Bakgrund: Antalet personer som lever med en demenssjukdom i Sverige är uppskattningsvis mellan 110 000 till 170 000. Den verbala och ickeverbala kommunikationen är betydelsefull för att möta denna grupp av personer i samspelet och i vårdandet. Svårigheter att förstå och tolka personen med demenssjukdomen komplicerar omvårdnadssituationen vilket gör att kommunikationen blir till en utmaning för vårdaren. Syfte: Syftet var att beskriva vårdares kommunikation med personer med demenssjukdom. Metod: En litteraturöversikt genomfördes där åtta artiklar söktes fram genom att använda kombinerade sökord. Analysen genomfördes med hjälp av Fribergs metodbeskrivning över analys vid litteraturöversikt där fokus låg på att skapa en översikt över den aktuella befintliga forskningen. Resultat: I litteraturöversikten identifierades tre teman: Kommunikationens betydelse i omvårdnadssituationen berörde hur verbal och icke verbal kommunikation ökade förståelsen för personen, Kommunikationens betydelse i bekräftande omvårdnad berörde hur vårdarens följsamhet för personens känsla av verklighet präglade omvårdnadssituationen och Kommunikationens betydelse för det relationsskapande vårdandet berörde hur individuellt anpassad omvårdnad påverkade samspelet med personen. Diskussion: Diskussionen fördjupade sig kring ämnena Relationens betydelse i vårdandet, vårdares kompetens och kunskap och kommunikationsstrategier som en omvårdnadsåtgärd, samt återkopplade till Feils teori om validationsmetoden och det vårdvetenskapliga konsensusbegreppet vårdande. / Background: The number of persons with dementia disease in Sweden is approximately between being around 110 000 – 170 000. The verbal and non-verbal communication is important to meet this group of people while interacting and caring for this group. Difficulties in understanding and interpreting persons with dementia complicate the care situation, which means that communication becomes a challenge for the caregiver. Aim: The objective was to describe carers’ communication with persons with dementia disease. Method: A literature review was conducted in which eight articles were sought through the use of combined keywords such as carer, communication and dementia. The analysis was conducted using the method of literature reviews described by Friberg which focused on creating an overall summarization of the existing research. Results: The literature review identified three different main themes: The importance of communication that involves verbal and nonverbal communication and its effects in the interaction with the person. The importance of communication in confirming nursing involves how the effect of knowledge of the person’s lifeworld characterized nursing situations. The importance of communication when creating caring relationships involved how individually adapted caring actions effected interactions with the person. Discussion: The discussion focused on the topics: the meaning of the caring relationship, the knowledge and competence of the carer, and communication strategies as a caring action. It also made connections to Feil’s theory on validation and the common nursing concept of caring.

<p>The purpose of our study has been to examine the methods of validation and reminiscences from an employee point of view. To answer our aim a qualitative disquisition with four assistant nurses and one pedagogue in craft was conducted. The result was divided into three different themes: the view on people with dementia, merits and demerits with the methods and to work with people with dementia. The analysis of the result was made from selected parts of the system theory and symbolic interaction theory.</p><p>The result of our disquisition can be summarized in that all our interviewed persons above all only can see advantages with the methods and several express that they are good tools to use in their work with people with dementia. The majority of our interviewed persons make use of the methods in everyday, spontaneous, meetings with the elderly. Everyone mentions the workgroup as an important factor in the work with the validation and reminiscence methods. Some experience a support in their work from their colleagues while others feel themselves being impeded.</p>

The purpose of our study has been to examine the methods of validation and reminiscences from an employee point of view. To answer our aim a qualitative disquisition with four assistant nurses and one pedagogue in craft was conducted. The result was divided into three different themes: the view on people with dementia, merits and demerits with the methods and to work with people with dementia. The analysis of the result was made from selected parts of the system theory and symbolic interaction theory. The result of our disquisition can be summarized in that all our interviewed persons above all only can see advantages with the methods and several express that they are good tools to use in their work with people with dementia. The majority of our interviewed persons make use of the methods in everyday, spontaneous, meetings with the elderly. Everyone mentions the workgroup as an important factor in the work with the validation and reminiscence methods. Some experience a support in their work from their colleagues while others feel themselves being impeded.

With examples from a single classroom situation, several educational moments show what goes on between the teacher and the student. The teacher’s responsibility in the learning process is, with a gesture frozen in the air of the moment, to lead and follow the student in her tentative efforts at seeking knowledge. Initially, it is an attempt to shed light upon the "not yet seen" with a certainty that the student herself possesses the capacity and the aptitude to reach greater insight and clarity in her understanding. The Validation/Feil Method presented in this instructional situation illustrates how best to communicate with elderly people suffering from Alzheimer’s dementia. This essay examines thoughts, reflections and somewhat deeper studies concerning the importance of the moment, or rather the various moments that appear along our journey. From this wandering, the importance of being open-minded, spontaneous and perceptive come to light as well as new concepts such as improvisation and lingering along the way. The art of perceiving is enhanced by concepts such as reading and intuition with the help and support of earlier philosophical tradition, primarily Aristotle’s various forms of knowledge and Hans-Georg Gadamer with his work within the hermeneutic tradition. The author also offers an example of knowledge and learning which, taken together, display the importance of being aware of the body of knowledge incorporated in the area of Practical Knowledge. This is one way of gaining understanding in harmony with others of existing reality and of life itself.