Section 2 Relevant NICE standards NICE CG 103: Delirium. Priority ii. Give a tailored multi-component intervention package to prevent delirium. NICE QS 7: People with dementia who develop non-cognitive symptoms that them significant distress, or who develop behaviour that challenges, are offered an assessment at an early opportunity to establish generating and aggravating factors. Interventions to improve such behaviour or distress should be recorded in their care plan. Banerjee Recommendation 4: People with dementia should receive antipsychotic medication only when they really need it. Counting the cost recommendation 6: Reduce the use of antipsychotic drugs to treat people with dementia on a general ward. NICE CG 103. Delirium. Priority vi.If a person with delirium is distressed or considered a risk to themselves or others and verbal and non-verbal de-escalation techniques are ineffective or inappropriate, consider giving short-term (usually for 1 week or less) haloperidol or olanzapine. Counting the cost recommendation 7.1 Having an individual care plan is essential for good quality care and it must be ensured that every person with dementia has one. Government quality outcome 9: I am confident my end of life wishes will be respected. I can expect a good death. NICE QS 5: People with dementia, while they have capacity, have the opportunity to discuss and make decisions, together with their carer/s, about the use of : advance statements, ADRs, LPAs, PPCs. Counting the cost recommendation 8: Make sure that people with dementia have enough to eat and drink. Counting the cost 8.3 Carers, family and friends must always be allowed to assist at mealtimes if they wish. Counting the cost 8.1 The patient profile and individual care plan as discussed in recommendation 7 should be used to understand an individual’s needs and Counting the cost 8.4 Hospitals should encourage volunteers to support people with dementia at mealtimes. NICE QS3: People newly diagnosed with dementia and/or their carers receive written and verbal information about their condition, treatment and the support options in their local area.
Section 2 Relevant NICE standards NICE CG 103: Delirium. Priority ii. Give a tailored multi-component intervention package to prevent delirium. NICE QS 7: People with dementia who develop non-cognitive symptoms that them significant distress, or who develop behaviour that challenges, are offered an assessment at an early opportunity to establish generating and aggravating factors. Interventions to improve such behaviour or distress should be recorded in their care plan. Banerjee Recommendation 4: People with dementia should receive antipsychotic medication only when they really need it. Counting the cost recommendation 6: Reduce the use of antipsychotic drugs to treat people with dementia on a general ward. NICE CG 103. Delirium. Priority vi.If a person with delirium is distressed or considered a risk to themselves or others and verbal and non-verbal de-escalation techniques are ineffective or inappropriate, consider giving short-term (usually for 1 week or less) haloperidol or olanzapine. Counting the cost recommendation 7.1 Having an individual care plan is essential for good quality care and it must be ensured that every person with dementia has one. Government quality outcome 9: I am confident my end of life wishes will be respected. I can expect a good death. NICE QS 5: People with dementia, while they have capacity, have the opportunity to discuss and make decisions, together with their carer/s, about the use of : advance statements, ADRs, LPAs, PPCs. Counting the cost recommendation 8: Make sure that people with dementia have enough to eat and drink. Counting the cost 8.3 Carers, family and friends must always be allowed to assist at mealtimes if they wish. Counting the cost 8.1 The patient profile and individual care plan as discussed in recommendation 7 should be used to understand an individual’s needs and Counting the cost 8.4 Hospitals should encourage volunteers to support people with dementia at mealtimes. NICE QS3: People newly diagnosed with dementia and/or their carers receive written and verbal information about their condition, treatment and the support options in their local area.
D_Kit_Care_V3LC.docx