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Erschienen in: Zeitschrift für Gerontologie und Geriatrie 2/2017

17.03.2017 | Originalien

Putting dementia awareness into general practice

The CADIF approach

verfasst von: Dipl.-Psych. Dr. rer. nat. Michael Pentzek, MPH Prof. Dr. med. Horst Christian Vollmar, Prof. Dr. med Stefan Wilm, M.Sc. Verena Leve

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Sonderheft 2/2017

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Abstract

Background

International studies show that dementia is often recognized at later stages in general practice. Pure knowledge-sharing interventions could not change this in a sustainable manner. Concepts for changing attitudes of general practitioners (GPs) are required.

Objectives

What barriers affect GPs’ recognition of and diagnostic approach to dementia? What recommendations for a GP-specific diagnostic procedure can be derived from this?

Methods

Metasynthesis of qualitative studies with GPs on barriers to dementia recognition, explication of the “frailty” concept and the diagnostic approach described therein and the development of an approach in cases of suspected cognitive decline in a multiprofessional team.

Results

A metasynthesis of qualitative studies revealed a lack of a general practice framework in the diagnostic approach of GPs, characterized by poor patient-centeredness and confusion of early detection, diagnostics and disclosure. The embedding of cognitive decline into the geriatric triad is intended to promote the focus on everyday function and quality of life, i.e. on caring instead of curing. The proposed concept for a transfer into practice emphasizes increased awareness for cognitive warning signs among practice personnel, a geriatric and personal approach to the patient, as well as follow-up assessment and monitoring.

Conclusion

In contrast to early recognition, awareness initially does not imply an active search for cognitive deficits with questions and tests but a vigilance for red flags. The described scheme is a component of a complex intervention for attitude change among GPs towards dementia.
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Metadaten
Titel
Putting dementia awareness into general practice
The CADIF approach
verfasst von
Dipl.-Psych. Dr. rer. nat. Michael Pentzek
MPH Prof. Dr. med. Horst Christian Vollmar
Prof. Dr. med Stefan Wilm
M.Sc. Verena Leve
Publikationsdatum
17.03.2017
Verlag
Springer Medizin
Erschienen in
Zeitschrift für Gerontologie und Geriatrie / Ausgabe Sonderheft 2/2017
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI
https://doi.org/10.1007/s00391-017-1206-6