Missing the diagnosis: senile dementia in XXXX admitted to nursing homes.

@entity303 @entity1
OBJECTIVE: To establish @entity303 diagnoses in @entity1 recently admitted to a nursing home by a geriatrician, and to compare the agreement with diagnoses recorded in the nursing home's medical records and with short screening instruments. DESIGN: Descriptive study. Geriatric work-up of the individual @entity1 , information obtained from the medical records of nursing homes, structured interviews with nurses and a short cognitive test. SETTING: Nursing homes in Bergen, Norway, with 123 long-term care @entity1 . MAIN OUTCOME MEASURES: @entity303 diagnosis according to the International Classification of Diseases (ICD-10), Clinical @entity303 Rating and the Short Portable Mental Status Questionnaire. RESULTS: Fifty-nine percent of the @entity1 were diagnosed as demented according to the ICD-10. One-third of cases were not formerly diagnosed according to nursing home medical records. Clinical @entity303 Rating and the Short Portable Mental Status Questionnaire detected " @entity303 / @entity303 " cases correctly in 93% and 94%, respectively. CONCLUSION: Geriatric work-up indicates under-diagnosing of @entity303 among recently admitted nursing home @entity1 . This may have serious consequences for the treatment. @entity303 diagnostics in primary health care must be improved. The knowledge of the attending nurses should be better incorporated in the medical work-up of nursing home @entity1 .
