Italian guidance on Dementia Day Care Centres: A position paper.

Autor: Mossello E; Department of Experimental and Clinical Medicine, Research Unit of Medicine of Ageing, University of Florence, Florence, Italy. enrico.mossello@unifi.it., Baccini M; IRCCS Don Gnocchi Foundation, Florence, Italy., Caramelli F; Department of Experimental and Clinical Medicine, Research Unit of Medicine of Ageing, University of Florence, Florence, Italy., Biagini CA; Division of Geriatric Medicine, Azienda USL Toscana Centro, Pistoia, Italy., Cester A; Geriatrician and Physiatrist, Padua, Italy., De Vreese LP; Department of Mental Health and Addictions, Cognitive Clinic, Azienda USL Modena, Italy., Darvo G; Department of Architecture, University of Florence, Florence, Italy., Vampini C; Psychiatric and Psychogeriatric Service, San Francesco Hospital, Garofalo Health Care, Verona, Italy., Gotti M; Psychotherapist and Psychoanalyst, Italian Society of Interpersonal Psychoanalysis, Florence, Italy., Fabbo A; Cognitive Disorders and Dementia Unit, Health Authority and Services of Modena, Modena, Italy., Marengoni A; Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy., Cavallini MC; Continuity of Care Agency, Department of Geriatrics, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy., Gori G; Scientific Director, PAS Pubbliche Assistenze Foundation, Florence, Italy., Chattat R; Department of Psychology, University of Bologna, Bologna, Italy., Marini M; Staff Coordinator, Healthcare Executive, Tuscany Region, Italy., Ceron D; Opera Immacolata Concezione Foundation, Padua, Italy., Lanzoni A; Cognitive Disorders and Dementia Unit, Primary Care Department, Health District of Modena, Modena, Italy., Pizziolo P; Anglia Ruskin University, Cambridge, UK., Mati A; Piante Mati, Pistoia, Italy., Zilli I; Cooperativa Elleuno, Firenze, Italy., Cantini C; IRCCS Don Gnocchi Foundation, Florence, Italy., Caleri V; IRCCS Don Gnocchi Foundation, Florence, Italy., Tonon E; IRCCS Don Gnocchi Foundation, Florence, Italy., Simoni D; Health Area Manager, Arnera Cooperativa Sociale, Pontedera, Italy., Mecocci P; Section of Gerontology and Geriatrics, Department of Medicine, University of Perugia, Perugia, Italy., Ungar A; Department of Experimental and Clinical Medicine, Research Unit of Medicine of Ageing, University of Florence, Florence, Italy., Masotti G; Department of Experimental and Clinical Medicine, Research Unit of Medicine of Ageing, University of Florence, Florence, Italy.
Jazyk: angličtina
Zdroj: Aging clinical and experimental research [Aging Clin Exp Res] 2023 Apr; Vol. 35 (4), pp. 729-744. Date of Electronic Publication: 2023 Feb 16.
DOI: 10.1007/s40520-023-02356-4
Abstrakt: Dementia Day Care Centres (DDCCs) are defined as services providing care and rehabilitation to people with dementia associated with behavioural and psychological symptoms (BPSD) in a semi-residential setting. According to available evidence, DDCCs may decrease BPSD, depressive symptoms and caregiver burden. The present position paper reports a consensus of Italian experts of different disciplines regarding DDCCs and includes recommendations about architectural features, requirements of personnel, psychosocial interventions, management of psychoactive drug treatment, prevention and care of geriatric syndromes, and support to family caregivers. DDCCs architectural features should follow specific criteria and address specific needs of people with dementia, supporting independence, safety, and comfort. Staffing should be adequate in size and competence and should be able to implement psychosocial interventions, especially focused on BPSD. Individualized care plan should include prevention and treatment of geriatric syndromes, a targeted vaccination plan for infectious diseases including COVID-19, and adjustment of psychotropic drug treatment, all in cooperation with the general practitioner. Informal caregivers should be involved in the focus of intervention, with the aim of reducing assistance burden and promoting the adaptation to the ever-changing relationship with the patient.
(© 2023. The Author(s).)
Databáze: MEDLINE
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