Information A-Z

The resources will help you to gain a better understanding of cognitive impairment and key elements of high-quality care.

Aboriginal and Torres Strait Islander people

Western Australian Centre for Health and Ageing

Western Australian Centre for Health and Ageing has a series of modules that include dementia and delirium. The delirium module is a case study focusing on the recognition of delirium in an older Aboriginal person in hospital.

Australian Indigenous HealthInfoNet – Dementia

Australian Indigenous HealthInfoNet – Dementia includes a collection of publications, policies, resources, programs and organisations related to dementia among Aboriginal and Torres Strait Islander people.

User guide for Aboriginal and Torres Strait Islander health

The Commission has included six specific actions in the second edition of the NSQHS Standards about Aboriginal and Torres Strait Islander health. The User guide for Aboriginal and Torres Strait Islander health was developed to assist health service organisations in meeting these action and improving the safety and quality of care for Aboriginal and Torres Strait Islander people.

Advance care planning

Dementia Australia - advance care planning

Dementia Australia website has useful presentations and resources about advance care planning

Future planning and advance care planning

The National Health and Medical Research Council’s (NHMRC) Partnership Centre for dealing with cognitive and related functional decline in older people (CDPC)’s advance care planning project developed resources with consumer and industry input to support future planning and advance care planning for people with dementia.

Allied health

Allies in Dementia Health Care project

Allies in Dementia Health Care Project, a joint initiative of Dementia Australia and the NSW Agency for Clinical Innovation has developed resources that provide an overview of the important role of allied health in supporting people with dementia.

Antipsychotics

Infographic - Reducing inappropriate use of antipsychotics

As part of the Caring for Cognitive Impairment campaign, the Commission produced an infographic targeted at reducing inappropriate use of antipsychotics.  It summarises why this is such an important issue for people with behavioural and psychological symptoms of dementia (BPSD) across multiple healthcare settings. It was developed as a result of work undertaken in response the Commission’s first Atlas of Healthcare Variation that found high and variable use in people aged 65 and over.

Antipsychotics and dementia: Managing medications

Antipsychotics & Dementia: Managing Medications is a video on Dementia Australia’s Detect Early website about the use of antipsychotics and alternative solutions for behavioural and psychological symptoms of dementia.

Assessment

Assessment of older people with confusion

This video from the Confused Hospitalised Older Person’s (CHOPS) Program emphasises the importance of undertaking further assessment to determine the cause when an older person is cognitively impaired.

Behaviour

Responding to distress: webinar

This webinar focuses on what clinicians can to reduce distress that is often experienced by people with cognitive impairment in hospital.

Assessment and Management of People with Behavioural and Psychological Symptoms of Dementia (BPSD) handbook

This 2013 publication by the NSW Ministry of Health and the Royal Australian and New Zealand College of Psychiatrists is a practical resource for health staff who work with people with dementia and those who experience behavioural and psychological symptoms associated with dementia.

Dementia Training Australia 

Dementia Training Australia provides a service and resources to assist staff in aged care and health care facilities to understand the causes of “responsive behaviours” and to find ways to avoid or reduce them. The service can complement services provided by Dementia Support Australia (DSA).

Additional learning courses are detailed in Education and Online training.

Brain injury

Traumatic brain injury

This article provides a summary of the available evidence for assessing traumatic brain injury and managing the common mental health, physical and cognitive/behavioural issues associated with it.

Brain Injury Australia

Brain Injury Australia (BIA) website provides a clearinghouse of information for people living with brain injury.

Capacity

Capacity Australia

Capacity Australia is a not for profit organisation that provides general information for clinicians on assessing capacity in relation to the legislation in each state and territory.

Equality, Capacity and Disability in Commonwealth Laws

Equality, Capacity and Disability in Commonwealth Laws published by Australian Law Reform Commission in 2014 recommends a supported decision making model to maximise individual autonomy and independence.

Determining patients' capacity

See ‘Determining patients’ capacity’, pages 15-19 in A better way to care – Actions for health service managers.

Clinical networks

Aged Health Network

Aged Health Network aims to improve the health of older people in NSW by researching, developing and supporting implementation of appropriate models of care for an ageing population.

