Optimal management of Alzheimer’s disease patients

( to involve family caregivers in multimodal treatment )

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Alzheimer’s disease (AD) is the most prevalent cause of dementia encountered in older patients. Late-stage clinical AD can result in substantial clinical burden and a reduction of quality of life (QoL) for the patients and family caregivers. There are a number of effective nonpharmacological and symptomatic pharmacological approaches to treat AD. All of those approaches, however, cannot prevent, cure or stop the progression of the disease. Therefore, the specific goals of current treatments are to preserve cognitive and functional ability, minimize behavioral disturbances, slow disease progression, ease the burdens on the patient and family, and maintain their QoL through clinical management. In optimal management of AD patients, both pharmacological and nonpharmacological treatments must be considered necessary and adapted to meet the individual needs of each AD patient and their family caregivers. In this review, we focus on nonpharmacological approaches that address family advice as part of an optimal clinical management of AD. Family caregivers provide most of the patient care and administer most of the treatments used for patients with AD. They have an important impact on the QoL of dementia patients. Further, they suffer high rates of psychological and physical illness, as well as carrying many of the social and financial consequences. Hence, it is important to involve family caregivers in multimodal treatment settings and provide interventions that are directly addressed to the family caregivers (eg, education programs, support groups, and counseling). In recent years, several clinical guidelines for evidence-based treatment of AD and other forms of dementia have been published worldwide. The authors of the paper review current and internationally relevant guidelines with respect to the given recommendations concerning family advice. Read more: dovepress.com

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