Effects of Supporting Community‐Living Demented Patients and Their Caregivers: A Randomized Trial

Abstract

The placement of demented patients in long-term institutional care can be deferred with the support of a dementia family care coordinator. However, by the end of the 2-year intervention, the number of patients institutionalized was similar in the intervention and control group. It seems to be beneficial to direct this type of intensive support at severely demented patients and their caregivers. On the basis of our experiences, we suggest that intervention by a dementia family care coordinator should be targeted especially at patients with problems threatening the continuity of community care.

Barriers to Implementation of Case Management for Patients With Dementia: A Systematic Mixed Studies Review

“…A long duration of case management may produce positive outcomes for caregivers (2 studies). A small number of studies 12,13,56,57,60 (called outliers), however, did not follow the same pattern of configurations that can be explained by other factors (Supplemental Table 4). …”

“…12,17,22,51,53,56,57,91 In the studies that showed a decrease in institutionalization, 48,64,67 the mean effect size was small (0.21). 48,67 In 2 of 5 studies, hospital admission decreased (mean effect size = 0.66).…”

Domain Fungsi Kognitif setelah Terapi Stimulasi Kognitif

“…Terapi kelompok ini telah mendapatkan pengakuan sebagai terapi alternatif selain terapi farmakologis untuk orang dengan demensia ringan sampai sedang (Spector, et al, 2003;. Manfaat TSK telah ditetapkan sebagai intervensi psikologis untuk penderita demensia (Brooker & Duce, 2000;Eloniemi-Sulkava, 2001;Baker, et al, 2003;Brodaty, Green, & Koschera, 2003;Spector, et al, 2003;Livingston, Johnston, Katona, Paton, & Constantine, 2005).…”

Comentario: ¿Son eficaces las intervenciones de apoyo a los cuidadores de pacientes con demencia?

“…Definir las estrategias más adecuadas para cada tipo de paciente/cuidador es una tarea compleja. Creemos que la continuidad de nuestro programa nos puede permitir, al menos, contestar a la pregunta de si son los cuidadores que se encargan de pacientes con estadios de demencia más avanzados los que más se benefician de este tipo de programas, tal y como han propuesto algunos autores 29 .…”