Session Title: Alzheimer's Disease (AD) including Non-Cognitive Aspects
Presentation Date: Friday, March 14 – Saturday, March 15, 2009
REDUCING DISTRESS FACED BY CAREGIVER OF PATIENTS WITH DEMENTIA, IN PSYCHOGERIATRIC DAYCARE HOSPITAL
F. Bonte, I. Sors- Mireux, B. Maakaroun, L. Volpe-Gillot
Groupe Hospitalier Paris Saint Joseph, Centre Mémoire/Hopital de Jour Psychogériatrique, Paris, France
Dementia is a major public health problem, with consequences on patients and their caregivers. Cognitive and functional decline, behavioral and psychological symptoms of dementia, are the first concern of caregivers. Many studies report that they are at high risk for affective disorders, and other diseases.
We report the results of training programms for caregivers provided during 12 weeks, with one session every 2 weeks. We proposed 5 sessions with informations on Alzheimer's disease, behavioral and psychological symptoms, communicating tools, fitting out housing , and social problems, while the last session was reserved for a family speaking meeting. In the meantime we proposed a weekly follow-up of the patients, in psychogeriatric daycare hospital with cognitive stimulation, social help, and psychological support.
Before and after, we assessed the cognitive impairment with the MMSE, the behavioral and psychological symptoms by the NPI, and the autonomy's rate by the IADL. For caregivers we used the burden of Zarit, the Hamilton scale for depression, and a medical questionnaire.
100% of caregivers were very satisfied with the programm, it was helpful in their dailycare, with immediate applications. The burden was unchanged but distress feeling was lowered, although the disease worsened.
Giving support to caregivers is unavoidable in the care and follow up of patients with dementia. They suffer of a lack of informations and keys to react in front of behavioural and psychological troubles and need a long time support throughout the progress of the disease.