Physicians' perspectives on caring for cognitively impaired elders

Wendy L. Adams, Helen E. McIlvain, Jenenne A. Geske, Judy L. Porter

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

To understand primary care physicians' concerns about providing care to cognitively impaired elders, we conducted in-depth interviews with 20 physicians. We performed a qualitative analysis based on methods of grounded theory. Physicians described profound changes in both the process of medical care and the doctor-patient relationship. Key issues that emerged included patients' impaired ability to provide accurate history or to adhere to treatment plans and the shift in the goal of care from "curing" illness to "caring" for the patient's quality of life. The doctor-patient relationship changed radically as third parties became involved in care and ethical dilemmas related to patient autonomy and safety were common challenges. The increased complexity and prominent psychosocial issues were difficult to manage, as the practice environment was not structured to provide the support and resources these patients needed. A model of care that embraces the prominent psychosocial aspects of care is badly needed.

Original languageEnglish (US)
Title of host publicationResearch and Practice in Alzheimer's Disease
EditorsB. Vellas, E. Giacobini
Pages284-289
Number of pages6
StatePublished - Dec 1 2006

Publication series

NameResearch and Practice in Alzheimer's Disease
Volume11
ISSN (Print)1284-8360

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Keywords

  • Cognitive impairment
  • Dementia
  • Geriatrics
  • Primary health care

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Aging
  • Geriatrics and Gerontology
  • Biological Psychiatry

Cite this

Adams, W. L., McIlvain, H. E., Geske, J. A., & Porter, J. L. (2006). Physicians' perspectives on caring for cognitively impaired elders. In B. Vellas, & E. Giacobini (Eds.), Research and Practice in Alzheimer's Disease (pp. 284-289). (Research and Practice in Alzheimer's Disease; Vol. 11).