Primary Care Management of the Elderly with Alzheimer’s Disease Chan, Tsz Lune Viviane
The rising prevalence of Alzheimer’s disease (AD) in Canada demands practical and effective management of AD in the primary care setting. Currently, there is no curative treatment available for AD, which makes its management a challenging task. Therefore, this paper aims to consolidate evidence-based clinical recommendations from current literature for family nurse practitioners (FNPs) to implement when managing AD patients. In this literature review, 26 relevant journal articles from CINAHL Complete, MEDLINE with Full Text, and PubMed were examined. The literature review was guided by this question: What should F¬¬NPs include in their clinical checklist to provide the best evidence-based care when managing patients with AD? Based on the examined literature, 11 essential quality measures were recommended to be included in the clinical checklist, namely, goals and principles of care, dementia education, cognitive and functional status assessments, safety and driving counseling and assessments, nutrition and diet, pharmacological treatment for cognitive symptoms, behavioural and psychological symptoms and managament, concomitant conditions and management, caregiver support, advance care planning and palliative care, and lab and neuroimaging investigations. FNPs and specialists should also review these essential quality measures regularly during the course of disease. In conclusion, the management of AD requires multi-disciplinary involvement and FNPs should follow a systematic management approach when providing family-centred care for AD patients.
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