Global ETD Search

1	Vårdpersonalens upplevelser och utmaningar i demensvården Lindh, Therese, Frykvall, Jessica January 2017 (has links) Aim: To describe staffs experiences of challenges when nursing people with dementia and BPSD. Design: A qualitative study with interviews of focus groups. Eleven persons from two nursing homes in the north of Sweden were interviewed. Results: The analysis emerged into three categories that describes staffs experiences and challenges: To aim for seeing the person behind the illness, the importance of colleagues, it is difficult to be sufficient. Staff wanted to meet the person behind the dementia but meet difficulties in their work. The staff had a demanding job and faced challenges as an effect of not giving the right care that the staff wanted to give. The consequence of this was stress and bad conscience. The result marked the importance of having colleagues to communicate with, who wants to work in a team and after the same goals. Conclusion: The challenges in nursing care of people with dementia and BPSD are many. Superiors can learn from these difficulties to provide staff what they need to give person centered care to people with dementia and BPSD. That can lead to more job satisfaction among healthcare staff so they can keep on taking care of the people who needs them. / Syfte: Att beskriva vårdpersonalens upplevelser av utmaningar i stödet av personer drabbade av demenssjukdom och BPSD Design: En kvalitativ intervjustudie i fokusgrupper. Totalt intervjuades elva personer från två vård- och omsorgsboenden i Norrbotten. Resultat: Analysen resulterade i tre kategorier som beskriver personalens upplevelser och utmaningar: Att vilja möta personen bakom sjukdomen, Att behöva sina kollegor, Att det är svårt att räcka till. Personal strävade efter att möta personen bakom sjukdomen men mötte olika hinder i sitt arbete. Flera krav på personalen belystes samtidigt som resultatet visade på konsekvenserna av att inte kunde erbjuda den vård eller det bemötande personalen ville ge. Detta ledde till stress och dåligt samvete. Resultatet visade vilken betydelse kollegor hade i arbetet gällande kommunikation, teamarbete och att arbeta efter samma mål. Slutsatser: Resultatet visade att utmaningarna i omvårdnaden av personer med demenssjukdom och BPSD är många. Genom att som arbetsledare ta del av dessa svårigheter kan de ge vårdpersonal de förutsättningar som krävs för personcentrerad vård till personer med demenssjukdom och BPSD. På så vis kan förhoppningsvis fler som arbetar med personer med demens vara nöjda med sitt arbete och fortsätta ta hand om de människor som behöver dem på bästa sätt. staff well-being persons with dementia person-centered care ethics challenges vårdpersonal välbefinnande personer med demens personcentrerad omvårdnad etik utmaningar
2	Patient participation in everyday life in special care units for persons with dementia Helgesen, Ann Karin January 2013 (has links) The aim of this thesis was to acquire knowledge about patient participation in everyday life of persons with dementia living in SCUs in nursing homes. Data collection and analysis in studies I-III was carried out according to Grounded Theory. Data was collected by open non- participant observations during 51 hours, and conversations with 8 residents and 17 health care personnel (I), interviews carried out twice with 12 relatives (II) and 11 nursing personnel (III), and by a study specific questionnaire based on the findings from study I-II to 233 relatives (IV). Descriptive and non-parametric statistics were used (IV). Presence of nursing personnel in body, mind and morality was found to be the prerequisite for patient participation (I). This required personnel with high competence in dementia care, commitment to and interest in the resident, and continuity in their work (I, III). Wellbeing and dignity in the resident’s everyday life was found to be the most important goal, not necessarily a high level of patient participation (II-III). The level of participation had to be adjusted to the resident’s ability and wish to take part in decisions in the very moment. However, the level was often primarily adjusted to suit the personnel’s ideas about how to carry out daily care (I, III). Relatives had an important role in the participation process by interacting, and exchanging information, with the personnel. By forming a basis for individualised care in this way, relatives made a difference to the resident’s everyday life and contributed to their wellbeing and dignity (II-IV). The SCU’s context also affected patient participation (I-IV). Patient participation must be given attention by leaders and be prioritised in dementia care. Nursing personnel can enhance patient participation by promoting relatives’ partaking in the participation process, as this has potential for further contributing to quality of care. Patient participation dementia relatives nursing personnel grounded theory cross-sectional Nursing Omvårdnad