Care of Older People Clinical Network

Care of Older People Clinical Network brings together expert clinicians who routinely provide care for older people, healthcare leaders, consumers and academics working in research on ageing. The network provides clinical leadership, expertise and advice to Safer Care Victoria with the ultimate aim of achieving optimal clinical outcomes and reducing harm for older people across the health system.

Disability Health Network

Disability Health Network aims to improve health outcomes for people with disability by enabling consumers, families and carers, health professionals, hospitals, health services and the WA Department of Health to engage and collaborate effectively to facilitate health policy and increased coordination of care across the State.

Intellectual Disability Network

Intellectual Disability Network (NSW) is working to improve the experience and delivery of healthcare for people with intellectual disability of every age by providing clinical leadership, research and education.

Statewide Dementia Clinical Network

Statewide Dementia Clinical Network, based in Queensland,  is open to all clinicians with an active interest in improving care of people with dementia. The role of the network includes promoting innovative practice to improve the quality of dementia services and fostering education and research and disseminating knowledge.

Statewide Older Person’s Health Network

Statewide Older Person’s Health Network, based in Queensland, aims to guide improvement in patient health outcomes, functional capacity and quality of life by identifying service gaps in acute and subacute care services. This includes rehabilitation, palliative care, subacute mental health and Geriatric Evaluation Management and psycho-geriatric services in both hospitals and the community.

Cognition

Cognitive screening

See ‘Screening’

MAXCOG: Maximising cognition

MAXCOG: Maximising Cognition are resources developed for people with mild cognitive impairment and early dementia that provide techniques and strategies to manage difficulties related to thinking, memory, language and vision.

Older people in hospital toolkit - Cognition

Older people in hospital is a Victorian resource in its third edition that provides clinicians with evidence-based information and simple strategies to minimise the risk of functional decline for older people in hospital. This section relates to cognition.

Cognitive impairment

Cognitive impairment infographic

The campaign infographic summarises the purpose and target audience for the campaign and can be downloaded and used as a poster to promote the campaign.

About cognitive impairment

There are extensive resources about cognitive impairment on the Caring for Cognitive Impairment campaign website.

Communication

Communication tools

The following are useful communication tools that can assist in providing person centred care for people with dementia.

The Focus on the person form is designed to help family carers inform hospital staff about a person living with dementia. It was developed by Toye et al from Curtin University and Sir Charles Gairdner Hospital, with funding from the Dementia Collaborative Research Centre: Carers and Consumers.

The Sunflower tool is another example that has been used in Confused Hospitalised Older Person’s (CHOPS) Program. See this clinician experience video.

Alzheimer’s Society (UK)– This is me tool, provides a simple and practical tool that people with dementia can use to tell staff about their needs, preferences, likes, dislikes and interests.

Effective communication to enhance care

This video from the Confused Hospitalised Older Person’s (CHOPS) Program talks about the importance of communication, with patients, carers and families and between and between all members of the multidisciplinary team.

Dementia and delirium - Communication at transitions of care

In this video, clinicians explain the importance of communicating at transitions.

Dementia Australia's Communication Help Sheet

Dementia Australia’s Communication Help Sheet outlines possible changes in communication as a result of dementia and suggests ways families and carers can help. It also includes some personal tips on communication written by a person with dementia.

Sight, perception and hallucinations in dementia

Sight, perception and hallucinations in dementia is a factsheet from the UK Alzheimer’s Society that outlines the vision and perception difficulties that a person living with dementia can experience and suggests way of providing support. These difficulties are a reminder of the importance of understanding not only cognitive changes but also the perceptual, visual and language difficulties experienced by a person with cognitive impairment and that these will be different for each person and will change over time.

Dementia Australia's brochure

Dementia Australia’s brochure “Talk to me”, provides communication tips for talking to people with dementia.

Dementia Australia's dementia language guidelines

Dementia Australia’s Dementia Language Guidelines, promote use of non-stigmatising language when talking about dementia and people with dementia.

Dementia Australia Cultura

Dementia Australia Cultura is a website and an app that provides a database of resources and cultural information to assist health care workers to learn about specific cultural needs.

