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Family-Centered Primary Care for Older Adults with Cognitive Impairment
Cognitive impairment (e.g. dementia) presents challenges for individuals, their families, and healthcare professionals alike. The primary care setting presents a unique opportunity to care for older adults living with cognitive impairment, who present with complex care needs that may benefit from a...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591316/ https://www.ncbi.nlm.nih.gov/pubmed/34803217 http://dx.doi.org/10.1007/s10591-021-09617-2 |
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author | Welch, Melissa L. Hodgson, Jennifer L. Didericksen, Katharine W. Lamson, Angela L. Forbes, Thompson H. |
author_facet | Welch, Melissa L. Hodgson, Jennifer L. Didericksen, Katharine W. Lamson, Angela L. Forbes, Thompson H. |
author_sort | Welch, Melissa L. |
collection | PubMed |
description | Cognitive impairment (e.g. dementia) presents challenges for individuals, their families, and healthcare professionals alike. The primary care setting presents a unique opportunity to care for older adults living with cognitive impairment, who present with complex care needs that may benefit from a family-centered approach. This indepth systematic review was completed to address three aims: (a) identify the ways in which families of older-adult patients with cognitive impairment are engaged in primary care settings, (b) examine the outcomes of family engagement practices, and (c) organize and discuss the findings using CJ Peek’s Three World View. Researchers searched PubMed, Embase, and PsycINFO databases through July 2019. The results included 22 articles out of 6743 identified in the initial search. Researchers provided a description of the emerging themes for each of the three aims. It revealed that family-centered care and family engagement yields promising results including improved health outcomes, quality care, patient experience, and caregiver satisfaction. Furthermore, it promotes and advances the core values of medical family therapy: agency and communion. This review also exposed the inconsistent application of family-centered practices and the need for improved interprofessional education of primary care providers to prepare multidisciplinary teams to deliver family-centered care. Utilizing the vision of Patient- and Family-Centered Care and the lens of the Three World View, this systematic review provides Medical Family Therapists, healthcare administrators, policy makers, educators, and clinicians with information related to family engagement and how it can be implemented and enhanced in the care of patients with cognitive impairment. |
format | Online Article Text |
id | pubmed-8591316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-85913162021-11-15 Family-Centered Primary Care for Older Adults with Cognitive Impairment Welch, Melissa L. Hodgson, Jennifer L. Didericksen, Katharine W. Lamson, Angela L. Forbes, Thompson H. Contemp Fam Ther Original Paper Cognitive impairment (e.g. dementia) presents challenges for individuals, their families, and healthcare professionals alike. The primary care setting presents a unique opportunity to care for older adults living with cognitive impairment, who present with complex care needs that may benefit from a family-centered approach. This indepth systematic review was completed to address three aims: (a) identify the ways in which families of older-adult patients with cognitive impairment are engaged in primary care settings, (b) examine the outcomes of family engagement practices, and (c) organize and discuss the findings using CJ Peek’s Three World View. Researchers searched PubMed, Embase, and PsycINFO databases through July 2019. The results included 22 articles out of 6743 identified in the initial search. Researchers provided a description of the emerging themes for each of the three aims. It revealed that family-centered care and family engagement yields promising results including improved health outcomes, quality care, patient experience, and caregiver satisfaction. Furthermore, it promotes and advances the core values of medical family therapy: agency and communion. This review also exposed the inconsistent application of family-centered practices and the need for improved interprofessional education of primary care providers to prepare multidisciplinary teams to deliver family-centered care. Utilizing the vision of Patient- and Family-Centered Care and the lens of the Three World View, this systematic review provides Medical Family Therapists, healthcare administrators, policy makers, educators, and clinicians with information related to family engagement and how it can be implemented and enhanced in the care of patients with cognitive impairment. Springer US 2021-11-15 2022 /pmc/articles/PMC8591316/ /pubmed/34803217 http://dx.doi.org/10.1007/s10591-021-09617-2 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Paper Welch, Melissa L. Hodgson, Jennifer L. Didericksen, Katharine W. Lamson, Angela L. Forbes, Thompson H. Family-Centered Primary Care for Older Adults with Cognitive Impairment |
title | Family-Centered Primary Care for Older Adults with Cognitive Impairment |
title_full | Family-Centered Primary Care for Older Adults with Cognitive Impairment |
title_fullStr | Family-Centered Primary Care for Older Adults with Cognitive Impairment |
title_full_unstemmed | Family-Centered Primary Care for Older Adults with Cognitive Impairment |
title_short | Family-Centered Primary Care for Older Adults with Cognitive Impairment |
title_sort | family-centered primary care for older adults with cognitive impairment |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8591316/ https://www.ncbi.nlm.nih.gov/pubmed/34803217 http://dx.doi.org/10.1007/s10591-021-09617-2 |
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