3	Måltidsmiljöns betydelse för personer med demenssjukdom på äldreboenden : En allmän litteraturöversikt Novakovic, Gabriel, Paxinos, Alexandros January 2024 (has links) Bakgrund: Personer med demenssjukdom lider av kognitiva, minnes- och fysiska försämringar under sitt tillstånd, vilket ofta leder till malnutrition och försämrad hälsa. Måltidsmiljön är en viktig bidragande orsak till måltidsupplevelsen för personer med demenssjukdom eftersom de upplever måltiderna annorlunda än andra människor. Måltidsmiljöns egenskaper har rapporterats orsaka frustration och känslor av avhumanisering för personer med demenssjukdom som bor på äldreboende, vilket ofta har lett till minskat matintag, malnutrition och försämrad hälsa. Syfte: Att beskriva faktorer i måltidsmiljön som påverkar måltidsupplevelsen hos personer med demenssjukdom. Metod: En allmän litteraturöversikt av tolv vårdvetenskapliga artiklar, åtta av kvalitativ ansats och fyra av kvantitativ ansats. Resultat: Fyra huvudteman identifierades: 1) Audiovisuell stimulans genom matsalsdekorationer, tallrik, redskap och bordsorganisation, samt bakgrundsmusik, 2) Sociala interaktioner mellan personer med demenssjukdom och deras kamrater, vårdpersonalen, och anhöriga, 3) Matens karaktär, uttryckt av arom, presentation, konsistens och smak, och 4) Kulturell betydelse av maten och hur den inspirerar känslor av tillhörighet samt goda minnen. Slutsats: Faktorer i måltidsmiljön såsom färger, bakgrundsmusik, aromer, sociala interaktioner mellan deltagare under måltiden, presentation och konsistens av mat samt tillgången på traditionell mat visade sig vara mycket bidragande till personcentrerad vård av personer med demenssjukdom vilket främjade deras hälsa. / Background: Persons with dementia suffer from cognitive, memory, and physical impairments over the course of their condition, which often leads to malnutrition and worsening of their health. The meal environment is an important contributor to the meal experience of persons with dementia since they experience mealtimes differently than other people. The characteristics of the meal environment have been reported to cause frustration and feelings of dehumanization for persons with dementia who reside in nursing homes, which has often led to decreased food intake, malnutrition, and worsened health. Aim: To describe factors in the meal environment that affect the meal experience for persons with dementia. Methods: A general literature review of 12 caring science articles, eight of qualitative design and four of quantitative design. Results: Four main themes were identified. 1) Audiovisual stimulation through dining room decorations, plate, utensil, and table organization, as well as background music, 2) Social interactions between persons with dementia and their peers, the staff, and their relatives, 3) Character of the food expressed by the aroma, presentation, texture, and flavor, and 4) Cultural significance of the food and how it inspires feelings of belonging, as well as good memories. Conclusion: Factors in the meal environment, such as colors, background music, aromas, social interactions between participants in the mealtime, presentation, and texture of the food, as well as availability of traditional food were shown to be very contributive to the person-centered care of persons with dementia, and to promote their health. Keywords: literature review, malnutrition, meal environment, person-centered care, persons with dementia. literature review malnutrition meal environment person-centered care persons with dementia litteraturöversikt malnutrition måltidsmiljö personcentrerad vård personer med demenssjukdom Medical and Health Sciences Medicin och hälsovetenskap
4	From the "rising tide" to solidarity: disrupting dominant crisis discourses in dementia social policy in neoliberal times MacLeod, Suzanne 26 March 2014 (has links) As a social worker practising in long-term residential care for people living with dementia, I am alarmed by discourses in the media and health policy that construct persons living with dementia and their health care needs as a threatening “rising tide” or crisis. I am particularly concerned about the material effects such dominant discourses, and the values they uphold, might have on the collective provision of care and support for our elderly citizens in the present neoliberal economic and political context of health care. To better understand how dominant discourses about dementia work at this time when Canada’s population is aging and the number of persons living with dementia is anticipated to increase, I have rooted my thesis in poststructural methodology. My research method is a discourse analysis, which draws on Foucault’s archaeological and genealogical concepts, to examine two contemporary health policy documents related to dementia care – one national and one provincial. I also incorporate some poetic representation – or found poetry – to write up my findings. While deconstructing and disrupting taken for granted dominant crisis discourses on dementia in health policy, my research also makes space for alternative constructions to support discursive and health policy possibilities in solidarity with persons living with dementia so that they may thrive. / Graduate / 0452 / 0680 / 0351 / macsuz@shaw.ca social determinants of health social exclusion crisis discourse Alzheimer's Alzheimer Society of Canada Suzanne MacLeod Susan Strega Donna Jeffery poststructural poststructuralism admission to long-term care funding for long-term care acute care aging demographic BC Psychogeriatric Association biomedical British Columbia Canada Health Act collective social responsibility competition corporate profit corporatization deresponsibilization elder friendly elderly citizens family caregivers Foucault found poetry genealogy of power knowledge incompetent Ministry of Health moral economics pharmaceutical bed blocker stigmatized tsunami absent-person action plan aging population alternative discourse apocalyptic demography appropriate archaeology archaeology of knowledge