TY - JOUR
PY - 2019//
TI - Dementia-specific characteristics of patients with fall-related femur fractures : a case study based on routine hospital data of patients with unspecified dementia
JO - Zeitschrift fur Gerontologie
A1 - Manietta, Christina
A1 - Vogt, Birgit
A1 - Roes, Martina
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - BACKGROUND: A fall-related femur fracture is one of the most frequent reasons for hospital admission of patients with dementia. The aim of the study was to identify dementia-specific characteristics of patients with fall-related femur fractures and additionally an unspecified dementia in order to gain further knowledge about this particular patient group.
METHODS: A descriptive explorative case study with a single case-embedded design based on routine hospital data from a university hospital was performed. A total number of 34 patient records from 2015 were analyzed. In the embedded unit of analysis I the data of selected items of the nursing assessment AcuteCare (ePA-AC©) were descriptively analyzed for the time of admission and discharge. In the embedded unit of analysis II a summarizing inductive content analysis was conducted.
RESULTS: The results of the embedded unit of analysis I showed that this patient group is characterized by a high need for care, changes of cognition and behavioral symptoms. The status of cognition, behavior and reciprocity as well as the self-care index stagnated or deteriorated in many patients from admission to discharge. The embedded unit of analysis II identified observable (social)behavior, (non)compliance and orientation as central dementia-specific characteristics.
CONCLUSION: The results reflect the complexity of the care situation of patients with unspecified dementia in acute care hospitals. The results showed that a higher awareness for this particular patient group is needed to improve outcomes. Language: de
LA - de
SN - 0044-281X
UR - http://dx.doi.org/10.1007/s00391-019-01641-0
ID - ref1
ER -