학술논문

Chronic disease management: why dementia care is different.
Document Type
article
Source
The American Journal of Managed Care. 28(12)
Subject
Health Services and Systems
Health Sciences
Brain Disorders
Neurosciences
Dementia
Lung
Neurodegenerative
Clinical Research
Acquired Cognitive Impairment
Aging
7.1 Individual care needs
Management of diseases and conditions
7.3 Management and decision making
Respiratory
Neurological
Good Health and Well Being
Humans
Aged
Pulmonary Disease
Chronic Obstructive
Chronic Disease
Self-Management
Asthma
Public Health and Health Services
Health Policy & Services
Health services and systems
Language
Abstract
With the rise in the population of older adults, the number of individuals living with chronic diseases that need management will increase dramatically. Successful programs have been developed for chronic conditions (eg, heart failure, diabetes, asthma, chronic obstructive pulmonary disease) that use principles of self-management, monitoring, and care coordination. However, because of the effects of dementia on the mind including behavioral complications, the progressive loss of capacity for affected individuals to participate in care or decision-making, the devastating effects on care partners, and the scope of disease management beyond medical issues, the management of dementia is different and demands different approaches. The success of dementia management will depend upon how well the care provided is able to maximize the function, independence, and dignity of the individual living with dementia while minimizing care partner strain and burnout.