| Publication type: | Conference poster |
| Type of review: | Not specified |
| Title: | Decision-making in caring for people with dementia at the end of life in nursing homes |
| Authors: | Koppitz, Andrea Luise Bosshard, Georg Kipfer, Stephanie Imhof, Lorenz |
| Conference details: | 68th Annual Scientific Meeting of The Gerontological Society of America, Orlando, USA, 18-22 November 2015 |
| Issue Date: | Nov-2015 |
| Language: | English |
| Subject (DDC): | 362: Health and social services |
| Abstract: | Background: In the day to day, nursing home residents with dementia do not always receive optimal care. The quality of care for these people may be especially inadequate at the end of life. To improve the level of care, there is a need to understand the process of nurses’ clinical decision-making in symptom management in the terminal phase of people with dementia.Aim: The aim of the study was to examine the decision-making process around symptom management for people with dementia in nursing homes in the terminal phase of life. Research Method: A qualitative design was chosen with a constructivist approach according to Charmaz. Individual interviews were conducted with nurses (n=32) in four Swiss nursing homes. Research Results: “Making sense“ of “changes within change“ plays a vital role in the care of people with dementia in the terminal phase, enabling symptom recognition and facilitating symptom management. Through a complicated process of interpretation or “finding out“, an understanding is reached of what, when and how changes have taken place. This process requires a continuous recounting and reflection of perceptions and observations. Highly-trained nurses are needed to help reduce the symptom burden experienced by people with dementia by supporting nursing staff through counseling, coaching and leadership. To optimize symptom management, nursing staff need opportunities for learning and discussion in order to explain changes, to develop courses of action and to allow for collective use of knowledge. |
| Further description: | The abstract of this poster has been published in The Gerontologist, Volume 55, Issue Suppl_2, November 2015, Page 80, https://doi.org/10.1093/geront/gnv471.03 |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/3942 |
| Fulltext version: | Published version |
| License (according to publishing contract): | Licence according to publishing contract |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Nursing (IPF) |
| Published as part of the ZHAW project: | Pain Intervention for people with dementia in nursing homes (PID) |
| Appears in collections: | Publikationen Gesundheit |
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Koppitz, A. L., Bosshard, G., Kipfer, S., & Imhof, L. (2015, November). Decision-making in caring for people with dementia at the end of life in nursing homes. 68th Annual Scientific Meeting of the Gerontological Society of America, Orlando, USA, 18-22 November 2015.
Koppitz, A.L. et al. (2015) ‘Decision-making in caring for people with dementia at the end of life in nursing homes’, in 68th Annual Scientific Meeting of The Gerontological Society of America, Orlando, USA, 18-22 November 2015.
A. L. Koppitz, G. Bosshard, S. Kipfer, and L. Imhof, “Decision-making in caring for people with dementia at the end of life in nursing homes,” in 68th Annual Scientific Meeting of The Gerontological Society of America, Orlando, USA, 18-22 November 2015, Nov. 2015.
KOPPITZ, Andrea Luise, Georg BOSSHARD, Stephanie KIPFER und Lorenz IMHOF, 2015. Decision-making in caring for people with dementia at the end of life in nursing homes. In: 68th Annual Scientific Meeting of The Gerontological Society of America, Orlando, USA, 18-22 November 2015. Conference poster. November 2015
Koppitz, Andrea Luise, Georg Bosshard, Stephanie Kipfer, and Lorenz Imhof. 2015. “Decision-Making in Caring for People with Dementia at the End of Life in Nursing Homes.” Conference poster. In 68th Annual Scientific Meeting of the Gerontological Society of America, Orlando, USA, 18-22 November 2015.
Koppitz, Andrea Luise, et al. “Decision-Making in Caring for People with Dementia at the End of Life in Nursing Homes.” 68th Annual Scientific Meeting of the Gerontological Society of America, Orlando, USA, 18-22 November 2015, 2015.
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