Journal article
Using Telemedicine to Assess and Manage Psychosis in Neurodegenerative Diseases in Long-Term Care
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v 23(7), p1145
Jul 2022
PMID: 35032454
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The coronavirus disease 2019 (COVID-19) epidemic has forced a sudden global implementation of telemedicine strategies, including in long-term care (LTC) facilities where many people with dementia and Parkinson disease (PD) reside. Telemedicine offers a unique set of advantages for residents in LTC facilities if effectively supported and implemented, including expanded access to specialists in rural or underserved areas or for people with dementia who cannot travel for off-site visits. Many medical and psychiatric organizations have recently issued new or updated guidelines on the use of telemedicine. On October 22, 2020, a multidisciplinary consensus panel was convened to collate a list of best practices for LTC facilities and specialists when conducting telemedicine with residents with dementia-related psychosis or PD-related psychosis (PDP). A collaborative effort between specialists, facility administrators, and facility staff is essential for the success of telemedicine in the LTC setting. Telemedicine in LTC facilities comes with increased administrative and technical challenges that fall heavily on the shoulders of the LTC facility administrators and staff. Specialists can ease this burden by maintaining flexibility and ensuring expression of empathy and thanks to the staff who are facilitating the visits. LTC staff can provide specialists with valuable information about their patients to aid in evaluation and diagnosis. Specialists can facilitate this exchange of information by speaking to staff who work closely with the resident about any signs of hallucinations or delusions they may have observed. Educational efforts can increase staff understanding of dementia and PDP and empower them to engage with, and facilitate the resident's treatment plan. Using these strategies to take advantage of the benefits of telemedicine, specialists and LTC staff can together expand and improve care for LTC facility residents with dementia-related psychosis or PDP. (c) 2021 Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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Details
- Title
- Using Telemedicine to Assess and Manage Psychosis in Neurodegenerative Diseases in Long-Term Care
- Publication Details
- JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v 23(7), p1145
- Publisher
- ELSEVIER SCIENCE INC; NEW YORK
- Grant note
- Medical writing and editorial support, under the direction of the authors, were provided by Alison Adams, PhD, and Dena McWain of Ashfield MedComms, an Ashfield Health company.; Acadia Pharmaceuticals Inc funded medical writing and editorial support for this article as well as the advisory meeting in which the authors initially discussed ideas for this article.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000840266400013
- Scopus ID
- 2-s2.0-85124219584
- Other Identifier
- 991021861165604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Geriatrics & Gerontology