Vreugdenhil, Anthea, Cannell, John, Davies, Andrew, and Razay, George. (2011). A community-based exercise programme to improve functional ability in people with Alzheimer's disease: A randomized controlled trial. Scandinavian Journal of Caring Sciences, 26(1), 12-19.
When evaluating an ideal daycare setting to benefit an individual suffering from an advancing Alzheimer's or dementia-related condition, it is important to consider so of the most highly recommended interventions for such subjects. An important benefit of adult daycare utilization is the higher degree of direct physical engagement that it affords the patient. This concept is articulated in the research by Vreugdenhil et al. (2011), which considers the importance of maintaining a steady exercise regimen for a given patient. According to the article, "at 4-months follow-up, patients who exercised, compared with controls, had improved cognition (increased Mini Mental State Examination scores by 2.6 points, p
The article also points out that the challenge of facilitating this level of exercise as a primary caregiver can be difficult. The text notes that with individuals living longer and dementia consequently becoming more commonplace, many family-member caregivers require the critical assistance that'd only possible through adult daycare. The evidence produced by this article indicates that among its many benefits, the ability of staff at a given facility to accommodate the need for exercise can substantially improve the patient's faculties, slow down the pace of mental decline and, consequently, even lead to a lengthening of the patient's life.
The Use of Community Service:
Weissert, W.G.; Elston, J.M.; Bolda, E.J.; Cready, C.M.; Zelman, W.N.; Sloane, P.D.; Kalsbeek, W.D.; Mutran, E.; Rice, T.H. & Koch, G.G. (1989). Models of Adult Day Care: Findings From a National Survey. The Gerontologist, 29(5), 640-649.
The article by Weissert et al. give consideration to the array of models for adult caregiving that are currently employed. This consideration includes an elaboration on the challenges that are specific to the community care model. Most specifically, the article discusses some of the practical demands that particularly impact Alzheimer's patients and, in doing so, contributes several concepts to our discussion. Namely, the article notes that community adult day-care facilities are often most limited in their "services, staffing, costs and other program features." (p. 423) This may prevent community care centers from being the most optimal outlet for care of patients with a condition that does require constant and steady monitoring.
Evidence suggests that individuals suffering from Alzheimer's or other dementia-related conditions require a distinctly attentive level of care. Patients with the given condition benefit from regular conversational, physical and mental engagement. For community facilities, the difficulty of retaining a sufficient nursing and personal therapy staff can stand in the way of optimizing this level of engagement.
Cantegreil-Kallen, Inge, Turbelin, Clement, Angel, Pierre, Flahault, Aantoine, and Rigaud, Anne-Sophie. (2006). Dementia management in France: Health care and support services in the community. Dementia, 5(3), 317-326.
As study of community-based Alzheimer's support services in France lends greater insight into the obstacles preventing the optimization of care. According to the study by Cantegreil-Kallen (2006) et al., France provides a state-administered network of community-based services available to individuals suffering from Alzheimer's or dementia related to aging. While this federal oversight provides regulatory consistency and quality control, it may also be impeding the fullest possible effectiveness of community-based service contexts. According to the study in question, "Although GPs acknowledged carers' need for emotional support, only minimal levels of other interventions such as day care (12%) and psychotherapeutic interventions (12%) were prescribed. Reasons for under-use included non-availability and carers' reluctance to undergo psychotherapy. Lack of integrated community care services, insufficient information on services, lack of collaboration between health professionals and the frequent absence of a reliable carer were considered the most important barriers to the effective support of people with dementia in primary health care settings." (p. 317)
This confirms the general observation drawn from the preset research that while there are clear benefits to the employment of any form of daycare, community agencies often…