Optimizing informal non-pharmacological care through therapeutic adaptation

Winckels, Sophie

Optimizing informal non-pharmacological care through therapeutic adaptation - 2022.


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Improving well-being and quality of life in people with dementia is determined by how well behavioral and psychological symptoms are managed. In this area, informal non-pharmacological care occupies a prominent place, but its lack of formalization makes its use by care teams more complex. We propose a non-systematic review of guidelines and recommendations for good professional practice. The results allowed us to draw up an inventory of relational strategies and to collate the essential elements to be taken into account when developing a non-medicinal intervention. It appears that these elements concern aspects relating to the person (needs, identity, capacities) and the context of the intervention (circumstances of onset, type of symptoms, feasibility of the intervention). We propose to integrate these elements into a single clinical rationale to guide care teams toward the most effective non-medicinal support strategy. These considerations invite further research on the specific characteristics of the different support strategies and raise the question of priorities in terms of training for caregivers working with this group.

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