Role of a specialized Alzheimer team in pragmatic analysis of loss of autonomy




Objective


Loss of autonomy linked to the existence of a neurodegenerative Alzheimer’s disease weakens living conditions in patients’ homes. The measure 6 of the 2008–2012 Alzheimer’s plan has enabled the creation of specialized teams Alzheimer’s (ESA) to intervene at a stage beginner to moderate disease. This study aims to highlight the loss of autonomy beginners to moderate Alzheimer’s patients and to analyze the population supported by ESA on a 6 months period.


Materials/patients and methods


Retrospective analysis of the population supported by ESA Saint Etienne since October 2014 to May 2015. Quantitative analysis, descriptive questionnaire, in a subgroup of patients, loss of autonomy through stock standardized occupational therapy. Ed teams Alzheimer’s (ESA) to intervene at a stage beginner to moderate disease. This study aims to highlight the loss of autonomy beginners to moderate Alzheimer’s patients and to analyze the population supported by ESA on a 6-month period.


Results


Sixty-nine patients have been supported, with mean age of 81.5 years with a sex ratio of 0.44 and an average MMS to 18.8 (± 5.2). All had a significant loss of autonomy in daily living (ADL average to 4.36 (± 1.6) and IADL 1.3/4 (± 1.1). Twelve patients have benefited from further evaluation by an occupational therapist. The most affected were the control activities of the current equipment, relational and social activities, meal preparation and housekeeping. An increase in the aid plan was carried out in two third of patients at the end of this support.


Discussion/conclusion


Loss of autonomy occurs in the early stages of Alzheimer’s disease. Allowing early treatment at home, the ESA play an important role in home care for patients with Alzheimer’s disease.


Disclosure of interest


The authors have not supplied their declaration of competing interest.

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Apr 20, 2017 | Posted by in PHYSICAL MEDICINE & REHABILITATION | Comments Off on Role of a specialized Alzheimer team in pragmatic analysis of loss of autonomy

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