Alzheimer's disease: issues and challenges in primary care.
Nurs Clin North Am
; 41(1): 83-93, vi, 2006 Mar.
Article
em En
| MEDLINE
| ID: mdl-16492455
ABSTRACT
The challenge in primary care practice is identifying persons with symptoms of Alzheimer's Disease (AD) who often have limited capacity to recognize their own symptoms and attribute cognitive decline to chronic illness or aging. Brief office visit communications without an informant,such as a spouse or adult child rarely uncover mild stage AD. Clinicians in primary care fail to screen older adults for AD on a routine basis be-cause of insufficient time, inadequate reimbursement for services, and uncertainty about the value of an early diagnosis. Although current pharmacologic and behavioral interventions and patient education do not prevent eventual disease progression, they arguably lead to improvements in understanding, self-efficacy, and quality of life for the patient and family.
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Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Doença de Alzheimer
Tipo de estudo:
Prognostic_studies
/
Screening_studies
Limite:
Aged
/
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article