Appropriate management of cases by phase of study
| Management | Phase 1 (n=43) | Phase 2 (n=43) | p Value | ||
|---|---|---|---|---|---|
| Correct | Correct | ||||
| N | % | N | % | ||
| Case 1 (adverse drug reaction) | |||||
| Reduce dose of donepezil (n=45) | 12 | 26.7 | – | – | |
| Refer to community support agency | 9 | 20.9 | 20 | 46.5 | 0.02 |
| Educate carer on side effect of donepezil | 12 | 27.9 | 21 | 48.8 | 0.05 |
| Case 2 (sexual abuse) | |||||
| Advice: sexual abuse at phase 1 and daughter to discuss father’s dementia with neighbours/current behaviour problems at phase 2 | 31 | 72.1 | 24 | 55.8 | 0.17 |
| Refer: to community support agency | 29 | 67.4 | 36 | 83.7 | 0.14 |
| Case 3 (precarious social circumstances) | |||||
| Refer to community support agency | 34 | 79.1 | 41 | 95.4 | 0.04 |
| Prescribe pain killers/consider risperidone for wandering | – | – | 4 | 9.3 | |
| Advice: leaflets on wandering, review 2 weeks/1 month | 33 | 76.7 | 29 | 67.4 | 0.34 |
| Case 4 (dangerous driving) | |||||
| Refer to occupational therapy driving assessment/community support agency | 32 | 74.4 | 35 | 81.4 | 0.55 |
| Advice: leaflet on driving and dementia/stop driving | 38 | 88.4 | 39 | 90.7 | 1.00 |
| Case 5 (increased need for carer support) | |||||
| Refer to community support agency | 32 | 74.4 | 42 | 97.7 | 0.002 |
| Advice: see daughter at another appointment | 32 | 74.4 | 34 | 79.1 | 0.75 |
| Case 6 (financial problems) | |||||
| Refer: to community support agency /psychiatrist/counselling at phase 1 and to neurologist/community support agency at phase 2 | 29 | 67.4 | 29 | 67.4 | 1.00 |
| Advice: suggest alternative employment | 18 | 41.9 | 25 | 58.1 | 0.14 |