Dementia: NICE issues an updated quality standard

  • NICE

  • curated by Pavankumar Kamat
  • UK Medical News
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The National Institute for Health and Care Excellence (NICE) has issued an updated quality standard focusing on the prevention, assessment, management and support of individuals with dementia, with respect to high-quality care in priority areas for improvement.

The key goals of the quality standard are improvements in the following areas:

  • Diagnosis rates,
  • Time from referral to diagnosis,
  • Hospital admission rates,
  • Prescriptions for behavioural and psychological symptoms of dementia,
  • Care home admissions,
  • Length of hospital stay,
  • Preferred place of death,
  • Health-related quality of life of patients and carers.

The updated quality standard covers the following 7 recommendations:

  1. Individuals accessing behaviour change interventions and programmes during mid-life should be advised that lifestyle changes could lower the risk of developing dementia.
  2. Individuals with suspected dementia should be referred to a specialist dementia diagnostic service if there has been an investigation of reversible causes of cognitive decline.
  3. Individuals with dementia should be given the opportunity to discuss advance care planning at diagnosis and every review.
  4. Individuals with dementia should have a single named practitioner to coordinate their care.
  5. Individuals with dementia should be encouraged to choose from a variety of activities promoting wellbeing which are tailored to their preferences.
  6. Individuals with dementia should receive a structured assessment before initiating non-pharmacological or pharmacological therapy for distress.
  7. Carers of individuals with dementia should be provided necessary education and skills training.