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Best Practices for Communicating a Diagnosis of Dementia: Results of a Multi-Stakeholder Modified Delphi Consensus Process.

Melissa J ArmstrongNoheli BedenfieldMónica RosselliRosie E Curiel CidMarcela KitaigorodskyJames E GalvinChristian LachnerAmanda Grant SmithMaría OrtegaYasmin MohiuddinJulie ShatzerDeann MarascoDianna WillisCarma L Bylund
Published in: Neurology. Clinical practice (2023)
Clinicians need to customize discussion of a dementia diagnosis for individual patients and their caregivers. These 7 best practices provide a diagnosis communication framework that can be implemented across varied clinical settings. Additional strategies, such as using optimal general communication approaches, are also important for dementia diagnosis discussions. Thoughtful application of these best practices is particularly important when caring for individuals from underrepresented communities. Further improving communication regarding dementia diagnoses will require health system changes (e.g., for sufficient time), improved access to specialty dementia care, and clinician training for delivering difficult diagnoses. More research is needed to identify culturally sensitive approaches to discussing dementia diagnoses.
Keyphrases
  • mild cognitive impairment
  • cognitive impairment
  • healthcare
  • primary care
  • palliative care
  • end stage renal disease
  • newly diagnosed
  • quality improvement
  • patient reported