e-CLEAR Dementia Training Platform

全球痴呆症患病率不断上升，预计到2050年将增加两倍(英国阿尔茨海默氏症研究，2021年)，构成巨大的医疗挑战。我们的e-Clear痴呆症培训平台是应对这些紧迫问题的创新解决方案，专注于NI。研究显示，NI(阿尔茨海默病协会，2016)有20,000人患有痴呆症，英国有944,000人(阿尔茨海默病研究英国，2021)，美国(阿尔茨海默氏症协会)有650万人，全球有惊人的5500万人(世卫组织，2023)。高达90%的痴呆症患者存在挑战照顾者的行为，包括攻击性、寻求退出和性不适当行为(Walaszek，2020)。如果没有对痴呆症的深入了解和有效的参与策略，照顾者的反应往往会加剧痛苦，并可能导致安置、住院和开出具有相关风险的药物的不必要的崩溃(Banerjee，2009；Duffy，2019)。这些后果会带来巨大的经济成本，并对痴呆症患者的生活质量产生不利影响。80%的痴呆症患者被送入疗养院是因为他们有两种或两种以上具有挑战性的行为(Bakker等人，2011)，疗养院居住时间从5到10年不等，相关的年费为27,000-39,000 GB的住宿护理和35,000-55,000 GB的护理(英国护理指南，2023)。对一些人来说，这种行为需要住进痴呆症专科病床，导致每周花费2,520到3,500 GB(苏格兰政府，2018)和平均停留41.3天(Wolverson等人，2022)，总计约123,000 GB/人。具有挑战性的行为还导致员工缺勤率(5%)和员工流失率(38.2%)的增加(CQC，2022年)，并需要增加人员数量(Ryu_et al_.，2005)。英国痴呆症的成本为347亿GB(阿尔茨海默氏症协会，2020年)，全球1.3万亿美元(世卫组织，2023年)。鉴于确诊后的预期寿命为5-10年，而且大约三分之一的人会在一生中照顾痴呆症患者，这对医疗保健和社会的影响是深远的(阿尔茨海默氏症协会，2023年)。这项建议既解决了护理人员面临的挑战，又通过提高效率和减少医疗保健领域的人员配备挑战来节省成本。与NHS长期计划中概述的优先事项保持一致，强调改善痴呆症护理和早期干预战略，以及NICE指南(2018年)建议对具有挑战性的行为采取心理社会方法，e-Clear痴呆症支持痴呆症学习和发展框架中详细说明的基本培训需求。

The escalating global prevalence of dementia is expected to triple by 2050 (Alzheimer Research UK, 2021) posing a formidable healthcare challenge. Our e-CLEAR Dementia Training platform emerges as an innovative solution to confront these pressing issues, focusing on NI.Research shows there are 20,000 people living with dementia in NI (Alzheimer's Society, 2016), 944,000 in UK (Alzheimer Research UK, 2021), 6.5M in USA (Alzheimer's-Association), and a staggering 55M worldwide (WHO, 2023). A striking 90% of people living with dementia present with behaviours that challenge carers, including aggression, exit-seeking, and sexually inappropriate behaviour (Walaszek, 2020). Without a solid understanding of dementia and effective engagement strategies, carers frequently respond in ways that contribute to heightened distress and can lead to unnecessary breakdown in placements, hospital admissions, and the prescription of medications with associated risks (Banerjee, 2009; Duffy, 2019).These consequences carry substantial financial costs, and adversely impact the quality of life for the person with dementia. 80% of people with dementia are admitted to care homes because they present with two or more behaviours that challenge (Bakker _et al_., 2011), with care home residency ranging from 5 to 10 years and associated annual fees £27,000-£39,000 for residential care, and £35,000-£55,000 for nursing care (UK care guide, 2023).For some people, this behaviour requires admission to a specialist dementia inpatient bed, incurring weekly costs of £2,520 to £3,500 (Scottish Government, 2018) and an average stay of 41.3 days (Wolverson et al., 2022), totalling around £123,000 per person. Behaviours that challenge also contribute to increased staff absence (5%) and staff turnover (38.2%) (CQC, 2022), and the need for increased staffing levels (Ryu _et al_., 2005).Dementia costs in the UK are £34.7 billion (Alzheimer Society, 2020), and $1.3 trillion globally (WHO, 2023). Given that life expectancy post-diagnosis is 5-10 years, and approximately one in three people will care for someone with dementia in their lifetime, the impact on healthcare and society is profound (Alzheimer's Association, 2023).This proposal addresses both the challenges faced by carers, and cost savings through increased efficiency and reduced staffing challenges in healthcare. Aligning with the priorities outlined in the NHS Long Term Plan, emphasising improved dementia care and early intervention strategies, and the NICE guidelines (2018) recommending psychosocial approaches to behaviours that challenge, e-CLEAR Dementia supports the essential training needs detailed in the dementia learning and development frameworks.