Abstract
Aims: The first national guidelines on the management of dementia were released in March 2016 after approval by the National Health and Medical Research Council (NHMRC). The objectives of this presentation are to (1) highlight key recommendations within these recently released Clinical Practice Guidelines and Principles of Care for People with Dementia and (2) discuss implications for practice and policy.
Methods: Guideline development utilised ADAPTE methodology (adapting the 2006 UK NICE Guidelines), adhered to the NHMRC standards and involved 17 systematic reviews. Evidence from the reviews was considered by 23 clinical
experts, end users and carers who formed a Guideline Adaptation Committee. Recommendations were classified as Evidence Based Recommendations (EBR), Consensus Based Recommendations (CBR) and Practice Points (PP).
Results: The Committee formed 109 recommendations, and these have been endorsed by a number of organisations including the ANZSGM. Consumer engagement in the process of guideline development was strong and resulted in
the inclusion of the ten principles of dignity in care, a stronger emphasis on restorative care and more content around communicating the diagnosis.
Conclusions: There is strong evidence that the use of Clinical Practice Guidelines improves the quality and consistency of care for a number of conditions. Policy makers should address recommendations regarding care coordination and memory assessment services. Clinicians should be aware of the sound evidence for non-pharmacological interventions to delay functional decline and reduce the impact of changed behaviours.
Methods: Guideline development utilised ADAPTE methodology (adapting the 2006 UK NICE Guidelines), adhered to the NHMRC standards and involved 17 systematic reviews. Evidence from the reviews was considered by 23 clinical
experts, end users and carers who formed a Guideline Adaptation Committee. Recommendations were classified as Evidence Based Recommendations (EBR), Consensus Based Recommendations (CBR) and Practice Points (PP).
Results: The Committee formed 109 recommendations, and these have been endorsed by a number of organisations including the ANZSGM. Consumer engagement in the process of guideline development was strong and resulted in
the inclusion of the ten principles of dignity in care, a stronger emphasis on restorative care and more content around communicating the diagnosis.
Conclusions: There is strong evidence that the use of Clinical Practice Guidelines improves the quality and consistency of care for a number of conditions. Policy makers should address recommendations regarding care coordination and memory assessment services. Clinicians should be aware of the sound evidence for non-pharmacological interventions to delay functional decline and reduce the impact of changed behaviours.
| Original language | English |
|---|---|
| Article number | OR6 |
| Pages (from-to) | 20-21 |
| Number of pages | 2 |
| Journal | Australasian Journal on Ageing |
| Volume | 35 |
| Issue number | S1 |
| DOIs | |
| Publication status | Published - Jun 2016 |
| Event | Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting 2016: The AGEnder Paradox - Cairns Convention Centre, Cairns, Australia Duration: 1 Jun 2016 → 3 Jun 2016 |
Keywords
- National Health and Medical Research Council (NHMRC)
- Clinical Practice Guidelines and Principles of Care for People with Dementia
- 2006 UK NICE Guidelines
- Evidence Based Recommendations (EBR)
- Consensus Based Recommendations (CBR)
- Practice Points (PP)
- ANZSGM