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"If we can keep the at-risk elderly functioning and active," said Eli Feldman, president and chief executive of Elderplan, an agency of the Metropolitan Jewish Health System, "we can focus on their medical problems and delay institutionalization on average by about two years.
This is to enable people with dementia to remain in their own homes for as long as possible, trying to delay institutionalization [ 1, 3- 5].
Moreover, randomized controlled trials have shown that targeted home care can contribute significantly to reduce hospital admission, to delay institutionalization and to improve quality of life [ 8- 10].
A relatively small cost investment for caregiver support from the SCPD would delay institutionalization, which is a major source of costs in the management of dementia.
These studies highlight the importance of an activity center for persons with early-stage dementia in order to prevent or delay institutionalization.
As long as there is no treatment leading to reversal or stopping of disease progression, an amelioration of the disease symptoms, which may delay institutionalization, as well as a reduction of caregiver burden and costs, are realistic treatment goals today.
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One major asset of treatment with AChEI may be the delayed institutionalization and reduced caregiver burden.
The focus is now more on quality of life and delaying institutionalization by offering substitutes to the traditional nursing home.
An informal caregiver's sense of being capable of giving care is a strong determinant of delaying institutionalization [ 10].
The main goal of this study is to identify which types of projects have the most effect in delaying institutionalization of frail older persons.
JAMA 1996, 276(21): 1725–31 +Mittelman MS, Ferris SH, Steinberg G, Shulman E, Mackell JA, Ambinder A, Cohen J: An Intervention That delays Institutionalization of Alzheimer's Disease Patients: Treatment of Spouse-Caregivers.
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