Communication - Brain injury

Acquired Brain Injury Outreach Service (ABIOS)

Acquired Brain Injury Outreach Service (ABIOS) of Queensland Health provides a webpage that outlines communication and languages changes following an acquired brain injury and useful strategies for communication.

Comprehensive care

Comprehensive Care Standard

The Comprehensive Care Standard is one of eight in the National Safety and Quality Health Service (NSQHS) Standards and is critical when caring for people with cognitive impairment or at risk of delirium. The standards aim to ensure comprehensive health care that meets their individual needs, and considers the impact of their health issues on their life and wellbeing. It also aims to ensure that risks of harm for patients during health care are prevented and managed through targeted strategies.

Consumer information

A better way to care: Actions for consumers

The Commission published A Better way to care: Actions for consumers to provide information for consumers about actions they can take to support safer care for people with cognitive impairment in hospital.

Consumer companion guide

Diagnosis, treatment and care for people with dementia: A consumer companion guide complements the Clinical Practice Guidelines and Principles of Care for People with Dementia.

Consumers and carers stories

The Caring for Cognitive Impairment campaign encourages consumers and carers to share their experience of cognitive care in hospital. You can share your story by completing a form online.

Delirium consumer information

Australasian Delirium Association provides community information on delirium on their website.

People with younger onset dementia

Dementia Australia has produced Support pathways for people with younger onset dementia referral and service options that outlines health, social, community, legal services and resources which could be useful for people with younger onset dementia.

Dementia information in other languages

Dementia information in other languages is provided on Dementia Australia’s website.

Healthdirect

Healthdirect, a government-funded service, providing quality, approved health information has information on Dementia and on Delirium and Dementia.

Dementia Australia's online dementia support

Through this website consumers can arrange online counselling (email or videoconference), learn about dementia, connect with others and find out where and how to get help.

Dementia Australia's consumer resources

Dementia Australia’s website provides a wealth of useful resources for consumers including:

Allied health professionals and you: A guide for people living with dementia and their carers

The consumer guide from the Allies in Dementia Health Care Project is a joint initiative of Dementia Australia and the NSW Agency for Clinical Innovation.

Delirium

Delirium awareness video

A delirium awareness raising video produced in the UK with the aim of improving recognition and management of delirium in any healthcare setting. This tool as a resource for information or training about delirium, whether you are a health care professional, a family member or a carer or someone at risk of delirium.

Delirium in older people

Delirium in older people: Australian and New Zealand Society for Geriatric Medicine position statement 13 provides evidence-based recommendations on the prevention, assessment, treatment and management of delirium.

Delirium infographic

The delirium infographic highlights that delirium is common in hospitals and is associated with increased risks of harm. It can be downloaded and used as a poster to raise awareness.

Delirium risk identification

This video from the Confused Hospitalised Older Person’s (CHOPS) Program explains the importance of identifying a person at risk of delirium and what you can do.

HACs delirium fact sheet

HACs delirium short fact sheet is designed as quick reference guide for frontline clinicians.

Interview with delirium expert, Professor Inouye

Delirium expert, Professor Sharon Inouye is interviewed by Associate Professor Gideon Caplan. They discuss the vital importance of addressing delirium in our health care system.

Patient delirium experience

A patient describes his experience of post operative delirium in a video that highlights how distressing the experience can be.

See also education videos on delirium under educational videos.

See also Learn about Delirium under online learning.

Delirium – Care of confused hospitalised older person: An education services for health professionals

Videos for delirium that include doctors and delirium, the nursing perspective and carer experiences.

Delirium is everybody’s business - Implementing the CHOPS program

Delirium is everybody’s business – extract from Ms Bacorro’s interview.

Be Alert to Delirium: Question time

In this webinar Professor Gideon Caplan answers further questions on delirium that weren’t covered in his popular first delirium webinar.

Be Alert to Delirium: Webinar

This webinar explains what delirium is, its risks and how to prevent it.

On my mind: High quality care

Clinicians explain key strategies for providing high quality care for people with cognitive impairment.

On my mind: Delirium

Professor Kurrle explains delirium and a family member outlines what is important from the family’s perspective.

