Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives.
W Ladson Hinton,Carol E. Franz,Geetha Reddy,Yvette G. Flores,Richard L. Kravitz,Judith C. Barker +5 more
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TLDR
Physicians often feel challenged in caring for dementia patients, particularly those who are more behaviorally complex, because of time and reimbursement constraints as well as other perceived barriers, which may lead to delayed detection of behavior problems.Abstract:
Objectives
To examine how practice constraints contribute to barriers in the health care of persons with dementia and their families, particularly with respect to behavioral aspects of care.read more
Citations
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Journal ArticleDOI
Missed and delayed diagnosis of dementia in primary care: prevalence and contributing factors.
TL;DR: Until the case for dementia screening becomes more compelling, efforts to promote timely detection should focus on removing barriers to diagnosis, including problems with attitudes and patient-provider communication.
BookDOI
Families Caring for an Aging America
Richard Schulz,Jill Eden +1 more
TL;DR: The report examines the prevalence and nature of family caregiving of older adults as well as the impact of caregiving on caregivers’ health, employment, and overall well-being and assesses available evidence on the effectiveness of programs, supports, and other services designed to support family caregivers.
Journal ArticleDOI
Improving dementia care: The role of screening and detection of cognitive impairment
Soo Borson,Lori Frank,Peter J. Bayley,Malaz Boustani,Marge Dean,Pei-Jung Lin,J. Riley McCarten,John C. Morris,David P. Salmon,Frederick A. Schmitt,Richard G. Stefanacci,Marta S. Mendiondo,Susan Peschin,Eric J. Hall,Howard Fillit,J. Wesson Ashford,J. Wesson Ashford +16 more
TL;DR: The value of screening for cognitive impairment, including dementia and Alzheimer's disease, has been debated for decades as discussed by the authors, and recent research on causes of and treatments for cognitive impairments has converged to challenge previous thinking about screening.
Journal ArticleDOI
Rapid appraisal of barriers to the diagnosis and management of patients with dementia in primary care: a systematic review
Tamar Koch,Steve Iliffe +1 more
TL;DR: Much can still be done in the way of service development and provision, GP training and education, and the eradication of stigma attached to dementia, to improve the early detection and management of dementia.
Journal ArticleDOI
Primary care and dementia: 1. diagnosis, screening and disclosure
Steve Iliffe,Louise Robinson,Carol Brayne,Claire Goodman,Greta Rait,Jill Manthorpe,Peter Ashley +6 more
TL;DR: To write a narrative review of the roles of primary care practitioners in caring for people with dementia in the community, primary care nurses and midwives were asked to provide a history of the practice and recommend improvements.
References
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