ACP Journal Club. Review: nonpharmacologic caregiver interventions improve dementia symptoms and caregiver reactions.
نویسندگان
چکیده
Review scope Included studies compared nonpharmacologic interventions involving caregivers (live-in family member) of patients with dementia with control. Studies of respite care, drug therapy, or patients with schizophrenia or bipolar disorder were excluded. Outcomes were neuropsychiatric (behavioral and psychological) dementia symptoms in patients and caregivers’ adverse reactions to patients’ neuropsychiatric symptoms.
منابع مشابه
A community support program for dementia delayed but did not reduce institutionalization over 2 years.
P a t i e n t s 100 patients who were ≥ 65 years of age (mean age 79 y, 53% women), who were entitled to payments from the Social Insurance Institution for community care because they had dementia, and who lived at home with primary support from an informal caregiver. Exclusion criteria were other severe diseases that might lead to institutionalization or inability of caregivers to participate ...
متن کاملMeta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia.
OBJECTIVE Behavioral and psychological symptoms are common in dementia, and they are especially stressful for family caregivers. Nonpharmacological (or psychosocial) interventions have been shown to be effective in managing behavioral and psychological symptoms, but mainly in institutional settings. The authors reviewed the effectiveness of community-based nonpharmacological interventions deliv...
متن کاملVocalization in Dementia: A Case Report and Review of the Literature
BACKGROUND Vocalizations are part of the spectrum of the 'negative' behavioral and psychological symptoms of dementia (BPSD). We describe a patient with moderate-stage mixed dementia of Alzheimer's disease and cerebrovascular disease and a left orbitofrontal lesion exhibiting vocalization. The use of 'redirection' has been demonstrated to be an effective nonpharmacological means of controlling ...
متن کاملThe clinical problem of neuropsychiatric signs and symptoms in dementia.
PURPOSE OF REVIEW This article reviews behavioral signs and symptoms of dementia that can lead to increased mortality, excessive cognitive and functional disability, early institutionalization, and increased caregiver burnout. RECENT FINDINGS Almost all patients with a dementia will develop significant behavioral disturbances at some point over the course of their illness. These behavioral si...
متن کاملEffectiveness of Caregiver Interventions on Patient Outcomes in Adults With Dementia or Alzheimer’s Disease
Objective: We conducted a systematic review to evaluate whether caregiver-involved interventions improve patient outcomes among adults with dementia or Alzheimer's disease. Method: We identified and summarized data from randomized controlled trials enrolling adults with dementia or Alzheimer's disease by searching MEDLINE, PsycINFO, and other sources. Patient outcomes included global quality of...
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ورودعنوان ژورنال:
- Annals of internal medicine
دوره 158 4 شماره
صفحات -
تاریخ انتشار 2013