Caregiver outcomes of a dementia care program

Specialist dementia nursing models and impacts: a systematic review

“…Most studies took place in the UK ( n = 18); of these, fourteen evaluated Admiral Nursing services (Table 1); two evaluated Advanced Nurse Practitioner-led interventions in a community memory clinic and day hospital setting respectively [8,9] and two explored specialist nurse-led dementia inpatient services [10,11]. Of the eight USA studies included, five reported findings from a University of California, Los Angeles (UCLA) - based dementia care specialist nurse and physician team [12,13,14 ▪ ,15 ▪▪ ,16 ▪ ] while three described Nurse Practitioner-led, community-based interventions [17,18,19]. Two studies, in Canada [20] and Switzerland [21] described work in long term care facilities by specialist dementia nurses.…”

“…A final common theme was a focus on case management [29, 35,31,18]. In studies describing case management approaches, two suggested that the involvement with a specialist nurse enhanced the experiences of people with dementia and their caregiver [9,18] or enhanced the process of assessment and care delivery [8,12,13,14 & ,15…”

“…Five USA studies recruited participants from the UCLA Alzheimer's and Dementia Care program, involving a co-management model (Nurse Dementia Care Manager and PCP) [12,13,14 ▪ ,15 ▪▪ ,16 ▪ ]. Nurse Dementia Care Managers were described as having geriatric and dementia expertise, recommended medication via the PCP, independently prescribed appropriate medications for dementia and/or depression and can refer to relevant clinical specialists [12].…”

Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study

“…Telerehabilitation’s main benefits include delivering prolonged therapeutic regimens tailored to patients’ needs remotely, cost- and time-effectively, strengthening the patient-provider connection, and improving health care, particularly for patients with geographic or mobility limitations. Indeed, telerehabilitation can be suitable for older adults with MCI or dementia, because most older adults diagnosed with MCI or dementia are under care at home and require longitudinal and continuous care [ 53 ].…”

Responding to the Needs of Persons Living With Dementia and Their Caregivers During the COVID-19 Pandemic: Lessons From the Care Ecosystem

“…They collected a variety of practical in-home activity ideas, produced a free educational webinar series, shared tips, and strategies for improving compliance with masks among people with dementia, helped caregivers learn to use new technology, and facilitated advance care planning. This emphasis on building long-term relationships has been paramount in the success of dementia-capable models of care ( Evertson et al, 2021 ; Mok et al, 2020 ) and is a key feature of the success of the Care Ecosystem in responding to needs brought on by the pandemic. The program was not able to fully address some of the gaps in essential respite care services, like day programs and in-home care services, that help alleviate the burden of care on family caregivers.…”