Yes I know all of the pitfalls you mention – thank you.
I’m not going to get in to an argument with you about this, but I do see a lot of dementia patients during my twelve hour shift. With varying degrees of dementia.
I don’t send all patients in to hospital who happen to have ‘advanced dementia’ just because their chronic condition dictates I ought to do so’, irrespective of their injuries and mechanism of injuries…why would I if they don’t need to go in and if their attendance is going to be both upsetting and counter productive to their overall well being !?
It’s a complex topic for sure. But I do see an awful lot of dementia patients in A&E who really could have stayed at home and are discharged promptly, but with more confusion and distress than was actually necessary.
Oh and I’m not adverse to covering my own backside, crikey I wouldn’t have survived in this role for as long as I have were I not aware of safe/best practice.