Iliffe, Steve, Koch, Tamar, Jain, Priya, Lefford, Frances, Wong, Geoffrey, Warner, Alex, Wilcock, Jane

Background: Dementia syndromes are under-diagnosed and under-treated in primary care. Earlier recognition of and response to dementia syndrome is likely to enhance the quality of life of people with dementia, but general practitioners consistently report limited skills and confidence in diagnosis and management of this condition. Changing clinical practice is difficult, and the challenge for […]

Iliffe, Steve, Wilcock, Jane, Griffin, Mark, Jain, Priya, Thuné-Boyle, Ingela, Koch, Tamar, Lefford, Frances

Background: The National Dementia Strategy seeks to enhance general practitioners’ diagnostic and management skills in dementia. Early diagnosis in dementia within primary care is important as this allows those with dementia and their family care networks to engage with support services and plan for the future. There is, however, evidence that dementia remains under-detected and […]

Wenger, Neil S., Roth, Carol P., Shekelle, Paul G., Young, Roy T., Solomon, David H., Kamberg, Caren J., Chang, John T., Louie, Rachel, Higashi, Takahiro, MacLean, Catherine H., Adams, John, Min, Lillian C., Ransohoff, Kurt, Hoffing, Marc, Reuben, David B.

Objectives: To determine whether a practice-based intervention can improve care for falls, urinary incontinence, and cognitive impairment.; Design: Controlled trial.; Setting: Two community medical groups.; Participants: Community-dwelling patients (357 at intervention sites and 287 at control sites) aged 75 and older identified as having difficulty with falls, incontinence, or cognitive impairment.; Intervention: Intervention and control […]

Galvin, James E., Kuntemeier, Barbara, Al-Hammadi, Noor, Germino, Jessica, Murphy-White, Maggie, McGillick, Janis

Background: Approximately 3.2 million hospital stays annually involve a person with dementia, leading to higher costs, longer lengths of stay, and poorer outcomes. Older adults with dementia are vulnerable when hospitals are unable to meet their special needs.; Methods: We developed, implemented, and evaluated a training program for 540 individuals at 4 community hospitals. Pretest, […]