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- Nurse-led memory clinics (NLMC), sometimes referred to as nurse practitioner-led clinics, have been suggested as an alternative to the traditional memory clinic model to improve the need for access to dementia diagnosis and care (Hansen et al., 2017; Minstrell et al., 2015).
onlinelibrary.wiley.com/doi/full/10.1002/nop2.688A rapid review exploring nurse‐led memory clinics - Luck ...
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Primary care providers are in a unique position to utilize case finding approaches for patients who do have cognitive symptoms that could be due to dementia. The differential diagnosis of dementia includes delirium, depression, age-related memory impairment, and minor cognitive impairment.
- Elizabeth Galik
- 2021
May 1, 2014 · Understanding the reasons for referral serves a 2-fold purpose. They serve as red flags for screening patients for dementia that should be recognized by primary care physicians. They also can help primary care physicians identify patients that require assessment and management by a specialized team.
- Jasneet Parmar, Bonnie Dobbs, Rhianne McKay, Catherine Kirwan, Tim Cooper, Alexandra Marin, Nancy Gu...
- 2014
- Study Characteristics
- Randomised Controlled Trials
- Survey Questionnaire Studies
- Risk of Bias
Of the 13 included studies, six were quantitative studies: three RCTs and three survey questionnaires, four were mixed-method studies and three were qualitative studies using interviews. The studies were conducted in the Netherlands (n=1), Germany (n=1), United States of America (n=1), The United Kingdom (n=5), Australia (n=4) and one was conducted...
Three studies utilised an RCT [15, 18, 19] to investigate the impact of collaborative care on quality of life for people with dementia and their caregivers. The study by Van den Dungen et al., also included an evaluation of family practitioner training on diagnosis of mild cognitive impairment. In all three models of care the nurse was the care ma...
Three studies reported survey results [11, 12, 29]. Manthorpe et al., and Trickey et al., investigated dementia knowledge and attitudes of community nurses (CN), health visitors, community mental health care nurses (CMHN) and PNs in the provision of care for people living with dementia. The third study explored service use and unmet needs of peo...
The methodological quality varied across the studies (Tables 1, 2, 3 and 4). The qualitative studies and all but one of the mixed methods studies rated high according to the quality appraisal criteria. Of the quantitative studies two of the three RCT studies lacked allocation concealment, blinding and presented incomplete outcome data which comprom...
Non-randomized study findings suggest that clinician education in primary care interventions can increase the proportion of patients in whom physicians suspect dementia; untargeted community leaflet campaigns did not increase dementia diagnosis rates.
Aug 11, 2021 · There are clear tools to help identify cognitive impairment in primary care, but strategies for management require further research. The findings from this systematic review will inform family physicians on how to improve dementia diagnosis and management within their primary care practice.
Nov 18, 2020 · Page et al. demonstrated specialist nurses can accurately diagnose dementia in a memory clinic and suggest they should have a bigger role in memory clinics to improve access to diagnosis and treatment.
Although the current system of primary care does not have the resources to provide the appropriate diagnosis, evaluation, education, and complex management required for patients with dementia (Gueerriero Austrom et al 2004; Boustani et al 2005; Callahan et al 2006; Schubert et al 2006), understanding primary care clinics as a CAS may enhance our capacity to develop a flexible process of ...
