3/10/2023 0 Comments Sta je expert bundle![]() ![]() However, resistance to care was typically a response to ward organisation and delivery of care and was typically rational to that person’s present ontology and perceptions. Ward staff typically interpreted resistance as a feature of a dementia diagnosis, which overshadowed the person. Limitations identified included the potential for the Hawthorne or researcher effect to influence data collection and establishing the generalisability of findings. Every person living with dementia observed within an acute hospital ward resisted care at some point during their admission. We identified high levels of resistance to care among people living with dementia within acute hospital wards. Ten detailed case studies were also undertaken with people living with dementia. In addition to general observations, 155 participants took part directly in this study, contributing to 436 ethnographic interviews. This ethnography was carried out on 155 days (over 18 months) in 10 wards within five hospitals across England and Wales, which were purposefully selected to represent a range of hospital types, geographies and socioeconomic catchments. ![]() In-depth evidence-based analysis of everyday care enabled us to understand how ward staff responded to the care needs of people living with dementia and to follow the consequences of their actions. This ethnography was informed by the symbolic interactionist research tradition, focusing on understanding how action and meaning are constructed within a setting. Our research questions were ‘How do ward staff respond to resistance to everyday care by people living with dementia being cared for on acute hospital wards?’ and ‘What is the perspective of patients and their carers?’. ![]() The focus of this study was a common but poorly understood phenomenon within the acute setting: refusal and resistance to care. Detailed research is required to understand the role and needs of health-care staff caring for this patient population and to explore what constitutes ‘good care’ for people living with dementia within the acute setting. Following an acute admission, their functional abilities can deteriorate quickly and significantly. However, people living with dementia are a highly vulnerable group within the hospital setting. The Department of Health and Social Care recognises that as many as one in four acute hospital beds in the UK will be occupied by a person living with dementia at any given time. The acute hospital setting has become a key site of care for people living with dementia. In future much more interventions and a huge amount of additional It turned out that the reported interventions are just the first steps to adequately Strategic interventions in Gütersloh report on their experiences as well as possible challenges. This publication focuses on discussion of possible strategies to reduce theseįrequently observed complications during hospitalization of patients with dementia.įurthermore nurses and physicians having been involved in the implementation of these Patients suffering from dementia require specific attention to avoid the development ofĭelirium as well as undesirable behavioral or psychological symptoms caused by hospitalization. Situation und in der Zukunft weitere Interventionen und Forschungen notwendig sind. Es zeigt sich, dass die Umsetzungen nur erste Schritte zur Bewältigung dieser Von Ihren Erfahrungen und möglichen Herausforderungen bei der Umsetzung dieser Danebenīerichten Pflegende und Ärzte, die mit diesen Interventionen in Gütersloh arbeiten, Zur Reduktion dieser alltäglichen Komplikationen aufgezeigt. Im vorliegenden Artikel werden mögliche Interventionsstrategien ![]() Vor allem aufgrund von Komplikationen wie dem Delir und ungewohnten Verhaltensweisen Im Krankenhaus sind die Menschen mit Demenz eine besonders vulnerable Klientel, die ![]()
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