[Refusal of application to care in Alzheimer's disease and related diseases: establishment of a mobile unit hospital extra]. / Refus du recours aux soins dans la maladie d'Alzheimer et les maladies apparentées : place d'une unité mobile extra-hospitalière.
Geriatr Psychol Neuropsychiatr Vieil
; 11(1): 49-55, 2013 Mar.
Article
en Fr
| MEDLINE
| ID: mdl-23508319
ABSTRACT
UNLABELLED Refusal of care and support in these patients with Alzheimer's disease and related illnesses at home is a cause of accelerated loss of autonomy and increases the risk of a crisis with early institutionalization. Factors contributing to the denial of care are poorly understood and very few epidemiological data exist. MATERIALS AND METHODS:
we compared age, diagnosis, level of severity of the disease, the type of behavioral, family status of 101 patients living in denial of care and support as seen by a mobile home (group UPEPc) to 136 control patients seen at the memory clinic (group CM). Patients living in denial of care appear to significantly low age [82/80.5, p<0.0001], with more advanced disease [average MMSE 18/22, p<0.0001], the presence family conflicts and behavioral disorders [delirious--hallucination, agitation--aggression, depression, apathy, p<0.05].CONCLUSION:
the profile of patients refusing home care is specific and it is important to educate GPs conditions that favor an obstacle to medicalization. The advantage of a mobile extramural to analyze risk factors for refusal of care and propose alternatives should be further investigated.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Enfermedad de Alzheimer
/
Institucionalización
Tipo de estudio:
Diagnostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
Fr
Revista:
Geriatr Psychol Neuropsychiatr Vieil
Año:
2013
Tipo del documento:
Article
País de afiliación:
Francia