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Case Series About Territorial Network Setting for Elderly Patients with Dementia

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Acute Geriatric Care: from Hospital to Territorial Charge

Abstract

Post-diagnostic support for elderly living with dementia includes a wide variety of both social and health interventions. In the early stage of dementia, it is necessary to ensure memory and driving evaluation, illness education and meaningful activities, support in IADL as medication supervision, skill training in problem-solving and use of compensatory strategy, caregiver education and support, and discussion about advance care planning. In the moderate stage of dementia care, interventions should be focused on behavior management, emotional support, home modifications, caregiver support and skill training, wandering and fall risk management, and structured activities (by occupational therapy) to support ADL. In the severe stage of disease, the people with dementia should have access to palliative care and comfort care where psychosocial models such as sensory-based interventions, environment adaptations, and person-centered care (PCC) should be prevalent. The chapter describes the network of services dedicated to dementia in the Modena county that ensures timely and proper management of people with dementia and their caregivers in conformity with the Italian Dementia National Plan and the recommendations of European Joint Action Alcove (2013–2018). This model of care emphasizes the importance of structure and care organization dedicated to behavioral problems with the final aim of avoiding possible inappropriate emergency hospitalization in generic wards and premature institutionalization. However, to contrast the stigma, it is necessary to implement programs that focus on improving inclusion and quality of life for people with dementia in their communities (Dementia-Friendly Community) where they can contribute and participate in activities that are meaningful for them.

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Acknowledgments

The authors would like to thank the whole multi-professional team of Cognitive Disorders and Dementia Unit of Health Authority in Modena (Rita Minozzi, Antonella Pellitta, Consiglia Presicce, Carlo Ninivaggi, Angela Mancini, Valentina Guerzoni, Acilia Ottoveggio, Linda Morselli, Alessandro Lanzoni, Glenda Garzetta, Annalisa Baglieri, Giada Giorgi, Alessandra Montanari, Tiziana Muzzioli, Paola Morana, Vincenzo Acchiappati, Lucia Contrucci, Sabatina Coppola, Claudia Zeoli, Michele Fiorani, Salvatore Palumbo, Chiara Galli, Valentina Reda, and Bruna Rodia) who every day ensure the operation of services dedicated to people with dementia and their caregivers.

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Vargas, N., Fabbo, A., Esquinas, A.M. (2023). Case Series About Territorial Network Setting for Elderly Patients with Dementia. In: Acute Geriatric Care: from Hospital to Territorial Charge. Springer, Cham. https://doi.org/10.1007/978-3-031-48813-9_10

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  • DOI: https://doi.org/10.1007/978-3-031-48813-9_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-48812-2

  • Online ISBN: 978-3-031-48813-9

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