| |
Centre for Policy on Ageing | |
 | |
|
| Do Alzheimer's disease patients want to participate in a treatment decision, and would their caregivers let them? | | Author(s) | Karen B Hirschman, Colette M Joyce, Bryan D James |
| Journal title | The Gerontologist, vol 45, no 3, June 2005 |
| Pages | pp 381-388 |
| Source | http://www.geron.org |
| Keywords | Dementia ; Drugs ; Participation ; Attitude ; Informal care ; Social surveys ; United States of America. |
| Annotation | Factors associated with the preferences of Alzheimer's disease (AD) patients to participate in a decision to use an AD-slowing medication and how involved their caregivers would let them be in this decision are examined. Interviews were conducted with 48 patients in the mild to moderate stage of AD and their caregivers. 92% of patients indicated that they would participate in a treatment decision, whereas 71% of caregivers thought the patient would participate. Half of the caregivers who indicated that their relative would participate had relatives who did not have the capacity to make the decision based on a consensus of three expert psychiatrists. Patients' insight into their diagnosis and prognosis, and having less cognitive impairment, being a female caregiver, and being a spouse caregiver were all associated with the likelihood that the patient would participate in the treatment decision. Patients talked about wanting to be involved in the process of making a treatment decision, whereas caregivers talked about assessing whether their relatives could participate in the process of decision making. Clinicians can provide guidance and education to assist caregivers in understanding how to assess their relatives' abilities to make decisions and navigate the decision-making process. (RH). |
| Accession Number | CPA-070904206 A |
| Classmark | EA: LLD: TMB: DP: P6: 3F: 7T |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|