archaeological British Columbia burden Canada caregiver charity charitable collective collective car community community care condition of possibility conditions of possibility corporate counter-discourse dementia dementia care dementia policy dementia social policy dependent depoliticize discourse discourse analysis disruptive discourse economic burden economics economy elder emergency epidemic exclusion fear-monger Foucauldian found poem genealogy genealogical health authority health care health care staff health care system health policy document healthy lifestyle home and community care homogenization homogenize hospital imaginaries imaginary incapable individual responsibility individualism knowledge long-term care material effect materiality of discourse media moral panic national strategy neoliberal neoliberalism neoliberal rationality not prepared object objectification other person-centered people living with dementia person living with dementia persons living with dementia person with dementia poem poetic representation poetry policy policies political politics power power knowledge power relations private privatize privatization productivity of dominant discourse public health care residential care resistance responsibility responsibilization rising tide safety net shift costs to caregivers responsibility social policy imaginary social well-being social work social worker solidarity specialized stakeholder state stigma subject matter expert taxpayer threat unprepared unproductive voluntary volunteer wait time wave social policy
5	From the "rising tide" to solidarity: disrupting dominant crisis discourses in dementia social policy in neoliberal times MacLeod, Suzanne 26 March 2014 (has links) As a social worker practising in long-term residential care for people living with dementia, I am alarmed by discourses in the media and health policy that construct persons living with dementia and their health care needs as a threatening “rising tide” or crisis. I am particularly concerned about the material effects such dominant discourses, and the values they uphold, might have on the collective provision of care and support for our elderly citizens in the present neoliberal economic and political context of health care. To better understand how dominant discourses about dementia work at this time when Canada’s population is aging and the number of persons living with dementia is anticipated to increase, I have rooted my thesis in poststructural methodology. My research method is a discourse analysis, which draws on Foucault’s archaeological and genealogical concepts, to examine two contemporary health policy documents related to dementia care – one national and one provincial. I also incorporate some poetic representation – or found poetry – to write up my findings. While deconstructing and disrupting taken for granted dominant crisis discourses on dementia in health policy, my research also makes space for alternative constructions to support discursive and health policy possibilities in solidarity with persons living with dementia so that they may thrive. / Graduate / 0452 / 0680 / 0351 / macsuz@shaw.ca social determinants of health social exclusion crisis discourse Alzheimer's Alzheimer Society of Canada Suzanne MacLeod Susan Strega Donna Jeffery poststructural poststructuralism admission to long-term care funding for long-term care acute care aging demographic BC Psychogeriatric Association biomedical British Columbia Canada Health Act collective social responsibility competition corporate profit corporatization deresponsibilization elder friendly elderly citizens family caregivers Foucault found poetry genealogy of power knowledge incompetent Ministry of Health moral economics pharmaceutical bed blocker stigmatized tsunami absent-person action plan aging population alternative discourse apocalyptic demography appropriate archaeology archaeology of knowledge archaeological British Columbia burden Canada caregiver charity charitable collective collective car community community care condition of possibility conditions of possibility corporate counter-discourse dementia dementia care dementia policy dementia social policy dependent depoliticize discourse discourse analysis disruptive discourse economic burden economics economy elder emergency epidemic exclusion fear-monger Foucauldian found poem genealogy genealogical health authority health care health care staff health care system health policy document healthy lifestyle home and community care homogenization homogenize hospital imaginaries imaginary incapable individual responsibility individualism knowledge long-term care material effect materiality of discourse media moral panic national strategy neoliberal neoliberalism neoliberal rationality not prepared object objectification other person-centered people living with dementia person living with dementia persons living with dementia person with dementia poem poetic representation poetry policy policies political politics power power knowledge power relations private privatize privatization productivity of dominant discourse public health care residential care resistance responsibility responsibilization rising tide safety net shift costs to caregivers responsibility social policy imaginary social well-being social work social worker solidarity specialized stakeholder state stigma subject matter expert taxpayer threat unprepared unproductive voluntary volunteer wait time wave social policy

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