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Doctors newspaper online, 11.07.2019
Innovation Fund
Geriatrists want to develop standard for the care of patients with the secondary diagnosis of dementia.
MUNSTER. Seven hospitals in the Münster region want to ensure that dementia-sensitive care is no longer left to chance, but becomes a permanent repertoire. In a project funded by the Innovation Fund, the hospitals want to develop a viable concept for better treatment of patients with dementia in clinics.
"The risk of complications is significantly increased in patients with relevant memory disorders," says Professor Thomas Duning from the Department of Neurology, University Hospital Münster (UKM). In particular, delirium during hospital treatment is an underestimated and hitherto poorly understood complication.
Duning is the consortium leader of the "Compass D2" project, funded by the Innovation Fund over a three-year period of € 5.7 million. Besides the UKM, the Evangelische Johannisstift Münster, the Mathias-Spital and the Jacobikrankenhaus in Rheine, the St. Josef-Stift Sendenhorst, the Josephs-Hospital Warendorf as well as the UKM Marienhospital Steinfurt are involved. Other consortium partners are the Department of Health Economics of the University of Bielefeld, the health insurances Barmer, DAK and IKK Classic as well as the zeb.business school and the city of Münster.
The geriatric experts from the clinics want to develop a standard for the adequate care of patients with the secondary diagnosis of dementia. These include common guidelines for diagnosis and therapy. Interdisciplinary teams, including nurses and pharmacists, regularly monitor the health of the elderly and their medication.
A trained nurse accompanies patients during operations and advises relatives. The clinics want to set up a telemedicine network to exchange views and look at individual patients in case conferences. The plan is to continue to care for and examine the patients and their relatives after discharge.
About 3800 patients, ages 70 and up, are to be involved in the project. One half is supplied according to the new concept, the other after the standard supply. It examines the incidence of delirium and the consequences for the independence of the elderly as well as the cost of care. (iss)
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