The role of primary care in the recognition of and response to dementia

Koch, TS; Iliffe, Steve

doi:10.1007/s12603-010-0021-1

Cited by 19 publications

(21 citation statements)

References 25 publications

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“…Nurses develop a positive, home‐like, friendly atmosphere to facilitate interconnections with PaWD (Borbasi et al, ; Haak, ; Handley, Bunn, & Goodman, ; Hynninen et al, ; Page & Hope, ; Rushton et al, ). Furthermore, nurses play a role in setting a social environment that provides social resources to connect PaWD with their communities; this can improve PaWD's daily lives in their communities after discharge (Borbasi et al, ; de Vries, ; Hynninen et al, ; Josefsson et al, ; Koch & Iliffe, ; Luke et al, ; Tan et al, ).…”

Section: Resultsmentioning

confidence: 99%

“…Nurses coordinate care factors including awareness, assessment, monitoring, care planning, and management (Crabtree & Mack, ; Koch & Iliffe, ). Moreover, nurses play the role of facilitators because caring for PaWD requires a comprehensive approach, including performing medication reviews, urinary incontinence control, nutrition management, geriatric and psychiatric care, and consultation liaising (Griffiths, Bridges, Sheldon, & Thompson, ; Tan et al, ).…”

Section: Resultsmentioning

confidence: 99%

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Dementia nursing competency in acute care settings: A concept analysis

Yamaguchi

Greiner

Ryuno

et al. 2019

Int J of Nursing Practice

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Aim To critically analyse the concept of dementia nursing competency in acute care settings. Backgrounds The nursing care needs of patients with dementia are increasing in acute care settings. However, a framework for the dementia nursing competency has not been explicitly outlined. Design Rodgers' evolutionary method for concept analysis. Data Sources Competenc* AND dementia AND nurs* AND acute OR hospital OR clinical were selected from the MEDLINE, CINAHL, PsycINFO, CiNii, and Google Scholar for publication from 2006 to 2017. Review Methods All 29 articles were identified. Data were analysed with a particular focus on the attributes, antecedents, and consequences of the concept. Results Six attributes were identified: respecting patient individuality, applying ethical considerations, providing person‐centred care, possessing responsibility, coordinating external environments, and possessing care coordination and facilitation skills. Identified antecedents included building theoretical and clinical knowledge, developing an awareness of dementia and its risk behaviours, performing assessments of dementia nursing practice, developing relationships with patients with dementia, and applying a team approach. Applying the competency led to positive consequences for patients, nurses, and patient‐nurse and nursing team relationships. Conclusion Developing the dementia nursing competency results in stronger emotional interventions and adds a human‐to‐human connection.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Dementia nursing competency in acute care settings: A concept analysis

Yamaguchi

Greiner

Ryuno

et al. 2019

Int J of Nursing Practice

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“…For most people in Western health care systems, the first point of contact for health related concerns is a primary care provider À most often a primary care physician. Yet, we know from the literature that primary care physicians often lack knowledge about dementia (Koch & Iliffe, 2010;Pimlott et al, 2009a;Renshaw, Scurfield, Cloke, & Orrell, 2001;Reuben, Roth, Kamberg, & Wenger, 2003), lack confidence in recognizing the symptoms (Harris, Chodosh, Vassar, Vickrey, & Shapiro, 2009;Iliffe & Manthorpe, 2002;Koch & Iliffe, 2010;Pimlott et al, 2009b), are unsure about how or if to conduct cognitive screening (Harris et al, 2009), face constraints in providing the time-intensive support required for patients and caregivers (Harris et al, 2009;Hinton et al, 2007;Koch & Iliffe, 2010;Pimlott et al, 2009b), lack knowledge of how to manage behavioural or psychological symptoms (Harris et al, 2009;Koch & Iliffe, 2010;Reuben et al, 2009), and often harbour beliefs that little can be done therapeutically in any case (Koch & Iliffe, 2010;Renshaw et al, 2001). The complexity and increasing prevalence of this chronic disease caused us to wonder about how the science of primary care reform was influencing the literature around primary care support for people living with dementia in the community.…”

Section: Introductionmentioning

confidence: 99%

Dementia care in the context of primary care reform: an integrative review

Spenceley

Sedgwick

Keenan

2014

Aging & Mental Health

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We know what we need to pay attention to in building our primary care system - and no population will put the performance of primary care more to the test over the next two decades than the rapidly growing number of people who will be living with complex chronic conditions like dementia. Recent literature around primary care and dementia shows promise in attending to some of the attributes of high-performing primary care, yet much more work is needed if we are to truly leverage the potential value of primary care in addressing the needs of these complex and numerous future patients.

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“…This progressive degenerative pathology requires long-term therapeutic adaptation, with the patient, his/her entourage and medical–social professionals having to adapt to the disease’s progression and that of the familial and environmental context [1]. The general practitioner (GP) is the principal go-between for patients and families, even if, in France, as in other countries, the initiation of treatment is reserved to specialists and specialized centers [1,2]. The absence of a curative therapy pushes caregivers, non-drug interventions and medical–social services to the forefront, which requires that health professionals have good mastery of local resources to guide the patient and his/her entourage [3,4].…”

Section: Introductionmentioning

confidence: 99%

General practitioner’s clinical practices, difficulties and educational needs to manage Alzheimer’s disease in France: analysis of national telephone-inquiry data

Somme

Gautier

et al. 2013

BMC Fam Pract

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BackgroundThe literature has emphasized the role of general practitioners (GPs) in caring for Alzheimer’s disease (AD) patients. Within the framework of the French national AD plan, an inquiry was undertaken to identify the clinical practices, difficulties and training needs of GPs managing this pathology.MethodsA random sample from a representative national listing of continental French GPs following ≥1 AD patients comprised the study population. Participants completed a standard questionnaire on their clinical practices, difficulties and educational needs for AD management. Feeling insufficiently trained was subjected to univariate and multivariate analyses.ResultsA minority of the 974 respondents declared using questionnaires in their diagnostic evaluation (15.2%), told the patient the diagnosis (8.2%) and was aware of the national recommendations for AD (41.9%). Behavioral disorders represented the most common (73.5%) problem encountered, while half of the GPs considered management of comorbidities easy roles to fulfill. In comparison, coordination of care and assistance did not seem to be a primary problem. A score was calculated, attributing 1 point to each of the following items: need for further education in terms of communications with the family, with patients, disclosing the diagnosis, and non-drug treatments. The factors linked to feeling insufficiently trained for 3 or 4 of the 4 items were: female sex; not involved in educational programs (for parents/family and patients) and no activity related to training medical students.ConclusionsOur study identified gaps in French GP training concerning AD diagnosis practices and diagnosis announcement. GPs seemed aware of their educational needs and described difficulties in managing behavioral disorders. Our findings enabled the definition of policy priorities to provide training and disseminate information.

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The role of primary care in the recognition of and response to dementia

Cited by 19 publications

References 25 publications

Dementia nursing competency in acute care settings: A concept analysis

Dementia nursing competency in acute care settings: A concept analysis

Dementia care in the context of primary care reform: an integrative review

General practitioner’s clinical practices, difficulties and educational needs to manage Alzheimer’s disease in France: analysis of national telephone-inquiry data

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