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
Published in : International Journal of Palliative Nursing
Volume(Issue) : 22
Issue : 2
Pages : 68
Pages to: 75
Publisher / Ed. Institution : Mark Allen Group
Issue Date: 29-Feb-2016
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : End-of-life care; Demetia; Decision-making; Symptom control
Subject (DDC) : 362: Health and social services
Abstract: Background: Alleviating symptoms, fulfilling psychosocial needs, and the inclusion of family are among the criteria that determine care quality in palliative treatment. The care quality is especially inadequate for people with dementia (PwD) at the end of life. To improve this, it is necessary to understand the process of nurses’ clinical decision-making in symptom management in the terminal phase of PwD. Aim: The aim of the study was to examine the decision-making process of symptom management for PwD in nursing homes in their terminal phase of life. Design: A qualitative design was chosen with a constructivist approach. Individual interviews were conducted with nurses (n=32) in four Swiss nursing homes. Results: ‘Recount and reflect’ plays a vital role in the care of PwD in terminal phase, enabling symptom recognition and facilitating symptom management. A process of thinking during the course of action enables nursing staff members to understand what, when, and how symptom changes have taken place. Conclusion: Highly-trained nurses need to support health care assistants through counselling, coaching, and leadership to help reduce the symptom burden experienced by PwD. Relatives are necessary to maintain an exchange of ideas regarding the appropriate treatment to reduce symptom burden.
Departement: Gesundheit
Publication type: Article in scientific Journal
DOI : 10.12968/ijpn.2016.22.2.68
ISSN: 1357-6321
URI: https://digitalcollection.zhaw.ch/handle/11475/3943
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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