Ongoing Medical Management to Maximize Health and Well-being for Persons Living With Dementia

被引:27
作者
Austrom, Mary Guerriero [1 ,2 ,3 ]
Boustani, Malaz [4 ,5 ]
LaMantia, Michael A. [6 ,7 ]
机构
[1] Indiana Univ Sch Med, Dept Psychiat, 355 W 16th St,Suite 2800, Indianapolis, IN 46202 USA
[2] Indiana Univ Sch Med, Indiana Alzheimer Dis Ctr, Indianapolis, IN 46202 USA
[3] Indiana Univ Sch Med, Off Divers Affairs, Indianapolis, IN 46202 USA
[4] Indiana Univ Sch Med, Dept Med, Indianapolis, IN 46202 USA
[5] Indiana Univ Sch Med, Regenstrief Inst Inc, Indianapolis, IN 46202 USA
[6] Univ Vermont, Div Gen Internal Med & Geriatr, Burlington, VT 05405 USA
[7] Univ Vermont, Ctr Aging, Burlington, VT 05405 USA
基金
美国国家卫生研究院;
关键词
Caregiving-formal; Dementia; Evidence-based practice; Person-centered care; OLDER-ADULTS; PRIMARY-CARE; BEHAVIORAL SYMPTOMS; ALZHEIMERS-DISEASE; FAMILY CAREGIVERS; PRECIPITATING FACTORS; INTERVENTIONS; INDIVIDUALS; DELIRIUM; DISTURBANCE;
D O I
10.1093/geront/gnx147
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Persons living with dementia have complex care needs including memory loss that should be taken into account by providers and family caregivers involved with their care. The prevalence of comorbid conditions in people with dementia is high and, thus, how primary care, community providers and family caregivers provide best practice care, person-centered care is important. Care providers should understand the ongoing medical management needs of persons living with dementia in order to maximize their quality of life, proactively plan for their anticipated needs, and be as well prepared as possible for health crises that may occur. This article provides eight practice recommendations intended to promote understanding and support of the role of nonphysician care providers in educating family caregivers about ongoing medical management to improve the wellbeing of persons living with dementia. Key among these are recommendations to use nonpharmacological interventions to manage behavioral and psychological symptoms of dementia as the first line of treatment and recommendations on how to best support the use and discontinuation of pharmacological interventions as necessary.
引用
收藏
页码:S48 / S57
页数:10
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