Publications by authors named "R P Koopmans"

Introduction: Informal care estimates for use in health-economic models are lacking. We aimed to estimate the association between informal care time and dementia symptoms across Europe.

Methods: A secondary analysis was performed on 13,529 observations in 5,369 persons from 9 European pooled cohort or trial studies in community-dwelling persons with dementia.

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Article Synopsis
  • - This study focused on understanding the medical complications that patients with minimally conscious state (MCS) experience and how these complications affect decisions about their care.
  • - Out of 32 MCS patients, common complications included hypertonia/spasticity and pneumonia, with the majority having curative treatment goals, although some faced challenges due to disagreements with family or medical instability.
  • - The findings highlight that medical complications are frequent in MCS patients, complicating decision-making, and suggest the need for specialized care and further research in this area.
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Background: Persons with dementia frequently experience mealtime behavioral problems that can result in reduced or lack of intake of food or fluids. Multiple underlying causes and expressions of mealtime behavioral problems complicate its interpretation and intervention, because problems originating from cognitive and functional decline and behavioral changes may interact. Healthcare professionals and family caregivers may encounter a variety of practical and moral dilemmas in dealing with these problems.

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Background: People with dementia and severe challenging behavior in the Netherlands can be temporarily admitted to highly specialized units when their behavior is not manageable in regular dementia special care units (DSCUs). With scarce evidence available for the treatment of these patients, treatment in these units is in a pioneering phase. To gain more insight into these units, this study investigated organizational characteristics, i.

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