I. E. C.'s Model Of Dmentia

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According to the Alzheimer Society of Canada (2017), there are roughly over half a million Canadians currently living with dementia, and 25,000 new cases are diagnosed each year. Although the hallmark presentation of dementia is progressive cognitive impairment, perhaps the most challenging for the health care team to manage is the accompanying behavioral and psychological symptoms of dmentia (BPSD), particularly agitation and agression. BPSD, also called responsive behaviours and neuropsychiatric symptoms (NPS) in other literature, are a collection of symptoms that will affect 98% of dementia patients in the course of the disease (Kales, Gitlin, Lyketsos, 2014). It includes an array of symptoms that can manifest in bunches or alone.…show more content…
In Canada, the system-wide P.I.E.C.E.S. framework was introduced as a problem-solving tool that can also aid in care planning. P.I.E.C.E.S. integrates input from members of the health care team, the family, and the patient, giving rise to a more comprehensive analysis of the situation and allows for more effective selection of interventions to address the…show more content…
Dosing. Physiologic changes in the elderly make medication dosing tricky. Adjustments have to be made owing to age-related reduction in liver and kidney functions, as well as the presence of coexisting comorbidities and use of other medications for these pre-existing conditions. The BEERS list, a compilation of potentially harmful medications to the elderly, was drafted in an attempt to curb the rising incidence of avoidable adverse medication effects in this population. Organizational structure. In a mixed studies review conducted by Khassanov, Vedel, and Pluye (2014), it was identified that organizational structure presents a barrier in the implementation of case management in the community. They identified inadequate communication among members of the health care team, lack of training in geriatrics, large caseloads for community workers, and “family physicians and case managers were in different locations” (Khassanov, et al.,
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