International Journal of Clinical Case Reports, 2025, Vol.15, No.1, 12-23 http://medscipublisher.com/index.php/ijccr 13 but also to enhance the overall quality of life for patients and their caregivers. Furthermore, it seeks to contribute to the development of best practices in dementia care, ensuring that patients receive comprehensive and compassionate support throughout the progression of the disease. 2 Integrated Care Needs of Dementia Patients 2.1 Physical care needs Dementia significantly impacts patients' basic living abilities, including eating, dressing, and maintaining hygiene. Comprehensive nursing interventions have been shown to improve the Activities of Daily Living (ADL) scores in dementia patients, indicating enhanced physical care capabilities (Guohon, 2015). For instance, rehabilitation nursing interventions, when combined with routine care, can significantly improve patients' daily living abilities and overall quality of life (Yuan et al., 2016). Additionally, non-pharmacological interventions, such as physical activity and therapeutic touch, have been identified as effective strategies to enhance the quality of care and life for dementia patients in nursing homes (Cabrera et al., 2015). 2.2 Psychological care needs Dementia patients often exhibit emotional instability, anxiety, and depression, necessitating targeted psychological care. Nurse-led interventions have been effective in alleviating depression and improving the quality of life for dementia patients (Huang et al., 2023). These interventions often include psychoeducation and multicomponent strategies that address both the psychological and emotional needs of patients and their caregivers (Walter and Pinquart, 2020). Furthermore, comprehensive nursing interventions have been shown to significantly improve the psychological behavior of patients with Alzheimer's disease, thereby enhancing their overall well-being (Yuan et al., 2016). 2.3 Social support needs The need for social support, resource connection, and emotional support is critical for both dementia patients and their families (Zhang, 2024). Interventions that support family caregivers, such as structured psychoeducational programs and regular family meetings, have been shown to reduce caregiver strain and improve the overall care environment (Gonella et al., 2021). Additionally, case management approaches that coordinate care and provide continuous support can help maintain patients in the community and reduce the likelihood of early institutionalization (Reilly et al., 2015). Effective nurse-led interventions also emphasize the importance of caregiver education and continuous support within multidisciplinary teams (Yamakawa et al., 2021). 2.4 Cognitive care needs Cognitive decline in dementia patients necessitates interventions aimed at improving memory, orientation, and speech abilities. While nurse-led interventions have been effective in improving the quality of life and reducing depression, their impact on cognitive performance has been less pronounced, indicating a need for further research in this area (Huang et al., 2023). However, integrated care interventions have shown promise in significantly improving cognitive function and daily living abilities in Alzheimer's patients (Yuan et al., 2016). Non-pharmacological interventions, such as cognitive stimulation and memory training, are also recommended as best practices to support cognitive health in dementia patients (Cabrera et al., 2015). 3 Elements of Integrated Care Interventions for Dementia Patients 3.1 Medication management Effective medication management is crucial in the care of dementia patients to minimize side effects and maintain stability. Nurse-led interventions have shown promise in this area, particularly in monitoring comorbidities and managing medications to alleviate symptoms such as depression and improve the quality of life (Yamakawa et al., 2021; Huang et al., 2023). However, the effectiveness of these interventions in enhancing cognitive performance remains inconclusive, indicating a need for further research (Huang et al., 2023). Comprehensive nursing interventions have also been found to significantly improve the Activities of Daily Living (ADL) and Mini-Mental State Examination (MMSE) scores, suggesting that a structured approach to medication management can contribute to better patient outcomes (Guohon, 2015).
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