Cognos: Care for people with Cognitive dysfunction. A national observational study
Mets, T × De Deyn, PP Pals, P De Lepeleire, Jan Vandewoude, M Ventura, M Ivanoui, A Albert, A Seghers, AK #
Western Geriatric Research Institute
Alzheimer Disease and Associated Disorders vol:27 issue:2 pages:123-132
Care plans are intended to improve the independence and functioning of patients and support the caregivers involved. They are an integral part of the Belgian reimbursement procedure for cholinesterase inhibitors (ChEIs). This nationwide, multicenter, observational study examined the content and implementation of the care plan along with patient satisfaction in community dwelling patients newly diagnosed with Alzheimer’s disease in Belgium. The patients’ opinion of their quality of life was measured using Anamnestic Comparative Self-Assessment (ACSA). 720 participants (453 female) were enrolled with 86.0% (619/719) living at home alone or with their spouse/partner. Cognitive problems (627/717, 87.4%) were the main reason for initiation of the consultation. Most patients had a caregiver (646/719, 89.8%): generally the spouse/partner (351/646, 54.3%) or a child (232/646, 35.9%). 511 patients (71.0%) were prescribed a ChEI after the initial consultation. 236 care plans were advised with 169 (71.6%) realized and 157 of these (92.9%) considered adequate. Most patients were satisfied with the help received in the care plan (service satisfaction range: 80.0–98.6% of patients). Quality of life as rated by the patient significantly increased between baseline (average ACSA score: 5.2±2.35) and follow-up (5.8±2.06). The use of care plans appears to improve management of care for Alzheimer’s disease patients.