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Acute care management of older people with dementia: a qualitative perspective

Author

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  • Wendy Moyle
  • Sally Borbasi
  • Marianne Wallis
  • Rachel Olorenshaw
  • Natalie Gracia

Abstract

Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi‐structured audio‐taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well‐being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence‐based approach. Staff education and environmental resources may improve the current situation so that people with dementia receive care that takes into account their individual needs and human dignity. Relevance to clinical practice. Nurses can assist older people with dementia by encouraging evidence‐based care practices to become the part of hospital policy.

Suggested Citation

  • Wendy Moyle & Sally Borbasi & Marianne Wallis & Rachel Olorenshaw & Natalie Gracia, 2011. "Acute care management of older people with dementia: a qualitative perspective," Journal of Clinical Nursing, John Wiley & Sons, vol. 20(3‐4), pages 420-428, February.
  • Handle: RePEc:wly:jocnur:v:20:y:2011:i:3-4:p:420-428
    DOI: 10.1111/j.1365-2702.2010.03521.x
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    Citations

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    Cited by:

    1. Kaisa Kinnunen‐Luovi & Reetta Saarnio & Arja Isola, 2014. "Safety incidents involving confused and forgetful older patients in a specialised care setting – analysis of the safety incidents reported to the HaiPro reporting system," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(17-18), pages 2442-2450, September.
    2. Nina Hynninen & Reetta Saarnio & Arja Isola, 2015. "Treatment of older people with dementia in surgical wards from the viewpoints of the patients and close relatives," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(23-24), pages 3691-3699, December.
    3. Philip Clissett & Davina Porock & Rowan H Harwood & John RF Gladman, 2014. "The responses of healthcare professionals to the admission of people with cognitive impairment to acute hospital settings: an observational and interview study," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(13-14), pages 1820-1829, July.
    4. Anita Nilsson & David Edvardsson & Carole Rushton, 2019. "Nurses’ descriptions of person‐centred care for older people in an acute medical ward—On the individual, team and organisational levels’," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1251-1259, April.
    5. Robin Digby & Susan Lee & Allison Williams, 2017. "The experience of people with dementia and nurses in hospital: an integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1152-1171, May.
    6. Melanie Burgstaller & Hanna Mayer & Cornel Schiess & Susi Saxer, 2018. "Experiences and needs of relatives of people with dementia in acute hospitals—A meta‐synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 502-515, February.
    7. Robin Digby & Susan Lee & Allison Williams, 2018. "The liminality of the patient with dementia in hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 70-79, January.
    8. Laura Parra-Anguita & Francisco P. García-Fernández & Rafael del-Pino-Casado & Pedro L. Pancorbo-Hidalgo, 2019. "Knowledge about the Care of People with Alzheimer’s Disease of the Nursing Staff of Nursing Homes in Spain," IJERPH, MDPI, vol. 16(24), pages 1-12, December.

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