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Das Gesundheitswesen · Sep 2016
["As Good as it Gets at Home" - Reasons for Institutionalisation in Dementia].
- H Grau, H Berth, J Lauterberg, R Holle, and E Gräßel.
- Zentrum für Medizinische Versorgungsforschung, Psychiatrische Universitätsklinik Erlangen, Erlangen.
- Gesundheitswesen. 2016 Sep 1; 78 (8-09): 510-3.
AimWhat are the reasons for institutionalising community-dwelling persons with dementia?MethodA written survey of family caregivers and general practitioners was undertaken.ResultsWithin 2 years 47 of 351 people with dementia (13%) were institutionalised. The person with dementia was involved in the decision in only 1/3 of the cases. The 3 most common reasons were: ensuring the best possible care, high expenditure of care-giving time at home, deterioration of the health of the care-receiver.ConclusionsFrom the ethical point of view the exclusion of the persons with dementia from the decision-making with regard to institutionalisation has to be examined critically. The often given reason of ensuring the best possible care through institutionalisation could be counteracted by the improvement of community-based care.© Georg Thieme Verlag KG Stuttgart · New York.
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