People with dementia are hospitalized for a variety of reasons. The combination of dementia with additional health conditions creates a unique challenge to caregivers in acute care settings. There is a dearth of information available to provide guidance to the nursing staff caring for these patients. This integrated review of the literature examined the experiences of hospitalization from the perspective of the older adult with dementia, the family caregiver, and the patient care staff. Results showed a limited body of literature that addressed hospital experiences of people with dementia and those of family and professional caregivers. Additionally, few studies addressing this topic have been conducted in the United States. The primary finding from this study is that better communication is needed between nursing staff, patients, and their family caregivers. Nurses should carry out detailed assessments of cognition and pain in all elderly patients, and strive to provide appropriate palliative and end-of-life care. Dementia- specific training for all staff members may help to promote a better understanding of patients with dementia. Lastly, further research into the experiences of hospitalized dementia patients is needed, with a focus on acute care settings within the United States.

Bakgrund: Depression är en vanlig neurologisk funktionsnedsättning där äldre personer är särskild utsatta. Sjuksköterskor kommer i kontakt med äldre personer med depression då de ofta söker vård. Många äldre upplever otillräcklig vård, stigmatisering och ensamhet, det är därför viktigt att som sjuksköterska ha kunskap och ta hänsyn till äldres upplevelse av depression för att undvika lidande. Syfte: Syftet med studien är att beskriva äldre personers upplevelse av att leva med depression. Metod: Litteraturöversikten grundar sig på tretton artiklar med kvalitativ design. Fribergs femstegsmodell användes för analys av artiklarna. Litteraturöversikten har en induktiv ansats. Resultat: Presenteras i två huvudrubriker, samhörighet och barriärer. Varje rubrik har tre underrubriker. I resultatet framkom det att äldre upplevde en kamp mot ensamheten och känsla av att vara en börda för sin omgivning. Stigmatisering förekom i den äldres omgivning och inom sjukvården. Negativa känslor som skam och skuldkänslor var vanligt förekommande. Slutsats: Äldre personer med depression upplevde förändringar i livet, både fysiska och psykiska. Vårdpersonal behöver ha en ökad förståelse och kunskap kring ämnet depression. Det är ett område som kan förebyggas genom en djupare och bredare kunskap. En förbättrad kunskap kring ämnet kan ge upphov till äldre personer att få en bra personcentrerad vård där lidandet kan undvikas. / Title: Elderly people's experiences living with depression - A literature review Background: Depression is a common neurological disability and elderly people are particularly vulnerable. Nurses come into contact with elderly people with depression as they often seek care. Many older people experience insufficient care, stigma and loneliness. It is important as a nurse to have knowledge and take into account the elderly's experience of depression to avoid suffering. Aim: The aim of the study is to describe older people's experience of living with depression. Method: The literature review is based on thirteen articles with qualitative design. Friberg's five-step model was used for analysis of the articles. The literature study has an inductive approach. Result: Presented in two main headings, affiliation and barriers. Each heading has three subheadings. The results showed that the elderly experienced a struggle against loneliness and a feeling of being a burden to their surroundings. Stigmatization occurred in the elderly's environment and in healthcare. Negative feelings such as shame and guilt were common. Conclusion: Elderly people with depression experienced changes in life, both physical and mental. Healthcare professionals need to have an increased understanding and knowledge of the subject depression. It is an area that can be prevented through a deeper and broader knowledge. An improved knowledge of the subject can give rise to older people to receive a good person-centered care where suffering can be avoided.

