Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/1469
Title: Chronic disease management and dementia: a qualitative study of knowledge and needs of staff.
Author: Baird, Chelsea
Woolford, Marta
Young, C.
Winbolt, M.
Ibrahim, Joseph E.
Issue Date: 2019
Publication Title: Australian Journal of Primary Health
Volume: 25
Issue: 4
Start Page: 359
End Page: 365
Abstract: Effective self-management is the cornerstone of chronic disease self-management. However, self-management of chronic disease in patients with comorbid dementia is particularly challenging. It is vital that clinicians, patients and carers work collaboratively to tailor self-management programs to each patient with dementia. This study aimed to identify barriers and facilitators of successful self-management in the context of cognitive impairment in order to optimise the capacity for self-management for persons with dementia (PWD). A qualitative study based on semistructured interviews was conducted in Victoria, Australia. Interviews were conducted with 12 people (employed in the ambulatory and dementia care sectors), representing six health services. Participants identified a healthcare system that is complex, not dementia friendly and not accommodating the needs of PWD who have comorbidities. Individual and systemic barriers contributed to ineffective self-management. Chronic disease support programs do not routinely undertake cognitive assessment or have guidelines for modified management approaches for those with cognitive impairment. Support needs to be long-term and requires a specialised skillset that recognises not only chronic disease management, but also the effect of cognition on self-management. Although formal guidelines are needed, care also needs to be tailored to individual cognitive abilities and deficits.
URI: http://hdl.handle.net/11054/1469
Resource Link: https://doi.org/10.1071/PY18197
Internal ID Number: 01449
Health Subject: CHRONIC DISEASE SELF MANAGEMENT
COMORBID DEMENTIA
IDENTIFYING BARRIERS
FACILITATORS
INDIVIDUAL COGNITIVE ABILITIES
Type: Journal Article
Article
Appears in Collections:Research Output

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