| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| 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 |
| DOI: | 10.12968/ijpn.2016.22.2.68 |
| Published in: | International Journal of Palliative Nursing |
| Volume(Issue): | 22 |
| Issue: | 2 |
| Page(s): | 68 |
| Pages to: | 75 |
| Issue Date: | 29-Feb-2016 |
| Publisher / Ed. Institution: | MA Healthcare |
| ISSN: | 1357-6321 |
| 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. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/3943 |
| Fulltext version: | Published version |
| License (according to publishing contract): | Licence according to publishing contract |
| Departement: | School of Health Sciences |
| 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. (2016). Decision-making in caring for people with dementia at the end of life in nursing homes. International Journal of Palliative Nursing, 22(2), 68–75. https://doi.org/10.12968/ijpn.2016.22.2.68
Koppitz, A.L. et al. (2016) ‘Decision-making in caring for people with dementia at the end of life in nursing homes’, International Journal of Palliative Nursing, 22(2), pp. 68–75. Available at: https://doi.org/10.12968/ijpn.2016.22.2.68.
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,” International Journal of Palliative Nursing, vol. 22, no. 2, pp. 68–75, Feb. 2016, doi: 10.12968/ijpn.2016.22.2.68.
KOPPITZ, Andrea Luise, Georg BOSSHARD, Stephanie KIPFER und Lorenz IMHOF, 2016. Decision-making in caring for people with dementia at the end of life in nursing homes. International Journal of Palliative Nursing. 29 Februar 2016. Bd. 22, Nr. 2, S. 68–75. DOI 10.12968/ijpn.2016.22.2.68
Koppitz, Andrea Luise, Georg Bosshard, Stephanie Kipfer, and Lorenz Imhof. 2016. “Decision-Making in Caring for People with Dementia at the End of Life in Nursing Homes.” International Journal of Palliative Nursing 22 (2): 68–75. https://doi.org/10.12968/ijpn.2016.22.2.68.
Koppitz, Andrea Luise, et al. “Decision-Making in Caring for People with Dementia at the End of Life in Nursing Homes.” International Journal of Palliative Nursing, vol. 22, no. 2, Feb. 2016, pp. 68–75, https://doi.org/10.12968/ijpn.2016.22.2.68.
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