Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Dilemmas II01:30

Ethical Dilemmas II

Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Dementia01:30

Dementia

Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Chronic pain as a risk factor for Alzheimer's disease pathology: a longitudinal ADNI study.

Alzheimer's research & therapy·2026
Same author

Aging and resilience in Vietnamese American older adults: Evidence from the Vietnamese Insights into Cognitive Aging Program.

International psychogeriatrics·2026
Same author

Air pollution is linked to divergent cortical thickness patterns in brain regions vulnerable to Alzheimer's disease.

Neurotoxicology·2026
Same author

Genetic and environmental influences on educational disparities in adult weight change: an individual-based pooled analysis of 11 twin cohorts.

International journal of obesity (2005)·2026
Same author

The long reach of childhood income inequality: a multinational twin study of gene-environment interplay on adult depressive symptoms.

Psychological medicine·2026
Same author

Neighborhood disadvantage and cognitive function in older adults: The moderating role of young adult general cognitive ability.

Health & place·2026

Related Experiment Video

Updated: Jul 11, 2026

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
08:36

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living

Published on: July 28, 2022

Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectives.

Ladson Hinton1, Carol E Franz, Geetha Reddy

  • 1Department of Psychiatry and Behavioral Sciences and Alzheimer's Disease Center, UC Davis, Sacramento, California 95817, USA. ladson.hinton@ucdmc.ucdavis.edu

Journal of General Internal Medicine
|September 8, 2007
PubMed
Summary

Primary care physicians face significant practice constraints, including time and reimbursement issues, hindering effective dementia care and leading to reactive management strategies. Addressing these barriers requires improved education and structural changes for better patient and family support.

More Related Videos

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Related Experiment Videos

Last Updated: Jul 11, 2026

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living
08:36

The Immersive Cleveland Clinic Virtual Reality Shopping Platform for the Assessment of Instrumental Activities of Daily Living

Published on: July 28, 2022

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Geriatric Medicine
  • Health Services Research
  • Behavioral Health

Background:

  • Dementia care presents unique challenges for primary care physicians.
  • Behavioral aspects of dementia care are often complex and difficult to manage within current practice structures.

Purpose of the Study:

  • To identify practice constraints that act as barriers to optimal health care for individuals with dementia and their families.
  • To specifically examine how these constraints impact the behavioral management of dementia patients.

Main Methods:

  • A qualitative study involving semi-structured interviews with 40 primary care physicians in Northern California.
  • Interviews explored physicians' experiences with dementia patients, focusing on practice setting, clinical care, and management approaches.
  • Thematic analysis of transcribed interviews identified recurring practice constraints.

Main Results:

  • Key constraints reported by physicians include insufficient time, limited specialist access, low reimbursement, poor community resource connections, and lack of interdisciplinary teams.
  • These constraints were linked to delayed detection of behavioral issues and a tendency towards reactive, pharmacologically-focused management.
  • Physicians expressed challenges in providing proactive and psychosocially-informed dementia care.

Conclusions:

  • Physicians experience significant challenges in managing dementia patients, especially those with behavioral complexities, due to systemic practice barriers.
  • Effective dementia care necessitates enhanced educational interventions for both families and physicians, alongside broader structural reforms.
  • Without addressing these constraints, the quality of dementia care is likely to remain suboptimal.