title: Integrated Care Pathways and Care Bundles for Dementia in Acute Care: Concept Versus Evidence.
abstract: Caring for people with dementia in acute settings is challenging and confounded by multiple comorbidities and difficulties transitioning between community and acute care. Recently, there has been an increase in the development and use of integrated care pathways (ICPs) and care bundles for defined illnesses and medical procedures, and these are now being promoted for use in dementia care in acute settings. We present a review of the literature on ICPs and/or care bundles for dementia care in the acute sector. This includes a literature overview including "gray literature" such as relevant websites, reports, and government publications. Taken together, there is clearly a growing interest in and clinical use of ICPs and care bundles for dementia. However, there is currently insufficient evidence to support the effectiveness of ICPs for dementia care in acute settings and limited evidence for care bundles for dementia in this setting.
authors.affiliation: 1 Centre for Gerontology and Rehabilitation, School of Medicine, University College Cork, St Finbarr's Hospital, Cork, Ireland.
authors.forename: Dawn O
authors.initials: DO
authors.lastname: Sullivan
authors.affiliation: 2 Mercy University Hospital, Cork, Ireland.
authors.forename: Mary
authors.initials: M
authors.lastname: Mannix
authors.forename: Suzanne
authors.initials: S
authors.lastname: Timmons
mesh_terms: D015897:Comorbidity; D019033:Delivery of Health Care, Integrated / Q000592:standards*; D003704:Dementia; D006801:Humans; D064872:Patient Care Bundles / Q000379:methods*
keywords: care bundles; dementia; integrated care; integrated care pathway; systematic review