This article describes the concept of self-management and how it is being promoted.
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Illustrations of how people with early dementia might be enabled to participate are
given and the requirements that will help to make this a reality are postulated.
These include early disclosure of the diagnosis, support with the consequences of
disclosure, a focus upon the needs of the person with dementia, identification of
specific interventions that might facilitate self-management, meeting needs for
professional education and support and a whole systems approach towards treatment
and care. The results of a scoping review of the evidence is given, with an extra
factor of meeting needs for lay and patient education being identified in addition
to those elements originally postulated. The implications of policy neglect combined
with a patchy evidence base and unrecognized service innovations are discussed.
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