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Patient arrives in A&E / AMU / ED / MAU with evidence of disorientation / confusion PowerPoint Presentation
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Patient arrives in A&E / AMU / ED / MAU with evidence of disorientation / confusion - PowerPoint PPT Presentation


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First point of presentation for patients with possible Dementia. Patient presents to GP with worries about their memory, or evidence or disorientation / confusion. Patient arrives in A&E / AMU / ED / MAU with evidence of disorientation / confusion.

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First point of presentation for patients with possible Dementia

Patient presents to GP with worries about their memory, or evidence or disorientation / confusion

Patient arrives in A&E / AMU / ED / MAU with evidence of disorientation / confusion

Patient seen by Community Service with possible memory problems / disorientation/confusion/mood change

Patient seen in which setting?

Acute or Community

GP practice

Assessment outcome?

Probable dementia

Toxic confusional state / delirium

Investigate & treat physical cause

  • Refer to CMHT/Dementia Practitioner
  • Signpost patient to 3rdsector information sources

Admission required?(including considerations of patient safety and availability of appropriate care)

No

Yes

  • Letter to GP re. referral to CMHT / dementia practitioner
  • Signpost patient to 3rd sectorinformation sources

Direct to appropriate Ward/MFE/MH bed depending on severity of mental health need

  • Psychiatric/formal cognitive assessment carried out by mental health specialist practitioner / mental health liaison nurse
  • Ongoing medical and other assessments/reviews
  • Involvement of therapy team, social worker, and family members from day one
  • Utilise Pabulum blue book or “this is me”

Ongoing discharge planning

  • patient MH bed OR
  • existing dementia diagnosis?

Yes

MH Liaison referral to CMHT/dementia practitioner

  • Letter to GP re. referral to CMHT / dementia practitioner
  • Signpost patient to 3rd sectorinformation sources

Discharge to own home, care home or new care setting as appropriate.