {Yun T.} and Mobbs, {Anthony E. D.} and Mobbs, {Rowena E. A.}",
year = "2019",
month = "7",
doi = "10.1136/jnnp-2019-anzan.104",
language = "English",
volume = "90",
pages = "38",
journal = "Journal of Neurology, Neurosurgery and Psychiatry",
issn = "0022-3050",
publisher = "B M J PUBLISHING GROUP",
number = "e7",

}

Employment-activity status and multidisciplinary care engagement in patients with newly diagnosed dementia : a 16-month audit study within an inner sydney community neurology clinic. / Rigney, Louise; Selby, Alexis; Chen, Lily; Patel, Tejas; Hwang, Yun T.; Mobbs, Anthony E. D.; Mobbs, Rowena E. A.

In: Journal of Neurology, Neurosurgery and Psychiatry, Vol. 90, No. e7, 117, 07.2019, p. 38.

Research output: Contribution to journalMeeting abstractResearchpeer-review

TY - JOUR

T1 - Employment-activity status and multidisciplinary care engagement in patients with newly diagnosed dementia

T2 - Journal of Neurology, Neurosurgery and Psychiatry

AU - Rigney, Louise

AU - Selby, Alexis

AU - Chen, Lily

AU - Patel, Tejas

AU - Hwang, Yun T.

AU - Mobbs, Anthony E. D.

AU - Mobbs, Rowena E. A.

PY - 2019/7

Y1 - 2019/7

N2 - Introduction Dementia is one of the leading causes of mortality and morbidity in Australia. Attitudes towards dementia in the workplace, tailored adjustments for disability, and patient-centred ‘exit with dignity’ strategies are of objective and subjective importance to patient wellbeing. This study aimed to assess employment characteristics in those with newly diagnosed dementia, and engagement with multidisciplinary supports. Methods An audit of patients with diagnosis of dementia (n=136,age51–96 yrs,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,age56–83M:F0.6:1) over a 16 month period in 2017–18 was performed using online server data collection and retrospective analysis of general and employment demographic characteristics, presenting clinical information, and care across clinical psychology, psychotherapy, occupational therapy, speech pathology, and dietetics. Results Younger onset dementia was present in 14(10%). Of the 122 dementia cases aged above 65 years, 24(20%) were employed-active, 98(80%) were retired, and none were unemployed. Approximately 5% had a background in healthcare. Allied health support was provided in 106 cases (78%) with ≥3 supports in 28(21%) and was more common in those who were retired(76%) versus employed-active (21%). Clinical psychology or psychotherapy support was provided in 50(37%) cases of dementia. Conclusions The onset of dementia often co-exists with active employment. Community perception of employment status in dementia would be of future research interest. Provision of multidisciplinary allied health supports in dementia may facilitate coping, adjustment and cooperative strategies for exit with dignity but further studies are required in this cohort.

AB - Introduction Dementia is one of the leading causes of mortality and morbidity in Australia. Attitudes towards dementia in the workplace, tailored adjustments for disability, and patient-centred ‘exit with dignity’ strategies are of objective and subjective importance to patient wellbeing. This study aimed to assess employment characteristics in those with newly diagnosed dementia, and engagement with multidisciplinary supports. Methods An audit of patients with diagnosis of dementia (n=136,age51–96 yrs,M:F1.1:1) and mild cognitive impairment (MCI)(n=28,age56–83M:F0.6:1) over a 16 month period in 2017–18 was performed using online server data collection and retrospective analysis of general and employment demographic characteristics, presenting clinical information, and care across clinical psychology, psychotherapy, occupational therapy, speech pathology, and dietetics. Results Younger onset dementia was present in 14(10%). Of the 122 dementia cases aged above 65 years, 24(20%) were employed-active, 98(80%) were retired, and none were unemployed. Approximately 5% had a background in healthcare. Allied health support was provided in 106 cases (78%) with ≥3 supports in 28(21%) and was more common in those who were retired(76%) versus employed-active (21%). Clinical psychology or psychotherapy support was provided in 50(37%) cases of dementia. Conclusions The onset of dementia often co-exists with active employment. Community perception of employment status in dementia would be of future research interest. Provision of multidisciplinary allied health supports in dementia may facilitate coping, adjustment and cooperative strategies for exit with dignity but further studies are required in this cohort.

U2 - 10.1136/jnnp-2019-anzan.104

DO - 10.1136/jnnp-2019-anzan.104

M3 - Meeting abstract

VL - 90

SP - 38

JO - Journal of Neurology, Neurosurgery and Psychiatry

JF - Journal of Neurology, Neurosurgery and Psychiatry

SN - 0022-3050

IS - e7

M1 - 117

ER -