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Master Thesis

Rôle du médecin traitant dans la mise en place des aides à domicile des patients atteints de la maladie d’Alzheimer et maladies apparentées dans le pays de Fougères

Abstract : Context : Alzheimer’s disease (and related diseases) would be the first cause of dependence. Near two-thirds of patients wish to live at home. The main aim of this study is to evaluate general practitioner’s contribution during the initiation of home cares for patients with cognitive disorders. Methods : We conducted a descriptive and analytical quantitative investigation with caregivers of patients living at home at Fougères and surroundings. Caregivers received a questionnaire through Memory Consultations and local information and coordination centers. Results and discussion : 37 questionnaires have been analyzed. Half the general practitioners would have contributed to instaure home cares. This contribution varies according to the situations. The nature of the person behind home cares seems to influence the frequency of practitioner's involvement (child, p = 0.0097, another person, p = 0.024). Besides it seems that some doctors are not informed about the initiation of their patients’ home cares. Home cares are implemented too late, following hospitalization in half cases. They also can have been organized by the specialist. Conclusion : General practitioners should propose cares systematically. Despite specialist’s care, patients should maintain general practitioner’s medical monitoring.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02140183
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Submitted on : Monday, May 27, 2019 - 9:53:42 AM
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Coline Ramage Delaplace. Rôle du médecin traitant dans la mise en place des aides à domicile des patients atteints de la maladie d’Alzheimer et maladies apparentées dans le pays de Fougères. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02140183⟩

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