Delirium Clinical Care Standard

Information regarding the Delirium Clinical Care Standard is available on the Clinical Care Standards page.

Further information is available on the Commission’s website including accompanying resources for consumers, clinicians and health services on appropriate care to people at risk of, or with, delirium.

Vanderbilt University Medical Centre ICU delirium

Vanderbilt University Medical Centre ICU Delirium website provides education about delirium in the ICU for health professionals and patients and families.

Learn about delirium

Learn about delirium is a QUT self-paced online course about delirium and delirium superimposed on dementia. For other online education, see Online Learning.

idelirium

idelirium is the website for the federation of American, Australian and European delirium societies.

Australasian Delirium Association

Australasian Delirium Association aims to promote better understanding of delirium through leadership, education, support, resources, research and partnerships.

Delirium assessment

Hospital Elder Life Program (HELP)

Hospital Elder Life Program (HELP), developed by the Yale University School of Medicine, provides access to the Confusion Assessment Method (CAM), as well as other tools and training manuals.

TIME to think delirium

TIME to think delirium, developed by the National Health Service’s Education for Scotland, is a change package and provides information and tools, including the 4AT.

Victorian Health Services Older People in Hospital

The Victorian Health Services Older People in Hospital website provides information, tools and resources to identify delirium.

Delirium prevention

(US) Health Research & Educational Trust (HRET)

Preventing Iatrogenic Delirium Change Package: 2016 is a change package developed for hospitals by the HRET Hospital Improvement Innovation Network that provides a range of strategies and specific actions to prevent delirium.

Hospital Elder Life Program (HELP) – Dr. Sharon K. Inouye

Hospital Elder Life Program (HELP) – Dr. Sharon K. Inouye and her colleagues at the Yale University School of Medicine originally designed HELP to prevent delirium and it has developed into a comprehensive program to optimise the care of older people in the hospital.

Dementia

Dementia and delirium in ED – a medical perspective

Director of Emergency Medicine suggests strategies for providing appropriate care for people with cognitive impairment in ED.

Dementia Care in Hospitals Program (DCHP)

The Dementia Care in Hospitals Program (DCHP) is a model of care linked to the use of a Cognitive Impairment Identifier (CII).

The CII is a bedside identifier used by Ballarat Health Services and other health services in Victoria to alert staff to memory and thinking difficulties such as dementia, delirium, and cognitive impairment.

Organisations who have adopted this model of care in partnership with BHS have undergone extensive hospital wide education on the CII use and philosophy of care attached to the symbol.

Dementia infographic

The dementia infographic summaries the risks of harm for people with dementia in hospital.

Barbara's story

This video is a dementia awareness training resource developed by Guy’s and St Thomas’ NHS Foundation Trust (GSST) in UK that focusses on a person living with dementia and her experience in an acute sector care setting.

Dementia and delirium - the facts

Professor Kurrle explains the difference between delirium and dementia.

On my mind: Dementia and delirium

Clinicians explain the difference between delirium and dementia and the importance of involving family members.

Dementia Australia

Dementia Australia represents Australians living with dementia and the  Australians involved in their care. They advocate for the needs of people living with all types of dementia, and for their families and carers, and provide support services, education and information.

NHMRC Partnership Centre for dealing with cognitive and related functional decline in older people

The 2016 NHMRC Partnership Centre for Dealing with Cognitive and Related Functional Decline in Older People has developed Clinical Practice Guidelines and Principles of Care for People with Dementia.

Dementia Training Australia 

Dementia Training Australia provides a service and resources to assist staff in aged care and health care facilities to understand the causes of “responsive behaviours” and to find ways to avoid or reduce them. The service can complement services provided by Dementia Support Australia (DSA).

Additional learning courses are detailed in Education and Online training.

Education

Educational videos

The Caring for Cognitive Impairment campaign website has a large number of videos useful for personal or group education.

Insights into the Hospital Dementia Experience

Insights into the Hospital Dementia Experience, is a positively evaluated experiential workshop specifically designed by Dementia Australia to assist staff working in a hospital or Multi-Purpose Service (MPS) setting. Hospital or MPS educators can obtain a facilitators toolkit.

