Navigation Links
Editorial says primary care system must change how it approaches dementia
Date:10/15/2007

INDIANAPOLIS In an editorial in the November issue of the Journal of General Internal Medicine, geriatrics researchers from the Indiana University School of Medicine, the Indiana University Center for Aging Research and the Regenstrief Institute, Inc. say that primary care doctors, the physicians seen by most older adults, cannot meet the needs of the growing number of older adults with dementia without changing how the primary care system approaches dementia.

We have a dilemma in our healthcare system. The majority of people with dementia dont see specialists. These patients receive their healthcare within the primary care system from general internal medicine and family medicine physicians. Neither the primary care system nor primary physicians have the time or resources to meet the biopsychosocial needs of individuals with dementia, said co-author Malaz Boustani, M.D., M.P.H. Biopsychosocial issues resulting from dementia include cognitive disability, daily living difficulty, behavioral and psychological deficits, decision-making problems, and future planning concerns.

The editorial provides a possible solution to this dilemma collaborative dementia care, which extends the dementia care setting beyond the primary care doctors office into the homes and communities of patients and their caregivers.

This model, which we have studied, can be adjusted to enable the delivery of the right doses and the right combination of critical components of dementia care to the right dementia patient and the right caregiver at the right time, said Dr. Boustani.

Patients with dementia extensively use the health care system. They typically suffer from many chronic medical conditions, receive multiple prescriptions including psychotropic drugs, and display a wide range of behavioral and psychological symptoms. More than 20% of patients with dementia are exposed to at least one inappropriate dementia medication and less than 10% are prescribed appropriate drugs for their dementing disorder according to previous research conducted by the IU Geriatrics group

Moreover, individuals with dementia are not the only ones presenting challenges to the healthcare system. Nearly 25% of their caregivers go to an emergency department or are hospitalized in a given year. The stress of caregiving is partially responsible for this frequent use of acute care services.

Primary care needs much greater support and integration with community services and access to dementia support teams if primary care is to succeed in caring for the growing population of older adults with dementia, the editorial concludes.


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University
Source:Eurekalert

Related medicine news :

1. Canadian Medical Association Journals Editorial Mess Gets Murkier
2. PRIMARY PULMONARY HYPERTENSION GENE DISCOVERED
3. Is caries in primary and permanent tooth related?
4. Evidence against use of Beta blockers as first choice in the treatment of primary hypertension
5. Shortage Of Funds In Primary Care Trust In UK
6. What Will Primary Care Look Like In England by 2015?
7. Primary Health Care MoU Signed on the Sidelines of the PBD
8. Primary Care centers to provide out patient treatment
9. Early Detection Of Primary Liver Cancer Would Save Millions Of Lives
10. Brunei Closes Primary Schools In A Bid To Contain Hand, Foot and Mouth Disease
11. Gene That Causes Metastasis of the Primary Tumor, Identified
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/22/2017)... ... September 22, 2017 , ... ... tick-borne diseases through research, education and awareness, today announced the appointment of Timothy ... and microbiologist, Dr. Sellati has more than 20 years of research experience with ...
(Date:9/21/2017)... ... September 21, 2017 , ... ... — 1:30 p.m. – 3:00 p.m. ET, http://www.fdanews.com/processcapabilityindices      ... things wrong, run afoul of The Quality System Regulation (§820.250), and Devicemakers find ...
(Date:9/21/2017)... ... September 21, 2017 , ... Promotional ... http://www.fdanews.com/products/54818-promotional-communication      , In the competitive world of drug and device marketing ... in compliance with FDA rules. , The FDA has issued two draft guidances ...
(Date:9/21/2017)... ... September 21, 2017 , ... Bill Howe Plumbing’s mission is to create ... back to the community. For over 37 years, they have operated with their mission ... plumbing in San Diego. They were chosen as the Best San Diego plumber ...
(Date:9/21/2017)... Southborough, Mass. (PRWEB) , ... September 21, 2017 , ... ... for children with autism, announced today the election of Yie-Hsin Hung to the Board ... Yie-Hsin Hung join our Board of Directors. Ms. Hung is an invaluable addition to ...
Breaking Medicine News(10 mins):
(Date:9/7/2017)... BOTHELL, Wash. , Sept. 7, 2017   BioLife ... developer, manufacturer and marketer of proprietary clinical grade cell and ... media ("BioLife"), announces that Mike Rice , President and ... Rodman & Renshaw 19 th ... 3:25 p.m. Eastern time (12:25 p.m. Pacific time). The conference ...
(Date:9/6/2017)... 2017 Eli Lilly and Company (NYSE: ... data for galcanezumab and lasmiditan, two investigational treatments for ... Society (IHC) taking place Sept. 7-10 in ... new, long-term data from an open-label study evaluating the ... mg and 240 mg) for the prevention of migraine. ...
(Date:9/5/2017)... Oramed Pharmaceuticals Inc. (NASDAQ: ORMP ) (TASE: ... on the development of oral drug delivery systems, announced ... the U.S. Food and Drug Administration (FDA) regarding ORMD-0801, ... At the meeting, the FDA gave ... ORMD-0801, would be a Biologics License Application (BLA).  Such ...
Breaking Medicine Technology: