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198 A UNIQUE COMMUNITY POST-DIAGNOSTIC DEMENTIA SUPPORT SERVICE DELIVERED BY THE ADVANCED NURSE PRACTITIONER
E Carey. Age and Ageing, 2022-10-25
Topic: Risk, prevention and care in population studies
Abstract Background In Ireland, approximately 67,744 people live with dementia and 63% reside in Irish communities with increasing care cost estimated at €58,550 per person, which is set to rise alongside increasing longevity (HSE, 2020; Department of Health, DOH 2014). Across the Republic of Ireland, care provision predominantly focuses on middle or later stages of the journey, leaving the newly diagnosed and their care partner as somewhat the invisible. Service provision for post diagnostic dementia services is disjointed, with resource allocation at a low level of provision relative to need, leading to inequity with subsequent disparity resulting in significant geographical variation in the provision of services. Methods Robust interdisciplinary community care pathways developed underpin this ANP Service. The multi-element pathway structure delivers community clinics for Dementia, NCSD and LivDem programmes alongside support networks for family care partners, amongst others. Support and care provision is demonstrated from point of diagnosis and throughout the dementia journey for the patient and family care partners, which is unique in Irish healthcare. ANP service provision through interdisciplinary collaboration has achieved increased QOL outcomes alongside illuminating KPI's and audit outcomes. Capturing dementia services early optimises outcomes for all involved including health service cost reductions, all in one setting. Results Patient satisfaction outcomes range from 71 - 100% with service intervention outcomes favourably indicating the direct impact of the service, which are unmeasurable to the older adult living with dementia, and include increases in: (i) Confidence - 90%; (ii) Mood - 50% and (iii) open to talking through difficulties encountered - 87%. This service contributes to innovations in practice in this complex care area and now achieves 60 attendances each month Conclusion Advanced practice drives collaboration and integration across services delivering on hospital avoidance, early supportive discharge and timely access to services. Facilitating early post diagnostic dementia services optimises interdisciplinary collaboration, crucial to achieve aging in place with timely access to services for all older adults.
Key findings
- Service provision for post diagnostic dementia services is disjointed, with resource allocation at a low level of provision relative to need, leading to inequity with subsequent disparity resulting in significant geographical variation in the provision of services.
- Support and care provision is demonstrated from point of diagnosis and throughout the dementia journey for the patient and family care partners, which is unique in Irish healthcare.
- Results Patient satisfaction outcomes range from 71 - 100% with service intervention outcomes favourably indicating the direct impact of the service, which are unmeasurable to the older adult living with dementia, and include increases in: (i) Confidence - 90%; (ii) Mood - 50% and (iii) open to talking through difficulties encountered - 87%.
Why it matters
This describes a community post-diagnostic dementia support service delivered by an advanced nurse practitioner in Ireland, which reports increased quality-of-life outcomes and patient satisfaction. The service provides support from diagnosis onward but does not treat, cure, or prevent Alzheimer's disease.
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Study details
- Participants67,744
- Evidence strengthLow
How this study scored 35/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it. We have no data on senior author's track record and institution's track record, so those were left out: it earned 33 of the 93 points we could judge it on, which is 35 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Age and Ageing) |
| Journal's citation record | 2 / 4 | Age and Ageing: journal h-index 231 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2022 — within 6 year(s) of the newest study here |
| Sample size | 4 / 4 | 67,744 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 6 year(s) since 2022 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | — / 4 | OpenAlex's profile for last-listed author E Carey holds only 1 work(s), too few to judge a track record — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 0 institution(s) in 0 countries — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 1 / 2 | Not in PubMed, but has a DOI |
| Free to read | 2 / 2 | Free to read |
| Points | 33 / 93 | Scored on 18 of 20 parts. We have no data for the rest, so they are left out: 33 of the 93 points we could judge it on is 35 out of 100. |
| Total | 35 / 100 | — |
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Carey, E. (2022). 198 A UNIQUE COMMUNITY POST-DIAGNOSTIC DEMENTIA SUPPORT SERVICE DELIVERED BY THE ADVANCED NURSE PRACTITIONER. Age and Ageing. https://doi.org/10.1093/ageing/afac218.171
Vancouver
Carey E. 198 A UNIQUE COMMUNITY POST-DIAGNOSTIC DEMENTIA SUPPORT SERVICE DELIVERED BY THE ADVANCED NURSE PRACTITIONER. Age and Ageing. 2022. doi:10.1093/ageing/afac218.171.
BibTeX
@article{carey2022-2a20ddcf,
author = {Carey, E},
title = {{198 A UNIQUE COMMUNITY POST-DIAGNOSTIC DEMENTIA SUPPORT SERVICE DELIVERED BY THE ADVANCED NURSE PRACTITIONER}},
journal = {Age and Ageing},
year = {2022},
doi = {10.1093/ageing/afac218.171},
url = {https://doi.org/10.1093/ageing/afac218.171}
}