Thursday, March 17, 2016

Wisconsin Dementia Care Redesign DHS Defines Change

With dementia care redesign efforts the Wisconsin Department of Health Services is committed to a change.  This change is described on the DHS website as care for the elder and family throughout the entire course of the disease. 

The Department of Health Services challenges providers to implement solutions to help manage the undesired symptoms.  Without early onset identification and support the symptoms progress to produce crisis like events that rapidly consume a huge amount of community resources.  These crisis like disruptions can be scarey for all involved. 

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The IADL's instrumental activities of daily living are the more complex tasks that fall away first.  Although these needs created from the progressing memory loss are immediate and real, the medical system has traditionally been limited help with these difficulties. 

The medical system diagnose need from the late disease process manifestation of symptoms.  The medical system perceiving the later appearing needs requiring help for ADL's activities of daily living will suggest care from a hospital owned memory care facility.  In this practice the elder goes from seemingly needing no extra help to immediately needing a more costly geographical move in to an assisted living facility. 

Said another way the primary provider at the medical clinic has no effective support until the elders needs require placement in a memory care facility.  The dementia disease process does not officially become a medical condition until the later experienced undesired symptoms can be used to craft a diagnosis and functional needs match inpatient delivery.

The family understands the senior needs the help of another long before the medical system can organize the office visit derived data and conclude more support is important.  This is the Department of Health Services calling out to innovative providers to expand the existing definitions of care and better serve this growing population.

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