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Shared-decision-making in dementia : treating neuropsychiatric symptoms of nursing home residents with dementia

Warmelink, E. (2019) Shared-decision-making in dementia : treating neuropsychiatric symptoms of nursing home residents with dementia.

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Abstract:Approximately 60% to 90% of all patients with dementia are affected with neuropsychiatric symptoms (NPS). Although non-pharmacological interventions are advocated as initial treatment, prescriptions of psychotropic drugs (PDs) that can cause serious side effects, are still high. Informal caregivers can play an important role in interventions that prevent occurrence or escalation of NPS. Despite this, it is not yet clear in what way informal caregivers are involved in decision-making regarding treatment of NPS. Therefore, the current study aims to get a complete view on the current way of shared decision-making (SDM) regarding treatment of NPS. The current study consists of two sub studies containing interviews and observations. In-depth interviews with a total of 7 quadruplets have been conducted. Furthermore, observations of five behavioral consultations were carried out. The current study showed that SDM with the informal caregiver is not often practiced. Despite the complexity of SDM regarding treatment of NPS, improvement on this topic is needed. To improve SDM it is advised to involve the informal caregiver in an earlier stage to explore treatment options in consultation with the informal caregiver. Additionally future research with a larger sample size is needed to confirm the results of the current study.
Item Type:Essay (Master)
Clients:
UNO-UMCG, Groningen, Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/77916
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