Online learning

The Caring for Cognitive Impairment campaign website has a page dedicated to online learning programs from across Australia.

Portal of Geriatrics Online Education

The Portal of Geriatrics Online Education is a free collection of geriatrics educational materials contributed by experts for educators and learners.

The ED Dementia Care Training Program: Providing best care to older people with dementia in emergency departments

Dementia Care Training has developed a set of new learning modules for providing care to older people in emergency departments.

Elder abuse

Elder Abuse Helpline

The Victorian government funds Seniors Rights Victoria to provide an Elder Abuse Helpline.

Elder Abuse Prevention Unit

The Elder Abuse Prevention Unit is a state-wide service to response to the abuse of older people in Queensland.

Northern Territory elder abuse information line

The Northern Territory has an elder abuse information line.

NSW Elder Abuse Helpline

The NSW Elder Abuse Helpline is a confidential helpline offering information, advice and referrals for people who experience, witness or suspect the abuse of older people living in their homes in NSW.

SA Health

SA Health includes elder abuse as a topic on its website with links to the elder abuse prevention phone line.

My Aged Care

The My Aged Care website provides state and territory contact details for information and support for elder abuse concerns.

Environment

Developing supportive design for people with dementia

Developing supportive design for people with dementia provides access to resources developed by the King’s Fund in the UK to enable care environments to become more dementia friendly.

Improving the hospital environment for people with cognitive impairment: Webinar

This webinar explores a number of aspects of improving the hospital environment including environment design principles and putting these principles into practice.

Supportive care environment

This video from the Confused Hospitalised Older Person’s (CHOPS) Program provides ideas for creating supportive care environments for people with cognitive environment.

Dementia Training Australia's environmental design resources

Dementia Training Australia provides environmental design resources and an environmental design education service to all states and territories.

Dementia and delirium – Providing a safe and supportive environment in hospital

Clinicians provide useful suggestions for creating a calm, safe supportive environment for people with cognitive impairment in hospital.

At home with dementia

At Home with Dementia provides practical, general suggestions for addressing problems commonly faced by people living with dementia in the home environment, noting that solutions will be different for each individual and will depend on the particular difficulties they are experiencing that will change over time.

The Dementia Enabling Environment Project (DEEP) virtual information centre

The Dementia Enabling Environment Project (DEEP) Virtual Information Centre provides practical tips, guides and resources to modify homes, care environments, gardens and public buildings to help a person with dementia to lead as full and independent a life as possible.

Principles for improving healthcare for people with dementia

Key Principles for Improving Healthcare Environments for People with Dementia provides design guidance for new and refurbished inpatient units and is an update of the Adapting the Ward for People with Dementia booklet first published by NSW Health in 2003.

Guidelines

Clinical practice guidelines and principles of care for people with dementia

The 2016 NHMRC Partnership Centre for Dealing with Cognitive and Related Functional Decline in Older People Clinical Practice Guidelines and Principles of Care for People with Dementia, provides recommendations for the assessment and management of behavioural and psychological symptoms of dementia.

Hip fracture

Hip Fracture Clinical Care Standard

This Clinical Care Standard and supporting resources provide guidance to consumers, clinicians and health services on delivering appropriate care to people with a hip fracture.

Individuals working in hospitals

Stories from individuals working in hospitals

The Caring for Cognitive Impairment website hosts stories and videos that have been shared by individuals working in hospitals caring for those with cognitive impairment.

What it has meant for me as a clinician - Implementing the CHOPS program

What it has meant for me as a clinician – extract from Ms Strahand’s interview.

Intellectual disability

Improving the experience of hospital for people with intellectual disability

Agency for Clinical Innovation has produced a series of videos to help health professionals understand the care needs of a person with intellectual disability. The following are relevant to hospital admissions:

NOFASD Australia

NOFASD Australia is the website for the national peak organisation representing the interests of individuals and families living with Fetal Alcohol Spectrum Disorders (FASD) and provides a range of information resources.

Living with intellectual disability and dementia

Living with Intellectual Disability and Dementia video produced Alzheimer’s Australia NSW, provides a resource for services working in the disability sector and for family members and friends who are concerned about signs of cognitive decline in a relative or friend who lives with an intellectual disability.

