Strategie České alzheimerovské společnosti P-PA-IA
Péče a podpora lidem postiženým syndromem demence

Czech version

Authors: DOC. MUDR. Iva Holmerová, PH.D.; Nina Baláčková; MUDr. Michaela Baumanová; Mgr. Mgr. Et Lucie Hájková; Mgr. Dana Hradcová; Pavla Hýblová; PhDr. Hana Janečková, Ph.D.; PhDr. Eva Jarolímová; MUDr. Ladislav Kabelka, Ph.D.; Mgr. Martina Mátlová; Helena Nováková; Mgr. Jitka Suchá; Martina Sůsová; MUDr. Hana Vaňková; Dr. Petr Veleta M. A.; Mgr. Petr Wija, Ph.D.
Authors‘ workplace: Česká alzheimerovská společnost
Published in: Geriatrie a Gerontologie 2013, 2, č. 3: 158-164
Category: Recommendation

Overview

Czech Alzheimer Society (CALS) published in 2006 its strategy „P-PA-IA“⁽¹⁾, „care and support of persons suffering from dementia“ according to needs of patients in different stages of dementia. This strategy is based on broad discussion of professionals and informal caregivers in CALS and on collaboration with other organisations and institutions interested in the care of this disadvantaged and frail group of persons. Later, the strategy was discussed also on the international level with Alzheimer Europe and international ELTECA (Exchange of Experience in Long-term Care) advisory board. In our country the input of Public Defender of Rights has been very important. Strategy P-PA-IA has been a base for indicators of quality of care of persons with dementia and for the system of quality certification of CALS „Vazka“ which has certified already more than 30 care providers in the field of health and social care. Despite the fact that the strategy is widely used in practice, our gerontological and geriatric public has not been informed sufficiently. This fact might be a cause why the strategy is not used ingeriatric practice. Therefore we are trying to improve this situation and to publish the slightly revised strategy P-PA-IA in the main Czech geriatric journal. Strategy P-PA-IA is opened for comments and its main aim is to improve quality of care and life of persons with dementia and their caregivers.

Keywords:
dementia – Alzheimer´s disease – quality of care – certification – strategy of care – P-PA-IA

Sources

1. Strategie České alzheimerovské společnost P-PA-IA, podpora a péče lidem postiženým syndromem demence, Praha, ČALS, 2006; (online) dostupné na www.alzheimer.cz.

2. Holmerová I, Jarolímová E, Suchá J: Péče o pacienty s kognitivní poruchou. Praha: Pro Gerontologické centrum vydalo EV public relations, 2007.

3. Reisberg B, Ferris SH, de Leon MJ et al.: The Global Deterioration Scale for assessment of primary degenerative dementia. The American Journal of Psychiatry Vol 139(9), Sep 1982, 1136-1139.

4. Volicer L, Hurley C: Review Article: Management of Behavioral Symptoms in Progressive Degenerative Dementias. The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2003; 58.9: M837-M845.

5. Brooker D: Person-Centred Dementia Care. Making Services Better. London: Jessica Kingsley Publishers 2007.

6. Zgola J: Úspěšná péče o člověka s demencí. Praha, Grada 2003.

7. der Steen, JT et al.: White paper defining optimal palliative care in older people with dementia: A Delphi study and recommendations from the European Association for Palliative Care. Palliative medicine 2013. (published online 4 July 2013).

8. Zákon č. 372/2011 Sb., o zdravotních službách.

9. Volicer L, Bass EA, Luther SL: Agitation and resistiveness to care are two separate behavioral syndromes of dementia. Journal of the American Medical Directors Association 2007+ 8.8: 527-532.

10. Zákon č. 108/2006 Sb., o sociálních službách.

11. Volicer L, van der Steen, JT et al.: Modifiable factors related to abusive behaviors in nursing home residents with dementia. Journal of the American Medical Directors Association 2009; 10.9: 617-622.

12. Kitwood T: Dementia Reconsidered. Buckingham: Open University Press 1997.

13. Doporučení ČALS k personálnímu vybavení – Podklady pro certifikaci Vážka, (online) dostupné na www.alzheimer.cz.

14. Zprávy veřejného ochránce práv o péči v zařízeních sociálních služeb pro seniory 2007 (od roku 2007) konkrétně (online), dostupné na www.ochrance.cz.

15. Doporučení Alzheimer Europe k použití omezovacích prostředků v péči o pacienty s demencí. In: Madridský plán a jiné strategické dokumenty. Gerontologické centrum, Praha 2007, dostupné na www.alzheimer.cz/res/data/000062.pdf.

16. The American Geriatrics Society 2012 Beers Criteria Update Expert Panel.American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc 2012; 60(4): 616-631.

17. Hamilton HJ, Gallagher PF, O’Mahony D: Inappropriate prescribing and adverse drug events in older people. BMC Geriatrics 2009; 9:5.

18. Gallagher, P et al.: STOPP (screening tool of older person‘s prescriptions) and START (screening tool to alert doctors to right treatment). Consensus validation. International journal of clinical pharmacology and therapeutics 2008; 46.2: 72-83.