Ceiling of care decisions at an older person’s mental health unit in Gloucestershire

Ceiling of care decisions at an older person’s mental health unit in Gloucestershire

Author: BMJ Quality Open

Resource type :

This quality improvement project was inspired as an answer to a problem many psychiatric trainees have been struggling with while on-call covering the old age mental health hospital which includes a specialist dementia ward.

Decisions around ceilings of care for patients were often not discussed or at least recorded in the electronic notes and as a result when reviewing deteriorating patients out of hours trainees would find themselves without any guidance on what was in the best interests of the patient. This led to situations where unnecessary transfers to the acute hospital would occur overnight which could have been avoided with more consistent planning.

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