Citation

Manietta C, Vogt B, Roes M. Z. Gerontol. 2019; ePub(ePub): ePub.

Vernacular Title

Demenzspezifische Kennzeichen bei Patienten mit sturzbedingter Fraktur des Femurs : Eine Case Study basierend auf Krankenhausroutinedaten von Patienten mit nicht näher bezeichneter Demenz.

Affiliation

Deutsches Zentrum für Neurodegenerative Erkrankungen e. V. (DZNE), Witten, Deutschland.

Copyright

(Copyright © 2019, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00391-019-01641-0

PMID

31696362

Abstract

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

Keywords

Case study; Dementia; Fall; Fracture of femur; Hospital