Optimising primary care for people with dementia.

Mental health in family medicine Pub Date : 2013-09-01
Chris Fox, Ian Maidment, Esme Moniz-Cook, Jacquie White, Jochen René Thyrian, John Young, Cornelius Katona, Carolyn A Chew-Graham
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Abstract

This review considers key areas in primary care regarding the diagnosis of dementia. Issues surrounding assessment, policy and incentives are considered. In addition, the relevance of non-medication approaches for dementia in primary care, which aim to enhance or maintain quality of life by maximising psychological and social function in the context of existing disabilities, is deliberated. Finally, key issues about primary care medication management are considered, and relevant therapeutic strategies with recommendation for a collaborative approach that improve outcomes by linking primary and secondary healthcare services - including general practice and pharmacy - with social care needs are weighed up. A key aspect of such a collaborative approach is to support informal carers in optimising medication.

优化痴呆症患者的初级保健。
这篇综述考虑了初级保健中关于痴呆诊断的关键领域。评估、政策和激励等方面的问题。此外,还讨论了初级保健中痴呆症非药物治疗方法的相关性,这些方法旨在通过在现有残疾的情况下最大限度地发挥心理和社会功能来提高或维持生活质量。最后,对初级保健药物管理的关键问题进行了考虑,并提出了相关的治疗策略和建议,通过将初级和二级保健服务(包括全科医生和药房)与社会护理需求联系起来,从而改善结果。这种合作方法的一个关键方面是支持非正式护理人员优化药物治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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