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Interprofessional Collaboration for the Prevention of HAD in Elderly Patients with Dementia

DOI: 10.4236/ojn.2026.166022, PP. 319-332

Keywords: DCT (Dementia Care Team), HAD (Hospitalization-Associated Dysfunction), IPW (Interprofessional Work), Older Adults with Dementia

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Abstract:

Purpose: In acute care hospitals in Japan, a super-aging society, caring for older patients with dementia, who are at high risk for hospitalization-associated disability (HAD), is crucial. Thus, this study aimed to determine the type of interprofessional collaboration required to prevent HAD in older adults with dementia. Methods: Semi-structured interviews were conducted with 23 staff members, and responses were qualitatively analyzed using a descriptive approach. Results: The analysis yielded the following three categories: (1) “Interprofessional collaboration for effective HAD prevention”; (2) “Interprofessional collaboration to adjust the medical care for older adults with dementia”; (3) “Interprofessional collaboration to ensure safety without physical restraints”. Conclusion: Broader interprofessional collaboration, including hospital and home care staff, is required along with interprofessional efforts to ensure safety while eliminating physical restraints, which can contribute to muscle weakness and helplessness.

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