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

被引:26
|
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
来源
GERONTOLOGIST | 2018年 / 58卷
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
相关论文
共 50 条
  • [1] Supporting the Health and Well-Being of Caregivers of Persons with Pain
    Tonkikh, Orly
    Chi, Nai-Ching
    Herr, Keela A.
    Fishman, Scott M.
    Young, Heather M.
    AMERICAN JOURNAL OF NURSING, 2023, 123 (06) : 55 - 61
  • [2] Characteristics associated with neuropsychiatric symptoms in persons living with dementia and caregiver distress and diminished well-being
    Kovaleva, Mariya A.
    Higgins, Melinda
    Dietrich, Mary S.
    Jennings, Bonnie Mowinski
    Song, Mi-Kyung
    Clevenger, Carolyn K.
    Griffiths, Patricia C.
    Hepburn, Kenneth
    JOURNAL OF THE AMERICAN ASSOCIATION OF NURSE PRACTITIONERS, 2022, 34 (04) : 656 - 665
  • [3] Well-being in dementia: a cross-sectional dyadic study of the impact of multiple dimensions of strain on persons living with dementia and their family care partners
    Miller, Lyndsey M.
    Kaye, Jeffrey A.
    Lyons, Karen S.
    Lee, Christopher S.
    Whitlatch, Carol J.
    Caserta, Michael S.
    INTERNATIONAL PSYCHOGERIATRICS, 2019, 31 (05) : 617 - 626
  • [4] Factors Associated with the Health and Well-being of Dementia Caregivers
    Cox, Carole
    CURRENT GERIATRICS REPORTS, 2013, 2 (01): : 31 - 36
  • [5] Factors Associated with the Health and Well-being of Dementia Caregivers
    Carole Cox
    Current Translational Geriatrics and Experimental Gerontology Reports, 2013, 2 (1): : 31 - 36
  • [6] Psychological well-being in persons with dementia: The role of caregiver expressed emotion
    Safavi, Roxanne
    Wearden, Alison
    Berry, Katherine
    BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2023, 62 (02) : 431 - 443
  • [7] Does Social Interaction Matter Psychological Well-Being in Persons With Dementia?
    Lee, Kyung Hee
    Boltz, Marie
    Lee, Hana
    Algase, Donna L.
    AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS, 2017, 32 (04): : 207 - 212
  • [8] Health care transitions for persons living with dementia and their caregivers
    Ashbourne, Jessica
    Boscart, Veronique
    Meyer, Samantha
    Tong, Catherine E.
    Stolee, Paul
    BMC GERIATRICS, 2021, 21 (01)
  • [9] Effects of Physical Exercise on Health and Well-Being of Individuals Living With a Dementia in Nursing Homes: A Systematic Review
    Brett, Lindsey
    Traynor, Victoria
    Stapley, Paul
    JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2016, 17 (02) : 104 - 116
  • [10] Psychological well-being over time among informal caregivers caring for persons with dementia living at home
    Lethin, Connie
    Renom-Guiteras, Anna
    Zwakhalen, Sandra
    Soto-Martin, Maria
    Saks, Kai
    Zabalegui, Adelaida
    Challis, David J.
    Nilsson, Christer
    Karlsson, Staffan
    AGING & MENTAL HEALTH, 2017, 21 (11) : 1138 - 1146