{"id":59135,"date":"2024-10-08T03:03:12","date_gmt":"2024-10-08T01:03:12","guid":{"rendered":"https:\/\/housesmarketplace.com\/despite-challenges-dementia-patients-and-caregivers-prefer-to-age-in-place\/"},"modified":"2024-10-08T03:03:12","modified_gmt":"2024-10-08T01:03:12","slug":"despite-challenges-dementia-patients-and-caregivers-prefer-to-age-in-place","status":"publish","type":"post","link":"https:\/\/housesmarketplace.trio-tv.com\/ru\/despite-challenges-dementia-patients-and-caregivers-prefer-to-age-in-place\/","title":{"rendered":"\u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0442\u0440\u0443\u0434\u043d\u043e\u0441\u0442\u0438, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044b \u0441 \u0434\u0435\u043c\u0435\u043d\u0446\u0438\u0435\u0439 \u0438 \u043b\u0438\u0446\u0430, \u043e\u0441\u0443\u0449\u0435\u0441\u0442\u0432\u043b\u044f\u044e\u0449\u0438\u0435 \u0443\u0445\u043e\u0434 \u0437\u0430 \u043d\u0438\u043c\u0438, \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0438\u0442\u0430\u044e\u0442 \u0441\u0442\u0430\u0440\u0435\u0442\u044c \u043d\u0430 \u043c\u0435\u0441\u0442\u0435"},"content":{"rendered":"
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Despite additional challenges that may come with caring for an older person afflicted with dementia, both patients and their caregivers would prefer to age in place<\/a> within the home of the patient.<\/p>\n

Both parties cite a desire to preserve the patient\u2019s independence, and to avoid both concerning stories of congregate care facilities and the guilt that could come from transferring a loved one to a dedicated care center. This is according to research<\/a> published by the University of Pennsylvania<\/a>\u2019s Leonard Davis Institute of Health Economics (LDI).<\/p>\n

The study featuring LDI\u2019s findings was published in the Journal of the American Geriatrics Society<\/a> and includes interviews with 74 key stakeholders. The interviews include \u201c14 people living with mild cognitive impairment or mild dementia, 36 family care partners of persons living with mild, moderate, or severe dementia, and 24 dementia clinicians, including physicians, advance practice providers, occupational therapists, and social workers,\u201d the study explained.<\/p>\n

The findings determined that there are four core reasons that the involved stakeholders prefer to age in place. The first is the desire to maintain the patient\u2019s independence, while the second is rooted in a perception that the best care for dementia patients comes from loved ones inside the home.<\/p>\n

The third reason stems from a general lack of trust that families have for congregate care facilities, sentiment that was amplified following the initial outbreak of COVID-19<\/a> in these facilities. Finally, caregivers seek to avoid feelings of guilt that could come from transferring their loved one into these settings.<\/p>\n

The research included the perspectives of people living with dementia, which other research projects might tend to avoid since cognitive impairments could make it more difficult for researchers to gain insights from this group. But the perspectives shared help to reinforce the stated concerns of other patients and caregivers, the findings showed.<\/p>\n

\u201cI want to keep my independence<\/a> as long as I can,\u201d one person with dementia told the researchers. \u201cI want to be able to do what I want to do when I want to do it. \u2026 So, as long as we can be here [at home] and be independent, it\u2019s fine.\u201d<\/p>\n

There was a clear overlap between dementia clinicians\u2019 perspectives on congregate care facilities and those shared by the patients themselves, the researchers noted.<\/p>\n

\u201cOur nursing home care is not great in this country,\u201d one clinician said. \u201cThere\u2019s also a lot of inequity based on your income, the quality of care that you receive, and patients and their families worry about subjecting them to poor care.\u201d<\/p>\n

But there could also be an event that prompts an immediate change \u2014 from living at home to moving into a dedicated care facility. One familial caregiver cited a need to be able to devote more time to their own family or repair an imbalance with work responsibilities, but other families make a more deliberate plan to include care in a dedicated setting.<\/p>\n

\u201cIt\u2019s widely accepted that most older adults, including those with dementia, prefer to remain in their own homes as they age,\u201d the findings noted. \u201cHowever, the notion that patients make the \u2018choice\u2019 to age in place is flawed. We found that patients and families often feel forced to pursue one path or the other, and few can make the informed decision to seek care in a residential facility or make home adaptations<\/a>.\u201d<\/p>\n

Researchers working on this project said they should not \u201ccontinue to report time spent at home as a positive outcome for studies or policy initiatives in dementia care, without also measuring caregiver wellbeing, patient distress, financial burdens<\/a>, and more.\u201d<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Despite additional challenges that may come with caring for an older person afflicted with dementia, both patients and their caregivers would prefer to age in place within the home of the patient. Both parties cite a desire to preserve the patient\u2019s independence, and to avoid both concerning stories of congregate care facilities and the guilt […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-59135","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nDespite challenges, dementia patients and caregivers prefer to age in place - Houses Marketplace<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/housesmarketplace.trio-tv.com\/ru\/despite-challenges-dementia-patients-and-caregivers-prefer-to-age-in-place\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Despite challenges, dementia patients and caregivers prefer to age in place - Houses Marketplace\" \/>\n<meta property=\"og:description\" content=\"Despite additional challenges that may come with caring for an older person afflicted with dementia, both patients and their caregivers would prefer to age in place within the home of the patient. 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