Mostly your instructor is looking to get a feel for the way you think about your nursing practice.
Abstract Global ageing is increasing exponentially along with dementia prevalence rates. The demographic trends show that dementia along with other comorbidities has a serious effect on prolonged hospitalisation than people without dementia, with a huge impact on health services and the national economy.
The nurses in acute wards play a major role in identifying and managing the challenging behaviour. The interventions seems to be inconsistent due to the busy context of the acute wards and lack of guidance on care of dementia patients with challenging behaviour, which again has a detrimental effect on dementia patients.
Upon reviewing the literature, a gap is identified about experiences of nurses caring for dementia patients with challenging behaviour. Hence the writer plans to explore the experiences of nurses in dementia with challenging behaviours using a Husserlian phenomenological approach with the hope that it can contribute to the nursing practices.
Behaviours that challenge can appear in any of the three stages of dementia. Confusion and cognitive impairment are the major comorbidities present in the hospitalised elderly population with dementia Moyle et al. Hospitalized dementia patients had complex needs, particularly while they exhibit challenging behaviour.
Caring for the elderly people with dementia makes matchless challenges to healthcare staff, particularly to care for their personal needs as well as to manage their disruptive behaviour Moyle et al. While attending the heavy work load along with high emotional involvement can produce stress on nursing staff which could lead to frustration and dissatisfaction Chou et al.
Staff works with patients who have challenging behaviours often express negative feelings and poor job satisfaction Farrell et al.
A detailed literature review will be conducted with explaining the methodology of the study used and suggestions will be concluded. Search limited to include full text available online, publications betweenEnglish language and age group of 65 and above.
The search yielded articles of which 16 were relevant to the topic and rest were excluded. Reference list was also reviewed from the articles used to review.
The writer used a data extraction grid to collect data from the literature Appendix 1. Dementia leads to decline in cognition with impact on judgementcomprehension, language, emotional controlintellectmemory and social skills World Health Organisation Dementia has three stages; early, moderate and severe http: In a qualitative study by Nolan using a purposive sample of seven nurses with the thematic approach reported that the physical layout of the acute ward as inappropriate to care for older people with dementia and the highlighted alarm is the safety of the patient.
Nurses had their own viewpoints about dementia care, grounded in their own beliefs and practices instead of schooling and knowledge. Dementia patients were often detailed as powerful and persistent labels, and were often sighted as being different from other patients Cowdell This study, using an ethnographic approach suggested that instead of meeting the needs of the clientscare mainly focussed on completing the physical needs and provision of care included less amount of good communication.
Due to functional deficits, dementia patients were unable to complete their activities of daily living and due to the time constraints nurses had to take over such activities Nolan While attending these activities, nurses were aware of inhibiting the autonomy which could disrupt the personhood of dementia patients.
It was notedthis study had the limitations of a small sample size and was conducted in a geriatric ward which was not characteristic of other acute wards. Similar results were found out by a study of Edberg et al. A qualitative study by Edvardsson et al.
Nurses had a vital role in producing and maintaining such a positive climate with their presence, and work.
A quantitative study by Pulsford using the Management of Aggression in People with Dementia Attitude Questionnaire MAPDAQ to assess the behaviour, the result shows that staff finds the aggressive behaviour mainly as circumstantial, could be from an interaction with staff or from the nature of care providing.
Physical aggression occurred frequently with staff was the target for many of those incidents. This study was limited by less response from staff.
So they had an attitude to devalue such patients which led to nurses managing the safety issues of the patient, and less intervention were used to meet the physical, social and emotional needs of persons with dementia. In a study by Nolan findings suggested that nurses felt secure in the presence of dementia patients who were not agitated and aggressive.
A cross sectional survey by Cubit et al.
Assignment Task A A1) Explain how different forms of dementia can affect the way an individual communicates. All forms of dementia can affect the way a person communicates, so in time they may have to find different ways of expressing themselves and their feelings. Discussion. The reflective accounts debate the following issues related to compassionate care; Personal drivers supporting the provision of compassionate care, Challenging and influencing care practices, Providing relationship centred care and, Living with what can’t be achieved. Turnitin provides instructors with the tools to prevent plagiarism, engage students in the writing process, and provide personalized feedback.
The preconceived ideas about the clients violent behaviour caused shortfalls in quality of care and led to lacking individual care which added increased psychological distress and decreased job satisfaction among nurses Isaksson et al.
This study had limitations of a small sample size and conscious biases present, but the trustworthiness is proved by discussing the findings with other research groups and by seminars with other researchers.
Nurses described caring for older people with dementia in an acute hospital as reaching to feelings of incompetence and job dissatisfactionand tended to focus their efforts on physical care due to lack of confidence Cowdell Again this study reported nursing staff experienced more emotional challenges when patients become upset or difficult to manage.
Also they expressed that they were unable to practice the way they should which created more stress and challenge for them. Similar results were found out by Edberg et al. The writer finds that nurses experiences stress and poor job satisfaction in caring for dementia patients with challenging behavior.
So the writer aims to explore the experiences of nurses to understand how the nursing care can be improved 1.Turnitin provides instructors with the tools to prevent plagiarism, engage students in the writing process, and provide personalized feedback. Emily North - perfect jeanius.
A girl in jeans is a magical thing. Like vanilla ice cream & chocolate syrup or Christmas & presents there's just something that says they belong together. Published: Mon, 5 Dec The purpose of this essay is to reflect and critically study an incident from a clinical setting whilst using a model of reflection.
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Introduction. This is a reflective essay based on an episode of care that I was directly involved in managing during a community placement. This episode of care will be analysed using up to date references, health care policies and relevant models.