Bakgrund Den åldrande befolkningen i Sverige ställer idag högre krav på kvaliteten inom äldreomsorgen. Delaktighet har identifierats som en nyckelfaktor för att förbättra vårdkvaliteten, arbeta personcentrerat och främja de äldres välbefinnande. Syfte Syftet med studien var att beskriva sjuksköterskors och äldre personers erfarenheter av delaktighet i omvårdnaden inom äldreomsorgen. Metod Studien baserades på en systematisk litteraturöversikt där befintlig forskning om ämnet analyserats och ett nytt resultat framställts. Resultat Resultatet visade på att både sjuksköterskor och de äldre värderade delaktighet högt inom vårdandet. Det framkom två huvudkategorier vilket var; vårdmöte och individanpassad omvårdnad. Dessa huvudkategorier indikerar på att resultatet både innehöll hinder som exempelvis brist på tid och resurser men även förhållningssätt som främjade delaktighet, exempelvis individanpassad vård. Slutsats Sammanfattningsvis visade arbetet på att det finns ett ytterligare behov av utbildning hos sjuksköterskor inom området delaktighet och organisatoriska förändringar som kan främja delaktighet i den individanpassade vården hos de äldre. Där utveckling inom området kan ge möjlighet för sjuksköterskan att kunna arbeta utifrån ett personcentrerat förhållningssätt där de äldres önskemål och preferenser står i centrum för att förbättra deras livskvalitet och välbefinnande. / Background The aging population in Sweden currently imposes higher demands on the quality of elderly care. Participation has been recognized as a crucial factor for enhancing the quality of care, working in a person-centered manner, and promoting the well-being of the elderly. Aim The aim of the study was to describe the experiences of nurses and elderly individuals regarding participation in nursing care within elderly care services. Method The study is based on a systematic literature review where existing research on the subjectis analyzed, and new findings are produced. Results The findings indicated that both nurses and the elderly highly valued participation in care. Two main categories emerged: care meetings and individualized care. These main categories suggest that the results included both barriers, such as a lack of time and resources, and approaches that promoted participation, such as individualized care. Conclusions In summary, the work demonstrated that there is an additional need for education among healthcare personnel in the field of participation and organizational changes that can promote individualized care for the elderly. Development in the field can provide the opportunity for nurses to work from a person-centered approach where the elderly's wishes and preferences are central to improving their quality of life and well-being.

Made available in DSpace on 2016-04-27T18:47:38Z (GMT). No. of bitstreams: 1 Ilza Maria Trabachin de Almeida Ferraz.pdf: 805673 bytes, checksum: bf4cc300991a1c7db7eef2cac0817abb (MD5) Previous issue date: 2010-05-07 / This research presents the results of the research about the experiences of the elderly who are included in the Family Health Program by analyzing what they think about their experiences in old age, in the personal and social aspects. It was used the qualitative approach, through interviews with sixteen elderly, participating in a group of integral health and which are inserted in the Family Health Program of Várzea Grande. The instruments for data collection consisted of a semi-structured interview, containing thematic issues related to the aims of the research, in order to understand how the elderly experience the old in their daily lives. Data analysis was thus based on the categorization of statements, comprising: the meaning of the old age, the relationship with the family and the community, the health and services offered in the community. The results indicate that the experiences of the elderly are characterized as processes of rupture and reconstruction, which are developed according to their individual and collective capacities. By knowing the universe of the elderly, it was possible to identify some aspects of daily practice, and their ideas about the meaning of life. Research on the topic aging and their experience showed that it is necessary to expand the health services, especially those in the Health Care Unity, and the networks of formal and informal services to meet the demands of this population segment with quality / Esta dissertação apresenta os resultados do estudo realizado sobre as vivências do cotidiano dos velhos que estão inseridos no Programa de Saúde da Família analisando o que pensam acerca de suas experiências na velhice, no âmbito pessoal e social. Utilizouse da abordagem da pesquisa qualitativa, sendo entrevistados dezesseis idosos, que participam de um grupo de saúde integral e que estão inseridos no Programa de Saúde da Família do município de Várzea Grande- MT. Os instrumentos para a coleta de dados constituíram-se de um roteiro semi-estruturado, contendo questões temáticas relativas aos objetivos da pesquisa, a fim de entender como o idoso vivencia a velhice em seu cotidiano. A análise dos dados se pautou na categorização dos depoimentos, contemplando: significados da velhice; a relação com a família a comunidade; saúde e serviços oferecidos na comunidade. Os resultados obtidos indicam que as vivências dos idosos se caracterizam como processos de rupturas e reconstruções, sendo estes desenvolvidos de acordo com suas capacidades individuais e coletivas. Ao conhecer o universo desses idosos, foi possível identificar alguns aspectos da prática cotidiana, e suas idéias sobre o sentido da vida. A investigação sobre o tema velhice e suas vivências mostrou que é necessário ampliar os serviços de saúde, sobretudo os da Unidade Básica de Saúde, e as redes de serviços formal e informal para atender com qualidade as demandas deste segmento da população