Table 7 Professional care providers level of education in the category Screening, the diagnostic procedures, treatment of dementia
From: Dementia care and service systems – a mapping system tested in nine Swedish municipalities
ISCED level 7: Master’s or equivalent, vocational | ISCED level 6: Bachelor’s or equivalent, vocational | ISCED level 5: Short-cycle tertiary education, vocational | ISCED level 4: Post-secondary non-tertiary, vocational | ISCED level 3: Upper secondary, vocational | ||
|---|---|---|---|---|---|---|
Dementia screening programme/“case finding”: Carried out in primary care with the aim of detecting dementia at early stages. Different assessment tools might be used. | 1 | |||||
2 | GP | RN | ||||
3 | ||||||
4 | GP | RN dem | ||||
5 | GP, MD psych, | RN, RN dem | ||||
6 | ||||||
7 | GP, MD ger | RN, RN dem, RN distr, OT | LPN | |||
8 | GP, OT | |||||
9 | GP | |||||
Standard diagnostic procedure for dementia disease: National standard diagnostic procedure applied in accordance. | 1 | GP, MD ger, Psychologist | RN dem, RN distr, OT, SW | |||
2 | GP | RN distr | ||||
3 | GP | RN, RN dem, RN comm | ||||
4 | ||||||
5 | GP, MD psych, | RN dem, RN distr | ||||
6 | GP | RN | ||||
7 | GP | RN, RN distr, OT | ||||
8 | GP | |||||
9 | GP | OT | ||||
Pharmacological treatment specific for dementia disease: Medication of cognitive symptoms, for instance Cholinesterase Inhibitors for improvement of cognition (memory, language). ATC code N06D [30]. | 1 | GP, MD ger | ||||
2 | GP | RN | ||||
3 | GP, MD psych, MD neuro | |||||
4 | GP | RN | ||||
5 | GP, MD psych, | |||||
6 | GP | |||||
7 | GP | |||||
8 | GP | |||||
9 | GP | |||||
Non-pharmacological treatment: Treatment – not pharmacological, for instance orientation to reality, reminiscence therapy, tactile massage, cognitive stimulation etc. | 1 | LPN, LPN dem | ||||
2 | OT | LPN, LPN activity | ||||
3 | LPN | SW-Ass | ||||
4 | RN, RN dem, SW, OT, PT | LPN | ||||
5 | RN, RN dem, SW | LPN | ||||
6 | RN, RN dem, RN distr, SW | LPN | ||||
7 | LPN | |||||
8 | LPN | |||||
9 | ||||||
Pharmacological treatment specific for Behavioural Psychological Symptoms of Dementia (BPSD): Pharmacological treatment of non-cognitive symptoms and behaviours, psychotropic drugs for aggressive behaviour [31]. ATC code N05 [30]. | 1 | GP, MD ger. | ||||
2 | RN, RN-distr, RN-psych. | |||||
3 | GP, MD psych. | |||||
4 | GP, MD ger. | RN-dem, SW | ||||
5 | GP, MD psych, | |||||
6 | GP | |||||
7 | GP | |||||
8 | GP | |||||
9 | GP | |||||
Non-pharmacological treatment specific for BPSD: Treatment - not pharmacological, for instance environmental modification, massage, presence of pets, selected music, distraction etc. [23]. | 1 | RN, RN-dem, dist, elderly | LPN, LPN activity. | |||
2 | LPN, LPN activity. | Ass-N | ||||
3 | OT | LPN, LPN activity. | Ass-N | |||
4 | GP, MD ger. | RN-dem, SW, OT, FT | ||||
5 | RN, RN-dem, RN-psych. | |||||
6 | RN, RN-dem, −dist, SW, OT | LPN | ||||
7 | LPN | |||||
8 | LPN | |||||
9 | LPN | Ass-N | ||||
Memory clinic: Outpatient clinic for examination and treatment of memory impairments, not only suspected dementia diseases. | 1 | MD ger, Psychologist | RN dem, OT, SW | |||
2 | ||||||
3 | MD psych, | RN, RN-psych | ||||
4 | ||||||
5 | MD psych, | RN-psych | ||||
6 | GP, MD ger, MD psych, | RN, RN-psych | LPN | |||
7 | MD psych, Psychologist | RN-psych, OT | ||||
8 | GP | |||||
9 | MD ger. |