Table 4 Cognitive Capacity
Quote no | Quote | Data source |
|---|---|---|
1 | He had not been able to recall how the ambulance had been called. He didn’t know whether he had pressed the care line button or whether his son had called. | Call 3, field notes |
2 | The patient was voluble and seemed to be confabulating as some of his speech made sense and some did not. He did not appear to have capacity. | Call 11, field notes |
3 | Especially with a dementia patient, quite keen to stay on scene where possible. ... Where you can safety-net them, and manage any injuries they’ve sustained, in the community, where they’re comfortable. As opposed to convey them to hospital unnecessarily, and in an environment that’s unpleasant and potentially not ideally suited for dementia patients. | Call 2, P2 interview |
4 | You’re not gonna drag someone out of their house when they’ve got no signs or symptoms of a head injury for a just in case. Especially when they have got that level of dementia. | Call 11, P13 interview |
5 | Obviously, because she’s got dementia it wasn’t much of a history. And you weren’t sure how much was true and how much wasn’t. A hundred per cent [decision to convey], especially when I realised she’d got dementia. ... She’s got dementia, she’s got hip pain.. ... It’s easy to be caught out because you don’t really have the whole expertise to fully assess somebody with dementia. | Call 6, P7 interview |
6 | To be honest I think regardless of any co-morbidities that she had, she’d’ve been going in, dementia or otherwise. If she was young, old, any health problems, with those observations and that presenting condition and complaint, she’s going to hospital. | Call 7; P8 interview |
7 | I asked her what she wanted to do, and she very clearly said that she didn’t wanna be on her own and she wanted to go to hospital. Which you do sometimes get with people and that ... still doesn’t necessarily meant they need to go to hospital, so we won’t make that decision. | Call 4, P5 interview |
8 | Dragging him out of somewhere that he knows and putting him in somewhere that [he] doesn’t, is gonna cause him a lot of problems. Even if that was what the wife was hoping for. | Call 11, P13 interview |