Transitioning to Long-Term Care

Transitioning a patient with dementia from living at home to long-term care is complex and challenging. The decision is based on patient and caregiver factors as well as their psychosocial and cultural backgrounds. Studies have determined some predictors of institutionalization relating to both the patient and caregiver. For instance, studies have shown that caregiver burden, along with a patient’s functional and cognitive status, may determine the likelihood of transition to long-term care. Evidence does not support that the use of medications such as acetylcholinesterase inhibitors delays placement in long-term care. Providers have to transcend gaps in evidence-based medicine in assisting patients and caregivers with decision-making about such transitions. More research is needed in developing tools and guidelines for both providers and families in assisting with these decisions.