Harwood medical

MMHU staff record details on a computerised screening log. Patients are able to use both the main site and the branch for an appointment. The first phase comprised recruiting and following up a cohort or case series of older people with mental health problems admitted as an emergency to a general hospital.

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Relatives are often stressed and dissatified with care [ 2 ]. Trial Registration number ClinicalTrials.

Additional specialist mental health staff were employed, other staff were trained in the 'person-centred' dementia care approach, a programme of meaningful activity was devised, the environment adapted to the needs of people with cognitive impairment, and attention given to communication with family carers.

Extended hours appointments are offered from 6. Ill older people with mental health problems fit uneasily into general hospital services.

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Patients are able to use both the main site and the branch for an appointment. The evaluation design has been adapted to accommodate pressures on bed management and patient flows. If allocated to MMHU the patient is transferred immediately. The practice is open between 8am and 6. The practice is a partnership consisting of six partner GPs three male and three female and two associate GPs, two practice nurses, an assistant practitioner, a practice manager, and a team of administration staff. Patients are prone to deterioration and complications. In addition to pre-bookable appointments that can be booked up to six weeks in advance, urgent appointments are also available for people that need them. The first phase comprised recruiting and following up a cohort or case series of older people with mental health problems admitted as an emergency to a general hospital. Such services have been advocated recently in policy documents [ 1 , 3 , 4 ], but little research has been done on the particular needs and problems of this group, or the best way to configure services to address them. Abstract Background Patients with delirium and dementia admitted to general hospitals have poor outcomes, and their carers report poor experiences. Latest inspection: 23 May Report published: 7 August Study participants are patients over the age of 65, admitted as an emergency to a single general hospital, and identified on the Acute Medical Admissions Unit as being 'confused'.

Many general hospital staff feel ill-equipped to assess or manage them. We hypothesise that patients managed on this ward will have better outcomes than those receiving standard care, and that such care will be cost-effective.

Presentations can be non-specific falls, immobility, worsening confusion, not coping. Abstract Background Patients with delirium and dementia admitted to general hospitals have poor outcomes, and their carers report poor experiences.

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Extended hours appointments are offered from 6. The approach called 'comprehensive geriatric assessment', including diagnostic, functional, psychological, social and environmental dimensions, improves outcomes for older people with complex health problems [ 7 ]. Ill older people with mental health problems fit uneasily into general hospital services. Management on the MMHU is cost-effective compared with standard care. The first phase comprised recruiting and following up a cohort or case series of older people with mental health problems admitted as an emergency to a general hospital. Quality of care and patient experience are assessed in a non-participant observer study. Many general hospital staff feel ill-equipped to assess or manage them. Nationally in the UK, there are some specialist psychiatric liaison services for older people, and a few joint medical-psychiatric units. MMHU staff record details on a computerised screening log. We developed an acute geriatric medical ward into a specialist Medical and Mental Health Unit over an eighteen month period. The practice has approximately 13, registered patients and serves a diverse population group including a mix of all age groups. Trial Registration number ClinicalTrials. Relatives are often stressed and dissatified with care [ 2 ].
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Harwood Medical Centre