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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
631

Dementia care in an ethical perspective : an exploratory study of caregivers' experiences of ethical conflicts when feeding severely demented patients

Åkerlund, Britt Mari January 1990 (has links)
The aim of this study was to explore how caregivers caring for severely demented patients experience ethical conflict situations. Feeding patients in a late state of dementia was chosen as focus. Special attention was paid to analyses of the caregivers' experiences with regard to their feelings, use of force, interpretations of the patients' behaviour and their ethical reasoning. The study was carried out in five separate parts, presented as five papers. A phenomenological - hermeneutic approach was consistent. Personal interviews, a projective defence mechanism test, the Meta Contrast Technique and an analysis of patient/caregiver behaviour as shown in video taped feeding sessions were the methods used. Study participants were forty-one caregivers in psychogeriatric care, registered nurses, licensed practical nurses and nurses' assistants. The result indicated that, when facing ethical decisions the caregivers were caught in a double bind conflict due to the contradicting ethical demands "Keep the patient alive!" and "Don't cause the patient suffering!". The difficulty to interpret what the patients experienced and the impossibility to know for sure what actions would be right or wrong were sources of anxiety. They defined force feeding individually, yet a pattern was found. Some caregivers defined force feeding according to the amount of persuasiveness or violence they had to perform. Some regarded force feeding from a patient wish perspective. A majority combined the two dimensions. The caregivers' ethical reasoning showed that their decision making was to be regarded as a process grounded on ethical rules. Interdependence in the relation caregiver/patient made them develop their reasoning in a direction of existential reasoning. / <p>S. 1-38: sammanfattning, s. 39-113: 5 uppsatser</p> / digitalisering@umu
632

Load capacity of piled foundations under non-cyclic and cyclic uplift loading

Abood, Awad Shihan January 1989 (has links)
No description available.
633

Experiencing the Utopian marketplace

Maclaran, Pauline January 2001 (has links)
No description available.
634

Numerical modelling of fluid flow in drilling processes

Meuric, Olivier Francois Joseph January 1998 (has links)
No description available.
635

Practice portrayed : an exploration of occupational therapy clinical skills and their development

Hollis, Vivien January 1997 (has links)
No description available.
636

Collective action and psychological change

Drury, John January 1996 (has links)
No description available.
637

A marketing geography of sustainable tourism - with special reference to Devon, England

Dinan, Claire Rachel January 1999 (has links)
No description available.
638

Laterality of manual and pedal activity in captive chimpanzees, Pan troglodytes

Toback, Erna Lee January 1999 (has links)
No description available.
639

Energetics of spatial exploitation of the North Sea by kittiwakes breeding on the Isle of May, Scotland

Humphreys, Elizabeth Mary January 2002 (has links)
No description available.
640

Why proposition 187 won : explaining the success of California's 1994 illegal-immigration initiative

Wroe, Andrew J. January 1999 (has links)
No description available.

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