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- W2310179215 abstract "Primary care is involved in all states in the course of cognitive decline. Increased awareness of dementia, improved diagnostic methods and hopes for prevention and disease modifying treatment have resulted in a shift in the diagnostic process to more early states of cognitive impairment. Epidemiological research indicates that life style factors and cardiovascular risk factors are involved in cognitive impairment. Furthermore, a health economic study indicates that prevention in primary care to persons with dementia and their caregivers is cost-effective. This work is already an important part of the daily work in primary care today. One concern regarding an early diagnosis is the risk of wrongly labelling a person to have Alzheimer's disease. When figures of sensitivity and specificity from highly specialized university clinics are applied in a large scale in other care settings and expressed as positive predictive values, the risk of false positive cases must be considered. When a person is diagnosed as having dementia, care planning is crucial. To support staying at home, counselling, caregiver support groups, case management, day care, respite care etc, are not only essential parts of care, but this kind of support is also cost effective. Even with support at home, institutional care is often necessary in late dementia. Traditional nursing home wards are not adapted for dementia care. There is an extensive over use of antipsychotic and sedative drugs with great risks of side effects, increased morbidity and even mortality. Small scale housing units have proven to improve the quality of care and also to be cost effective. Healthcare research is required to increase understanding of how to build population care networks, map clinical pathways, engage both persons with dementia and the public, manage knowledge, appropriately allocate resources to persons with dementia and their caregivers compared to investments in other populations, and how to create the right culture. This improved knowedge base is required to improve policies that affect persons with dementia and their caregivers in clnical practice, health service planning and improvement in the health of these populations." @default.
- W2310179215 created "2016-06-24" @default.
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- W2310179215 date "2015-07-01" @default.
- W2310179215 modified "2023-10-02" @default.
- W2310179215 title "F1-04-01: Care interventions practices through research on policy" @default.
- W2310179215 doi "https://doi.org/10.1016/j.jalz.2015.07.018" @default.
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