What is the definition of the intervention? |
Case management consists of the introduction, modification, or removal of strategies to improve the coordination and continuity of delivery of services, which includes the social aspects of care. |
Where would you get evidence‐based information on this recommendation? |
Ask health and social care organizations with whom you work closely if case managers are available (eg, home care services in your area) |
How would you implement this recommendation in your practice or daily life? |
Key implementation factors at the organisational level: |
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Collaboration between the family physician, case manager, persons living with dementia and caregiver |
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Interdisciplinary teams where the roles and responsibilities are clearly delineated |
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Acknowledge the value of every team member, including persons living with dementia and caregivers |
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Key implementation factors at the clinical level: |
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Pro‐active follow‐up to ensure that the persons living with dementia are coming to their appointment (continuity with a family physician). |
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Regular contact with the persons living with dementia and caregiver to address questions and concerns, and to ensure their full engagement in care and care decisions. |
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Pay specific attention during healthcare transitions. |