Abstract:
BACKGROUND:Perioperative care in hip fracture patients with dementia can be complex. There is currently little scientific evidence on how care should be undertaken. AIMS:The aim of the study was to describe the experience of anaesthesia nurses of the difficulties that emerge in care situations and how communication with patients can be maintained in the perioperative setting of hip fracture surgery. METHODS:Individual interviews were conducted with ten anaesthesia nurses (5 men and 5 women). The interviews were carried out at a university hospital in Gothenburg (Sweden), and the data were analysed using qualitative content analysis. FINDINGS:Three main response categories were discerned: 'Communication', 'Dementia as a special issue' and 'Practical issues'. Dementia was viewed as one of the most difficult and shifting diseases an individual may suffer from. Time must be allocated to communicate clearly and patiently, to meticulously plan and carry out care while providing distinct information to enable patient participation. Establishing a mental bridgehead by confirming the patients' perceptions/feelings significantly reduced distress in a majority of the patients. A holistic and respectful approach was deemed mandatory at all times. Patients are sometimes dependent on recognition, so that small personal items brought close to the patient during surgery can calm the patient. State-of-the-art analgesia and anxiolytic medications are mandatory. CONCLUSIONS:Perioperative problems can be overcome with patience, empathy and profound knowledge of how patients with dementia respond prior to surgery. Our results may serve as a source for future care and provide information about hospital settings for better perioperative care in patients with dementia.
journal_name
Scand J Caring Scijournal_title
Scandinavian journal of caring sciencesauthors
Krupic F,Eisler T,Sköldenberg O,Fatahi Ndoi
10.1111/scs.12226subject
Has Abstractpub_date
2016-03-01 00:00:00pages
99-107issue
1eissn
0283-9318issn
1471-6712journal_volume
30pub_type
杂志文章abstract:BACKGROUND:Patients with cancer experience side effects related to their antineoplastic treatment. Demands for efficiency limit the time patients spend with health professionals. This requires that professionals are able to offer adequate support to patients in coping with side effects of treatment in everyday life. Ho...
journal_title:Scandinavian journal of caring sciences
pub_type: 杂志文章
doi:10.1111/j.1471-6712.2012.01085.x
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Patients' decisional control over care is the ability or power for patients to decide what their involvement will be in healthcare decisions. There is evidence of limited agreement between the perceptions of patients and the perceptions of nurses and/or caregivers with regard to the degree of patient involve...
journal_title:Scandinavian journal of caring sciences
pub_type: 杂志文章,多中心研究
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journal_title:Scandinavian journal of caring sciences
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journal_title:Scandinavian journal of caring sciences
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abstract:OBJECTIVE:To explore patients' perceptions of their pain while participating in a weekly yoga program. METHODS:A consecutive convenience sample was recruited from a Multidisciplinary Pain Centre. Seven adult patients (six women), agreed to participate in an 8-week Hatha yoga program, including weekly group sessions an...
journal_title:Scandinavian journal of caring sciences
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journal_title:Scandinavian journal of caring sciences
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更新日期:2017-09-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
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journal_title:Scandinavian journal of caring sciences
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journal_title:Scandinavian journal of caring sciences
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journal_title:Scandinavian journal of caring sciences
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更新日期:2011-12-01 00:00:00
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更新日期:2020-12-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
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更新日期:2012-12-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
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更新日期:1997-01-01 00:00:00
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更新日期:2015-06-01 00:00:00
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更新日期:2001-01-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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更新日期:2019-03-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2005-09-01 00:00:00
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更新日期:1992-01-01 00:00:00
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更新日期:2013-06-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
pub_type: 杂志文章,评审
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更新日期:2019-12-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
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更新日期:1995-01-01 00:00:00
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更新日期:2002-06-01 00:00:00
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journal_title:Scandinavian journal of caring sciences
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journal_title:Scandinavian journal of caring sciences
pub_type: 杂志文章
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更新日期:1989-01-01 00:00:00
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更新日期:2011-09-01 00:00:00