Is increased carer knowledge of the health care system associated with decreased preventable hospitalizations for people in the community diagnosed with dementia? A systematic review protocol

This study aims to assess the effectiveness of interventions focused on reducing avoidable hospitalization for PLWD by supporting carers to manage the health care needs of the PLWD, via improved awareness and understanding of health and the healthcare system.MethodScientific and gray literature will be searched using a combination of keywords pertaining to dementia, caregivers, education, and support. Included studies will involve community-dwelling PLWD and caregivers, with interventions aimed at improving carer ’s understanding of the healthcare system and ability to manage the caregiving role. The primary outcome will be hospitalization related to the PLWD and secondary outcomes will be carer burden, stress, wellbeing, and quality of life. All study designs will be considered. Data from included studies will be analyzed using descriptive statistics and content analysis. If the data permits, we will perform a meta-analysis and subgroup analyses, related to the intervention and participant characteristics.DiscussionThis review will provide a comprehensive picture of the knowledge available on the subject and identify knowledge gaps in existing literature. The findings may highlight the lack of existing interventions for PLWD and their carers who live in the community and will help stakeholders to identify needs and develop programs targeted to carers and care recipients that prevent avoidable hospitalization for PLWD.Systematic review registrationPROSPERO number:49655.
Source: Systematic Reviews - Category: International Medicine & Public Health Source Type: research

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Whether or not you can read and write could be a factor in your ability to stave off dementia as you grow older, according to a new study from scientists at Columbia University.
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ConclusionsThis study demonstrates biomarker-based MCI prognosis and supports its role in clinical decision-making in daily practice.ResumenObjetivoEl objetivo de este estudio fue investigar el rol y pronóstico de los biomarcadores de enfermedad de Alzheimer en pacientes con diagnóstico clínico de deterioro cognitivo leve (DCL) en una clínica de memoria de Latinoamérica.MétodoOchenta y nueve pacientes con DCL, 43 con demencia tipo Alzheimer y 18 controles normales apareados por edad, sexo y escolaridad fueron estudiados con un extenso protocolo demográfico, neurológic...
Source: Neurologia - Category: Neurology Source Type: research
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Source: Epidemiology and Psychiatric Sciences - Category: Psychiatry Tags: Epidemiol Psychiatr Sci Source Type: research
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Source: Dementia and Geriatric Cognitive Disorders - Category: Psychiatry Tags: Dement Geriatr Cogn Disord Source Type: research
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Source: Alzheimer Disease and Associated Disorders - Category: Psychiatry Tags: Alzheimer Dis Assoc Disord Source Type: research
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Source: Nuclear Medicine Communications - Category: Nuclear Medicine Tags: Original Articles Source Type: research
Authors: Hermush V, Ore L PMID: 31713367 [PubMed - in process]
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Photo credit Mohammed Elgassier Dear Carol:  My mom has moderate dementia and she seems to like the idea of living in a care community. We’ve done all of the preliminary work, but the social worker at the assisted living facility recently told me that they wouldn’t want me to visit Mom for the first two weeks. Their reasoning is that Mom would adjust better if she has no alternative but to depend on them for help. I’m uncomfortable with this idea because I feel that Mom will need my help settling in. I think that I’d feel abandoned if someone just left me like that. Is not letting the fami...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
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Source: WebMD Health - Category: Consumer Health News Source Type: news
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