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      Integrated Care for People with Dementia—Results of a Social-Scientific Evaluation of an Established Dementia Care Model

      research-article
      Geriatrics
      MDPI
      dementia, integrated dementia care, person-centred care, best practice, qualification profile

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          Abstract

          Currently, approximately 46.8 million people worldwide and 1.47 million German people are affected by dementia. The rising numbers of cases of people with dementia, the need for complex care and the insufficient care available call for innovative and sustainable solutions both in Germany and many other countries. This article presents results of the social-scientific evaluation of an established care model for people with dementia developed by the professionals as a result of acute problems in care in north-east Germany. In addition to the central elements of the model, the conditions of intersectoral and interprofessional cooperation as well as the qualification profile requirements of the professional groups involved are presented in detail. The results can give suggestions for the organization of integrated care for people with dementia in other countries. Further, the author would hereby like to highlight the gain from the scientific examination of solutions to problems in the field.

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          Most cited references25

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          Clinical features and multidisciplinary approaches to dementia care

          Dementia is a clinical syndrome of widespread progressive deterioration of cognitive abilities and normal daily functioning. These cognitive and behavioral impairments pose considerable challenges to individuals with dementia, along with their family members and caregivers. Four primary dementia classifications have been defined according to clinical and research criteria: 1) Alzheimer’s disease; 2) vascular dementias; 3) frontotemporal dementias; and 4) dementia with Lewy bodies/Parkinson’s disease dementia. The cumulative efforts of multidisciplinary healthcare teams have advanced our understanding of dementia beyond basic descriptions, towards a more complete elucidation of risk factors, clinical symptoms, and neuropathological correlates. The characterization of disease subtypes has facilitated targeted management strategies, advanced treatments, and symptomatic care for individuals affected by dementia. This review briefly summarizes the current state of knowledge and directions of dementia research and clinical practice. We provide a description of the risk factors, clinical presentation, and differential diagnosis of dementia. A summary of multidisciplinary team approaches to dementia care is outlined, including management strategies for the treatment of cognitive impairments, functional deficits, and behavioral and psychological symptoms of dementia. The needs of individuals with dementia are extensive, often requiring care beyond traditional bounds of medical practice, including pharmacologic and non-pharmacologic management interventions. Finally, advanced research on the early prodromal phase of dementia is reviewed, with a focus on change-point models, trajectories of cognitive change, and threshold models of pathological burden. Future research goals are outlined, with a call to action for social policy initiatives that promote preventive lifestyle behaviors, and healthcare programs that will support the growing number of individuals affected by dementia.
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            Building capacity and resilience in the dementia care workforce: a systematic review of interventions targeting worker and organizational outcomes.

            Dementia increasingly impacts every health and social care system in the world. Preparing the dementia care workforce is therefore paramount, particularly in light of existing problems of staff retention and turnover. Training interventions will need to increase worker and organizational capacity to deliver effective patient care. It is not clear which training interventions best enhance workers' capacity. A review of the evidence for dementia care training interventions to enhance worker capacity and facilitate organizational change is presented.
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              • Article: not found

              World Alzheimer Report 2015: The Global Impact of Dementia

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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Geriatrics (Basel)
                Geriatrics (Basel)
                geriatrics
                Geriatrics
                MDPI
                2308-3417
                27 December 2016
                March 2017
                : 2
                : 1
                : 1
                Affiliations
                Department II: Social Infrastructure and Health, Wilhelm Löhe University of Applied Sciences (WLH), Merkurstrasse 41, D-90763 Fürth, Bavaria, Germany; Stefanie.richter@ 123456wlh-fuerth.de ; Tel.: +49-911-766-069-52; Fax: +49-911-766-069-29
                Article
                geriatrics-02-00001
                10.3390/geriatrics2010001
                6371121
                c9ef42c7-94fc-4427-a6cf-4714e7370735
                © 2016 by the author;

                licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 19 September 2016
                : 20 December 2016
                Categories
                Article

                dementia,integrated dementia care,person-centred care,best practice,qualification profile

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