ABSTRACT
In this article, we summarise the findings of the situational analysis of dementia care generated as part of the STRiDE: Strengthening responses to dementia care in developing countries project, including a desk review, a SWOT analysis and views from relevant stakeholders. In addition, the article incorporates the experience of 4 years of work within the STRiDE project of FEDMA, Mexico's Federation of Alzheimer's and other dementias and its allied Associations in presenting specific recommendations to optimise dementia care in the country. All the information gathered brings together a detailed understanding of the current dementia care systems of diagnosis, treatment, and support in general and what is lacking, allowing for the generation of general recommendations to enhance the isolated efforts currently available and amplify their impact, as well as strategies to generate new services currently unavailable, but urgently needed.
ABSTRACT
The objective is to reveal the difficulties concerning the access and use of medicines by elderly individuals with dementia, reported by their caregivers. This qualitative study applied the participant observation method during pharmaceutical appointments performed in a specialized geriatrics service of the University Hospital of Brasília. Caregivers reported facing difficulties regarding the itinerary for medicines access in public pharmacies, as well as the high cost of these technologies in private establishments. Psychiatric symptoms, cognitive deficits, behavioral changes, apraxia, dysphagia, among other clinical manifestations of dementia syndromes, incapacitates the elderly for self-responsibility concerningthe use of drugs, which accentuates the complexity of medicines administration within the care process. In conclusion, it is fundamental to recognize caregivers' role in promoting the rational use of medicines, and so this theme should be highlighted within the pharmaceutical services context.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Dementia/diagnosis , Drug Utilization/classification , Pharmaceutical Services , Case Reports , Caregivers/history , Drug Therapy/instrumentationABSTRACT
ABSTRACT Dementia is a global socio-medical problem. The steepest increase in prevalence occurs in Latin-America and Asia. European governments have implemented dementia plans to improve care. We describe common goals of European dementia plans and discuss the Brazilian situation. Sixteen European countries have governmental dementia plans, another four are set to launch them. These plans have some common goals: to raise general awareness on dementia and reduce stigma, to establish more diagnostic centers and increase the number of people with correct diagnoses, to provide integrated care that improves quality of care and quality of life, and to promote educational programs for family and professional carers. European dementia plans have contributed toward raising awareness about dementia. More reference centers for diagnostic evaluations have been established and successful educational programs have been run. Integrated care is still a challenge in most countries. Brazil needs a plan. Facilitators and barriers for implementation should be identified by studying the European plans.
RESUMO Demência é uma problema medico-social mundial. O maior aumento da prevalência ocorre na América Latina e Ásia. Governos europeus implementaram planos para demência para melhorar cuidados. Nós descrevemos pontos comuns dos planos de demência europeus e discutimos a situação brasileira. Dezesseis países europeus têm planos governamentais de demência, outros quatro estão para lançar. Os planos têm objetivos comuns: estimular conhecimento geral e reduzir estigma., , estabelecer mais centros para aumentar o número de diagnósticos corretos, ferecer cuidados integrais que melhorariam qualidade de cuidados e qualidade de vida e para promoção de programas educacionais para familiares e cuidadores profissionais. Planos de demência europeus têm contribuido para estimular conhecimento sobre demência, aumentaram centros de referência para avaliações diagnósticas de demência, e programas educacionais têm sido montados. O cuidado integrado é desafio na maioria dos países. O Brasil precisa de um plano. Barreiras e facilitadores para sua implementação poderiam ser identificados através do estudo dos planos europeus.
Subject(s)
Humans , Health Strategies , Dementia/diagnosis , Diagnosis , EmpathyABSTRACT
Dementia is a global socio-medical problem. The steepest increase in prevalence occurs in Latin-America and Asia. European governments have implemented dementia plans to improve care. We describe common goals of European dementia plans and discuss the Brazilian situation. Sixteen European countries have governmental dementia plans, another four are set to launch them. These plans have some common goals: to raise general awareness on dementia and reduce stigma, to establish more diagnostic centers and increase the number of people with correct diagnoses, to provide integrated care that improves quality of care and quality of life, and to promote educational programs for family and professional carers. European dementia plans have contributed toward raising awareness about dementia. More reference centers for diagnostic evaluations have been established and successful educational programs have been run. Integrated care is still a challenge in most countries. Brazil needs a plan. Facilitators and barriers for implementation should be identified by studying the European plans.
Demência é uma problema medico-social mundial. O maior aumento da prevalência ocorre na América Latina e Ásia. Governos europeus implementaram planos para demência para melhorar cuidados. Nós descrevemos pontos comuns dos planos de demência europeus e discutimos a situação brasileira. Dezesseis países europeus têm planos governamentais de demência, outros quatro estão para lançar. Os planos têm objetivos comuns: estimular conhecimento geral e reduzir estigma., , estabelecer mais centros para aumentar o número de diagnósticos corretos, ferecer cuidados integrais que melhorariam qualidade de cuidados e qualidade de vida e para promoção de programas educacionais para familiares e cuidadores profissionais. Planos de demência europeus têm contribuido para estimular conhecimento sobre demência, aumentaram centros de referência para avaliações diagnósticas de demência, e programas educacionais têm sido montados. O cuidado integrado é desafio na maioria dos países. O Brasil precisa de um plano. Barreiras e facilitadores para sua implementação poderiam ser identificados através do estudo dos planos europeus.