Monash Health Centre for developmental disability health

Monash Health Centre for Developmental Disability Health website provides resources for working with people with an intellectual disability in health.

Working with people with an intellectual disability fact sheet

Working with people with an intellectual disability fact sheet, from Centre for Developmental Disability Health Victoria, provides strategies for good health care and for communicating with people with an intellectual disability.

The Admission2Discharge (A2D) Together project

The Admission2Discharge (A2D) Together Project aims to improve the hospital experience for people with intellectual disability through improved communication.

It features an admission to discharge folder (A2D), created by a NSW partnership between Family and Community Services (Disability) at South East Sydney District, South Eastern Sydney Local Health District, Carer Program, and Metro-Regional Intellectual Disability Network (MRID). The folder facilitates timely transfer of relevant and current information to enable hospital staff to meet the needs of people with intellectual disability in hospital.

Medicines

Beers Criteria for potentially inappropriate medication use in older adults

American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults is an article published in the Journal of the American Geriatrics Society in 2012.

Commonly prescribed medications in Australian residential aged care that may adversely affect cognition

A set of 4 quick reference cards produced by Dementia Training Australia, that summarise commonly prescribed medications in Australian residential aged care that may adversely affect cognition. Information includes what side effects to look out for, and circumstances that lead to increased risk of side effects particularly altered cognition.

Evidence-based Clinical Practice Guideline for Deprescribing Cholinesterase Inhibitors and Memantine

Guidelines for clinicians when considering de-prescribing of dementia medications.

Health Victoria

Health Victoria website provides advice on medicine use for older people in hospital.

Medication appropriateness tool for co‐morbid health conditions in dementia

Medication appropriateness tool for co‐morbid health conditions in dementia: consensus recommendations from a multidisciplinary expert panel (Intern Med J, 46: 1189-1197) – This article provides expert consensus guidance about medication use for people with dementia.

Medication reconciliation

The Commission’s website has advice on medication reconciliation. There is a short video available about the use of medicines in Australia.

Primary Health Tasmania de-prescribing fact sheets

Primary Health Tasmania website has a number of fact sheets regarding de-prescribing of different medications.

Safer use of medicines for cognitive impairment: Webinar

This webinar covers key elements including medication reconciliation and review, appropriate prescribing and consumer involvement along with illustrating the importance of a team approach.

NSQHS Standards

NSQHS Standards

The Caring for Cognitive Impairment campaign website provides information on the NSQHS Standards (second edition) and specific actions relating to cognitive impairment under the Comprehensive Care Standard.

Q&A on NSQHS Standards: Webinar for lead hospital cognitive champions

This webinar discusses the inclusion of cognitive impairment in NSQHS Standards and offered an opportunity for participants to consider their role as lead cognitive champions.

Palliative care

Efficacy of oral risperidone, haloperidol, or placebo for symptoms of delirium among patients in palliative care: A randomized clinical trial

This study found that for patients receiving palliative care, patients who had individualised management of precipitating factors for delirium and supportive strategies had better outcomes than patients who received risperidone or haloperidol.

Reference: Agar MR, Lawlor PG, Quinn S, Draper B, Caplan GA, Rowett D et al. Efficacy of oral risperidone, haloperidol, or placebo for symptoms of delirium among patients in palliative care: A randomized clinical trial. JAMA Internal Medicine 2017; 177: 34-42.

Palliative Care Australia

Palliative Care Australia, the national peak body for palliative care has a website with information for patients, carers and health professionals on understanding palliative care and includes a service directory and relevant policies and publications. The advance care planning page has a map of Australia that links to specific advance care planning terms and steps for each state and territory.

Partnering with consumers

Partnering with Consumers Standard

Partnering with Consumers Standard is one of eight in the National Safety and Quality Health Service (NSQHS) Standards. Partnering with consumers is critical when caring for people with cognitive impairment or at risk of delirium.

Working with people with cognitive impairment, carers and families: Webinar

This webinar will be of interest to anyone who would like to learn more about partnering with people with cognitive impairment, their carers, support people and families.

