Living alone with dementia: Supportive care for dementia, a replicable model for support and lessons learned.

Gillian Hamilton, Tamiko Azuma, Kylee Volk, Ethan Best, Sara Crance
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Abstract

IntroductionCurrent support programs for individuals with dementia focus primarily on patients living with caregivers. Research on individuals with dementia living alone is sparse, with small sample sizes. This report describes data collected from the Supportive Care for Dementia program. The program's goals are to provide support services that allow the person to remain in their residence, increase involvement and decrease the stress experienced by family members, reduce neurobehavioral disturbances, reduce hospitalizations and emergency room visits and related costs, and facilitate placement or caregiving support when appropriate.MethodsThe data were collected from 300 patients enrolled in the Supportive Care for Dementia program. Measurements included patient behaviors, distant caregiver stress, hospitalizations and emergency room visits, and provided services.ResultsProgram participation was associated with positive outcomes, including decreased emergency room visits, decreased distant caregiver stress, and increased supportive services and familial engagement. Demographic data including racial and ethnic differences are discussed.DiscussionThe Supportive Care for Dementia program is a replicable program with demonstrated positive outcomes for individuals with dementia living alone.

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痴呆症患者独居:痴呆症支持性护理,可复制的支持模式和经验教训。
导言:目前为痴呆症患者提供的支持计划主要针对与照顾者共同生活的患者。针对独居痴呆症患者的研究很少,样本量也很小。本报告介绍了从痴呆症支持性护理计划中收集到的数据。该计划的目标是提供支持性服务,使患者能够留在自己的住所,提高家庭成员的参与度并减轻他们的压力,减少神经行为紊乱,减少住院和急诊就诊及相关费用,并在适当的时候为安置或护理支持提供便利。结果该计划的参与带来了积极的结果,包括减少了急诊就诊次数、减轻了远方照护者的压力、增加了支持性服务和家庭参与度。讨论痴呆症支持性护理计划是一项可推广的计划,对独居痴呆症患者有积极的疗效。
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