The quality of care that demented and dementing patients are receiving is inadequate. There is not enough funding, in any system, and especially one without rationing, to provide the quality of care needed. ( National Dementia Audit: Important improvements in dementia care, but more support needed report finds) If you have a stroke, or have cancer, the treatment deficit is similar. These people won’t have votes for much longer, but they have paid into the safety net. So what is to be done: an open and frank discussion about the need to ration, and then an informed discussion of the options and the implications of those options…. It may be reasonable that, where possible, families should feed their relatives in todays financially constrained world. But this is rarely possible in our mobile society. Many UK children think internationally rather than nationally ( hence the Brexit differences between generations), and are working intensive days. Should the next generation be contributing financially if they cannot contribute with care/feeding? How do we design a system that is fair to both the well spread, and the very locally based families? And do this before we are completely swamped?
An educational imperative on Advanced directives might help reduce the numbers….
Families must be drafted on to wards to feed relatives with dementia who are routinely going hungry in hospital, a comprehensive audit of NHS care concludes. One in four staff caring for dementia patients says they cannot feed them properly, with some resorting to sharing their own food, the study by leading doctors found.
Overstretched hospitals can struggle to provide meals when people need them and do not have the staff to ensure vulnerable patients actually eat what is put in front them, the figures suggest.
Oliver Corrado, consultant geriatrician and author of the report, argued that if families helped out more, it would also be good for those without relatives…….
….“we can’t subcontract out feeding people”, saying it would be “awful” if families felt they had no choice but to come in at mealtimes.
Ms Carter said the system worked well in hospitals where staff discussed with relatives what role they wanted to play and both showed flexibility.
Eileen Burns, of the British Geriatrics Society, said: “On the surface it might be perceived as simply a cost-saving exercise but in reality it is often highly beneficial for older patients with dementia. Relatives and carers can help create a supportive, familiar environment.”
report finds) Simple Measures: National Dementia Audit: Important improvements in dementia