F00.1 F00.2
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with any type of dementia and unawareness with subsequent rejection of medical evaluation. - Age 50 years and older - Residents of the city of Düsseldorf
Exclusion criteria
Exclusion criteria: - Suicidal or potential aggressive behavior - Cognitive disorders not due to dementia - Severe somatic disorders requiring immediate hospitalization - Already completed diagnostic assessment of the dementia syndrome and established medical treatment - Rejection of any contact to the service
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| integration into the local health care system, 1) result of the intervention after house call: result sheet "house call" --> individual suggestion adressed to the general practitioner -for the use of care services (yes/no) -and a specific medical treatment (yes/no) 2) follow-up after 12 month by using a standardized telephone interview: -established use of care services (yes/no) -established specific medical treatment (yes/no) | — |
Secondary
| Measure | Time frame |
|---|---|
| - cognitive status, assessed uniquely with Mini-Mental-Status-Examination (MMSE) and Clock Drawing Test (CDT) - everyday-competence, assessed uniquely with Nurses observation scale for geriatric Patients (NOSGER) - stage of dementia, assessed uniquely with geriatric deterioration scale (GDS) - burden of caring relatives, assessed uniquely with the COPE-index - awareness of illness, assessed uniquely with Anosognosia-Questionnaire for Dementia AQ-D (discrepancy between the patients and relatives information) | — |
Countries
Germany
Contacts
Leitung Institutsambulanz Gerontopsychiatrie LVR-Klinikum Düsseldorf/ Kliniken der Heinrich-Heine-Universität Düsseldorf