Abstract
One of the consequences of population ageing is the growing number of people with dementias, including Alzheimer’s disease where ageing is one of the main risk factors. Regardless of the level of their socio-economic development, the societies face the problem of providing care to the citizens with Alzheimer’s—the condition which is progressive and for which there is no effective cure. The dynamic growth of the number of patients in the recent years requires new solutions in terms of organising and financing care for the patients. Institutional care provided by the social assistance and healthcare systems becomes more and more expensive and the demand for care, rehabilitation and medical services by far exceeds the supply. In many countries, including Poland, the main care force are family caregivers, usually women aged 55–64. The caregiving potential of families is often underestimated, the needs of the caregivers are not explored and there are no proper initiatives to support families in the caring process. For this reason, as the problem of ensuring adequate care for people with Alzheimer’s disease, one of the priorities is to develop and implement strategies to strengthen the caregiving potential of families of people with Alzheimer’s disease. This section presents the local programme of supporting caregivers of people with Alzheimer’s disease implemented in Szczecin (Poland), designed based on the previous diagnosis of the needs and evaluation of the effectiveness of the solutions being implemented. The results of the analyses of the data collected during the survey (n = 800) among the family caregivers are presented, as well as the implemented forms of support such as financial support for the family caregivers and further development of the community-based care system. The solutions—designed and introduced locally—may inspire other communities which face the same problem.
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Notes
- 1.
WHO, Global action plan on the public health response to dementia 2017–2025, Accessed May 1, 2020, 2020. https://www.who.int/mental_health/neurology/dementia/action_plan_2017_2025/en/.
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A. Fihel, M. Okólski, Przemiany cywilizacyjne, ludnościowe i starzenie się społeczeństw, In M. Okólski, Wyzwania starzejącego się społeczeństwa, Warszawa: Uniwersytet Warszawski 2018, pp. 22–65.
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World Bank, Health Nutrition and Population Statistics: Population estimates and projections. Accessed: February 20, 2020, from World Bank Open Data: https://databank.worldbank.org/source/population-estimates-and-projections#.
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The European Commission, The 2018 Ageing Report Economic & Budgetary Projections for the 28 EU Member States (2016–2070) Institutional paper 079, Luxembourg: Publications Office of the European Union, 2018.
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C. Qiu, M. Kivipelto, E. von Strauss, Epidemiologia choroby Alzheimera: występowanie, determinanty i strategie interwencji. DialoguesClin.Neurosci. 11, 2009, 111–128.
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A.Wimo, M. Guerchet, G. C. Ali, Y. T. Wu, A. M. Prina, B. Winblad, L. Jönsson, Z. Liu, M. Prince (2017). The worldwide costs of dementia 2015 and comparisons with 2010. Alzheimer’s & Dementia: The Journal of the Alzheimer’s Association, 13(1), 1–7. https://doi.org/10.1016/j.jalz.2016.07.150.
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B. Bugajska, et al., The optimization of elderly care in Szczecin: research report. Exlibris: biblioteka gerontologii społecznej, 1(13), 2017, pp. 107–119.
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R. Iwański, Opieka długoterminowa nad osobami starszymi, Warszawa: Cedewu, 2016.
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Ministerstwo Rodziny, Pracy i Polityki Społecznej, 2020, Raport mrpips-03 za 2018 rok, Accessed: March 14 2020, https://www.gov.pl/web/rodzina/statystyka-za-rok-2018.
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Ministerstwo Rodziny, Pracy i Polityki Społecznej, 2020, Raport mrpips-03 za 2018 rok, Accessed: February 20 2020, https://www.gov.pl/web/rodzina/statystyka-za-rok-2018.
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Ministerstwo Rodziny, Pracy i Polityki Społecznej, 2020, Raport mrpips-03 za 2018 rok, Accessed: February 20 2020, https://www.gov.pl/web/rodzina/statystyka-za-rok-2018.
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ZUS (2020).
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Narodowy Bank Polski 2020.
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- 30.
Szczecin—city with the district status, the capital city of Zachodniopomorskie region, located at Polish-German border; population of over 400 thousand.
- 31.
Narodowy Bank Polski 2020.
- 32.
International Statistical Classification of Diseases and Related Health Problems F00.0—Dementia in Alzheimer disease with early onset (G30.0), F00.1—Dementia in Alzheimer disease with late onset (G30.1), F00.2—Dementia in Alzheimer disease, atypical or mixed type (G30.8), F00.9—Dementia in Alzheimer disease, unspecified (G30.9).
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A. Sadowska, Organizacja opieki nad chorym na chorobę Alzheimera w Polsce. In: Sytuacja osób chorych na chorobę Alzheimera. Raport RPO. Warszawa 2014.
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A. Sadowska, Organizacja opieki nad chorym na chorobę Alzheimera w Polsce. In: Sytuacja osób chorych na chorobę Alzheimera. Raport RPO. Warszawa 2014.
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Bugajska, B., Iwański, R. (2021). Local Strategies of Strengthening the Caregiving Potential of Families of People with Alzheimer’s Disease—Good Practices Introduced in Poland. In: Shankardass, M.K. (eds) Dementia Care. Springer, Singapore. https://doi.org/10.1007/978-981-16-3864-0_9
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