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The impact of diagnostic disclosure in dementia: a qualitative case analysis
Els Derksen1, Myrra Vernooij-Dassen, Freek Gillissen
1Centre for Quality of Care Research, Alzheimer Centre Nijmegen, The Netherlands. e.derksen@kwazo.umcn.nl
Objective:
The aim of this study was to give an in-depth description of the impact of disclosure of the diagnosis of dementia on a patient and the patient's partner.
Methods:
Grounded theory interview study.
Results:
Analysis of the interviews revealed that disclosure had an impact on three key domains: awareness of dementia, interpersonal relationship and social relationships. Disclosure was perceived as a confirmation of the pre-test ideas of both patient and carer. Formal disclosure of dementia was especially relevant for the carer in reconsidering her response to the patient's changed behavior.
Discussion:
Receiving the diagnosis of dementia can be considered as a crucial moment in the process of becoming aware of the changes in one's life. Moreover, disclosure marks a new phase in the process of caring by the caregiver.
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