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

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Title Acute care management of older people with dementia: a qualitative perspective
Author Moyle, Wendy; Borbasi, Sally Ann; Wallis, Marianne; Olorenshaw, Rachel; Gracia, Natalie
Journal Name Journal of Clinical Nursing
Year Published 2011
Place of publication United kingdom
Publisher Wiley-Blackwell Publishing
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.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1111/j.1365-2702.2010.03521.x
Volume 20
Issue Number 3-4
Page from 420
Page to 428
ISSN 1365-2702
Date Accessioned 2011-01-14
Language en_AU
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject Aged Care Nursing; Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/39697
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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