PMID: 11604382Oct 18, 2001Paper

Management of dementia in primary health care: the experiences of collaboration between the GP and the district nurse

Family Practice
F B WaldorffG Waldemar

Abstract

The objective of this study was to explore the context and experiences of collaboration between the GP and the district nurse (DN) in diagnosing dementia, in order to identify possible procedures to improve care. Two group interviews were conducted with four DNs and five GPs, respectively, working in the municipality of Copenhagen. The group interviews revealed that the suboptimized collaboration could be due to different inter-professional diagnostic strategies and a lack of understanding of the importance of early, shared, decision making. This could create conflicts between the groups. This study indicates a possibility for improved collaboration between the two professional groups in diagnosing dementia. Possible approaches for improved care should focus on an inter-professional understanding of the importance of early, shared, decision making, emphasizing early identification and care of diagnosed demented patients. Establishing a shared collaboration model including out-patient memory clinics, GPs and DNs could be a first step. This model should also take into account an evaluation of possible consequences for the diagnosed demented patients in terms of treatment and care and consider the indication for referrals to a com...Continue Reading

References

Feb 1, 1992·Journal of Epidemiology and Community Health·B A GregsonJ Bond
Feb 8, 2000·Holistic Nursing Practice·G B Adcock
Jul 1, 1954·Psychological Bulletin·J C FLANAGAN

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Citations

Mar 7, 2006·Postgraduate Medical Journal·D JolleyM Grizzell
Oct 3, 2003·Journal of Advanced Nursing·Jill ManthorpeAlison Eden
Sep 16, 2006·International Journal of Geriatric Psychiatry·Claire A G WolfsCarmen D Dirksen
Nov 8, 2005·Scandinavian Journal of Primary Health Care·Frans Boch WaldorffGunhild Waldemar

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