Using reminiscence with people with dementia in acute and sub-acute care

An Australian Government funded manual developed through a collaboration between the University of Melbourne and Melbourne Health in Victoria that provides practical information that medical, nursing, allied health staff and volunteers can use to adopt and implement reminiscence within everyday care of people with dementia who are hospitalised.

Developing a resource to engage patients - Implementing the CHOPS program

We are developing a resource to engage patients – extract from Ms Summers interview.

Managing delirium better - Implementing the CHOPS program

We can manage delirium better – extract from Ms Coyle’s interview.

Involving carers – TOP 5 - Implementing the CHOPS program

We involved carers through TOP 5 – Extract from Ms Bacorro’s interview.

Dementia and delirium in ED – A medical perspective

Dr Ryan shares strategies for providing high quality care for people with cognitive impairment in the emergency department.

Patient and consumer centred care

The webpage on the Commission’s website provides information on partnering with consumers, which is about healthcare organisations, healthcare providers and policy-makers actively working with people who use the healthcare system to ensure that health information and services meet people’s needs.

Pathway

A better way to care

The Commission has developed three resources for managers, clinicians and consumers to help improve care of people with cognitive impairment.

Person-centred care

Person-centred healthcare organisations

Person-centred care is widely recognised as a foundation to safe, high-quality healthcare. The Commission has developed seven key attributes shared by healthcare organisations that are high-performing in person-centred care.

Radiography

Dementia patient care in the diagnostic medical imaging department

This article highlights potential strategies for improving the experience of people with dementia undergoing imaging procedures.

Recognising and responding to acute deterioration

Recognising and Responding to Acute Deterioration Standard 

The Recognising and Responding to Acute Deterioration Standard is one of eight in the National Safety and Quality Health Service (NSQHS) Standards aims to ensure that acute deterioration in a person’s physical, mental or cognitive condition is recognised promptly and appropriate action is taken.

Screening

4AT

4AT is a screening tool for both delirium and cognitive impairment that is free to download and use. The months of the year backward test and the 4-item Abbreviated Mental Test, which are brief tests for cognitive impairment, are also incorporated.

Abbreviated Mental Test Score for dementia

Abbreviated Mental Test Score for dementia is an example of a brief screening tool and an evaluation.

Common cognitive screening tools

The Victorian Department of Health’s Older People in Hospital website provides information on common cognitive screening tools including the Rowland Universal Dementia Assessment Scale (RUDAS) and the Kimberley Indigenous Cognitive Assessment (KICA).

Undertake cognitive screening

This video from the Confused Hospitalised Older Person’s (CHOPS) Program explains the importance of finding out about a person’s cognition and doing that through cognitive screening to establish a baseline.

Cognitive impairment – The importance of screening

A video showing importance of screening for cognitive impairment.

A better way to care - Actions for health service managers

See page 38 – 41 of A better way to care – Actions for health service managers.

Settings - ED

Recognising delirium in ED – A nurse's perspective

Ms Nelson provides a nursing perspective on recognising delirium in the emergency department.

Dementia and delirium in ED – A medical perspective

Dr Ryan shares strategies for providing high quality care for people with cognitive impairment in the emergency department.

Settings - ICU

Delirium – In intensive care

“Delirium – In Intensive Care” provides delirium from an intensive care perspective.

Settings – General practice

Dementia and delirium – The general practitioner's perspective

Professor May provides a general practitioner perspective on caring for patients with cognitive impairment.

Top 5

Clinical Excellence Commission Top 5 program

The Clinical Excellence Commission TOP 5 program supports clinician engagement with carers, to support individualised care for the person with cognitive impairment.

Volunteers

Setting up a volunteer program in hospitals to benefit people with cognitive impairment: Webinar

This webinar will be of interest to those who would like to understand how to set up and implement a person centred volunteer program within their hospital.

Volunteer dementia and delirium care implementation and training resource

Volunteer Dementia and Delirium Care Implementation and Training Resource, developed by the NSW Agency for Clinical Innovation (ACI) provides a comprehensive suite of materials required to establish and implement an evidence-based dementia and delirium care hospital volunteer program.