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Chronic disease self-management support for persons with dementia, in a clinical setting
The burden of chronic disease is greater in individuals with dementia, a patient group that is growing as the population is aging. The cornerstone of optimal management of chronic disease requires effective patient self-management. However, this is particularly challenging in older persons with a co...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5283068/ https://www.ncbi.nlm.nih.gov/pubmed/28182172 http://dx.doi.org/10.2147/JMDH.S121626 |
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author | Ibrahim, Joseph Elias Anderson, Laura J MacPhail, Aleece Lovell, Janaka Jonathan Davis, Marie-Claire Winbolt, Margaret |
author_facet | Ibrahim, Joseph Elias Anderson, Laura J MacPhail, Aleece Lovell, Janaka Jonathan Davis, Marie-Claire Winbolt, Margaret |
author_sort | Ibrahim, Joseph Elias |
collection | PubMed |
description | The burden of chronic disease is greater in individuals with dementia, a patient group that is growing as the population is aging. The cornerstone of optimal management of chronic disease requires effective patient self-management. However, this is particularly challenging in older persons with a comorbid diagnosis of dementia. The impact of dementia on a person’s ability to self-manage his/her chronic disease (eg, diabetes mellitus or heart failure) varies according to the cognitive domain(s) affected, severity of impairment and complexity of self-care tasks. A framework is presented that describes how impairment in cognitive domains (attention and information processing, language, visuospatial ability and praxis, learning and memory and executive function) impacts on the five key processes of chronic disease self-management. Recognizing the presence of dementia in a patient with chronic disease may lead to better outcomes. Patients with dementia require individually tailored strategies that accommodate and adjust to the individual and the cognitive domains that are impaired, to optimize their capacity for self-management. Management strategies for clinicians to counter poor self-management due to differentially impaired cognitive domains are also detailed in the presented framework. Clinicians should work in collaboration with patients and care givers to assess a patient’s current capabilities, identify potential barriers to successful self-management and make efforts to adjust the provision of information according to the patient’s skill set. The increasing prevalence of age-related chronic illness along with a decline in the availability of informal caregivers calls for innovative programs to support self-management at a primary care level. |
format | Online Article Text |
id | pubmed-5283068 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-52830682017-02-08 Chronic disease self-management support for persons with dementia, in a clinical setting Ibrahim, Joseph Elias Anderson, Laura J MacPhail, Aleece Lovell, Janaka Jonathan Davis, Marie-Claire Winbolt, Margaret J Multidiscip Healthc Perspectives The burden of chronic disease is greater in individuals with dementia, a patient group that is growing as the population is aging. The cornerstone of optimal management of chronic disease requires effective patient self-management. However, this is particularly challenging in older persons with a comorbid diagnosis of dementia. The impact of dementia on a person’s ability to self-manage his/her chronic disease (eg, diabetes mellitus or heart failure) varies according to the cognitive domain(s) affected, severity of impairment and complexity of self-care tasks. A framework is presented that describes how impairment in cognitive domains (attention and information processing, language, visuospatial ability and praxis, learning and memory and executive function) impacts on the five key processes of chronic disease self-management. Recognizing the presence of dementia in a patient with chronic disease may lead to better outcomes. Patients with dementia require individually tailored strategies that accommodate and adjust to the individual and the cognitive domains that are impaired, to optimize their capacity for self-management. Management strategies for clinicians to counter poor self-management due to differentially impaired cognitive domains are also detailed in the presented framework. Clinicians should work in collaboration with patients and care givers to assess a patient’s current capabilities, identify potential barriers to successful self-management and make efforts to adjust the provision of information according to the patient’s skill set. The increasing prevalence of age-related chronic illness along with a decline in the availability of informal caregivers calls for innovative programs to support self-management at a primary care level. Dove Medical Press 2017-01-25 /pmc/articles/PMC5283068/ /pubmed/28182172 http://dx.doi.org/10.2147/JMDH.S121626 Text en © 2017 Ibrahim et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Perspectives Ibrahim, Joseph Elias Anderson, Laura J MacPhail, Aleece Lovell, Janaka Jonathan Davis, Marie-Claire Winbolt, Margaret Chronic disease self-management support for persons with dementia, in a clinical setting |
title | Chronic disease self-management support for persons with dementia, in a clinical setting |
title_full | Chronic disease self-management support for persons with dementia, in a clinical setting |
title_fullStr | Chronic disease self-management support for persons with dementia, in a clinical setting |
title_full_unstemmed | Chronic disease self-management support for persons with dementia, in a clinical setting |
title_short | Chronic disease self-management support for persons with dementia, in a clinical setting |
title_sort | chronic disease self-management support for persons with dementia, in a clinical setting |
topic | Perspectives |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5283068/ https://www.ncbi.nlm.nih.gov/pubmed/28182172 http://dx.doi.org/10.2147/JMDH.S121626 |
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