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
  • [31] Development of the dementia attitude scale focusing on well-being
    Ono, Ichie
    Nakatani, Hisae
    Inoue, Yuriko
    Peng, Xuxin
    Hamada, Hironobu
    FRONTIERS IN PSYCHOLOGY, 2024, 15
  • [32] Improving Caregivers' Well-Being by Using Technology to Manage Nighttime Activity in Persons with Dementia
    Spring, Heather J.
    Rowe, Meredeth A.
    Kelly, Annette
    RESEARCH IN GERONTOLOGICAL NURSING, 2009, 2 (01) : 39 - 48
  • [33] Evaluating the effect of care programs for elderly persons with dementia on caregiver's well-being
    Gramain A.
    Malavolti L.
    The European Journal of Health Economics, formerly: HEPAC , 2004, 5 (1): : 6 - 14
  • [34] Living well with dementia: a systematic review and correlational meta-analysis of factors associated with quality of life, well-being and life satisfaction in people with dementia
    Martyr, Anthony
    Nelis, Sharon M.
    Quinn, Catherine
    Wu, Yu-Tzu
    Lamont, Ruth A.
    Henderson, Catherine
    Clarke, Rachel
    Hindle, John V.
    Thom, Jeanette M.
    Jones, Ian Rees
    Morris, Robin G.
    Rusted, Jennifer M.
    Victor, Christina R.
    Clare, Linda
    PSYCHOLOGICAL MEDICINE, 2018, 48 (13) : 2130 - 2139
  • [35] Mitochondrial Health, Physical Functioning, and Daily Affect: Bioenergetic Mechanisms of Dementia Caregiver Well-Being
    Wu-Chung, E. Lydia
    Medina, Luis D.
    Paoletti-Hatcher, Jensine
    Lai, Vincent
    Stinson, Jennifer M.
    Mahant, Itee
    Schulz, Paul E.
    Heijnen, Cobi J.
    Fagundes, Christopher P.
    PSYCHOSOMATIC MEDICINE, 2024, 86 (06): : 512 - 522
  • [36] Designing Self-management for and with Persons Living with Dementia
    O'Sullivan, Dympna
    Wilson, Michael
    Berry, Damon
    Moran, Orla
    O'Neill, Siobhan
    Nugent, Ciaran
    Turner, Jonathan
    Doyle, Julie
    COMPUTERS HELPING PEOPLE WITH SPECIAL NEEDS, PT II, ICCHP 2024, 2024, 14751 : 179 - 185
  • [37] Assessing Momentary Well-Being in People Living With Dementia: A Systematic Review of Observational Instruments
    Madso, Kristine Gustavsen
    Flo-Groeneboom, Elisabeth
    Pachana, Nancy A.
    Nordhus, Inger Hilde
    FRONTIERS IN PSYCHOLOGY, 2021, 12
  • [38] A review of integrative dynamic lighting and associated well-being impact for people living with dementia
    Turley, K.
    Rafferty, J.
    Bond, R.
    Mulvenna, M.
    Ryan, A.
    Crawford, L.
    LIGHTING RESEARCH & TECHNOLOGY, 2025,
  • [39] Psychological well-being of spousal caregivers of persons with Alzheimer's disease and associated factors
    Raivio, M. M.
    Laakkonen, M. -L.
    Pitkala, K. H.
    EUROPEAN GERIATRIC MEDICINE, 2015, 6 (02) : 128 - 133
  • [40] Well-Being and Cognitive Resilience to Dementia-Related Neuropathology
    Willroth, Emily C.
    James, Bryan D.
    Graham, Eileen K.
    Kapasi, Alifiya
    Bennett, David A.
    Mroczek, Daniel K.
    PSYCHOLOGICAL SCIENCE, 2023, 34 (03) : 283 - 297