The practice of dementia care: Belgium
Domestic care facilities for dementia are mainly provided by volunteers (spouse, children and other relatives), primary care physicians, medical specialists and home nurses. Among medical specialists, mainly neurologists, psychiatrists and geriatricians play a role in domestic care for dementia patients by making correct diagnosis, coaching multidisciplinary care and establishing optimal (pharmacological) treatment for dementia. Medical specialists can be consulted in private practices or in specialized care facilities such as memory clinics. The role of home nurses is not confined to nursing and caring tasks, but also involves counselling, monitoring of treatments and psychosocial coaching of the patient and family and volunteer carers. Occupational, physical and speech therapists also play a role in domestic caring.