Дисертації з теми "Dementia services"
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Norman, Rachel Louise. "Acute nursing care for people with dementia : what happens when a person with dementia is admitted to hospital for acute care?" Thesis, University of the West of England, Bristol, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289797.
Повний текст джерелаNetten, Ann Penelope. "Residential care and senile dementia : the effect of the physical and social environment of homes for elderly people on residents suffering from senile dementia." Thesis, University of Kent, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.236247.
Повний текст джерелаKeen, Justin Robert. "A systems approach to modelling services for people with dementia." Thesis, City University London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.245863.
Повний текст джерелаParker, Ethna Therese. "Dementia is a disease, not a person : exploring the experiences of people with dementia, carers and mental health practitioners on dementia and dementia services via a qualitative evaluation of a community-based memory service." Thesis, Durham University, 2015. http://etheses.dur.ac.uk/10987/.
Повний текст джерелаAnderson, Karen Ann, and Ann Watschke-Dixon. "Dementia and elder abuse in domestic settings." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2241.
Повний текст джерелаMessner, Suzanne Elayne. "Levels of aggression and alcohol use in populations with dementia." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1999. http://www.kutztown.edu/library/services/remote_access.asp.
Повний текст джерелаSource: Masters Abstracts International, Volume: 45-06, page: 2777. Typescript. Abstract precedes thesis as 2 preliminary leaves. Includes bibliographical references (leaves 46-59).
Merrick, K. "Dementia : constructing a relational perspective." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11319/.
Повний текст джерелаAdams, Trevor. "Developing partnerships between people with dementia, their informal family carers and community psychiatric nurses." Thesis, University of Surrey, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390581.
Повний текст джерелаDouglas, Jane E. "Living with and beyond dementia : a phenomenological investigation of young people's lived experience with dementia and the transition from pre-diagnosis through diagnosis and beyond to living well with dementia." Thesis, Edinburgh Napier University, 2017. http://researchrepository.napier.ac.uk/Output/1032617.
Повний текст джерелаDu, Preez Janice. "Adult day services: experiences of occupational participation by people with early dementia and their carers." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2019. https://ro.ecu.edu.au/theses/2186.
Повний текст джерелаSiushansian, Jennifer A. "Factors affecting the use of formal services among informal caregivers of community-dwelling seniors with dementia." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq30825.pdf.
Повний текст джерелаLett, Judy. "Utilization and evaluation of formal support services among informal caregivers of non-institutionalized elderly with dementia." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55508.
Повний текст джерелаResults indicated that formal support service users cared for demented elderly who had greater ADL/IADL functional limitations, reported more burden, tended to be husbands, tended not to live with the care recipient, reported less informal support, and tended to live in the Prairie region. They also tended to perceive their health to be better than a year ago. Service users' reports indicated that utilization of in-home services was considerably greater than that of out-of-home services. Out-of-home respite and caregiver support groups had the largest number of barriers to use. The most common barriers identified for all services included cost and perceived lack of effectiveness.
Skovdahl, Kirsti. "Krävande beteenden i samband med demens : förekomst och olika förhållningssätt /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-875-0/.
Повний текст джерелаArchibald, Carole. "'Half of them are dying on their feet but they still have strength for that' : sexuality, dementia and residential care work : a disregarded and neglected area of study." Thesis, University of Stirling, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249717.
Повний текст джерелаBeanblossom, Kathryn M. "EXPLORING THE EXPERIENCES AND PERCEPTIONS OF PERSONS DIAGNOSED WITH EARLY ONSET DEMENTIA AND THEIR PRIMARY CAREGIVERS." Miami University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=miami1366835742.
Повний текст джерелаHamal, Pragya. "Evidenced-Based Support Services for Informal Caregivers of Individuals with Dementia in the United States, India, and Nepal." Bowling Green State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1403796240.
Повний текст джерелаMcCabe, Louise Frances Mary. "Policy transfer and policy translation : day care for people with dementia in Kerala, India." Thesis, University of Stirling, 2003. http://hdl.handle.net/1893/21547.
Повний текст джерелаMcColgan, Gillian Margaret. "'They come here to tangle' : an ethnographic study of relationships of people with dementia." Thesis, University of Stirling, 2001. http://hdl.handle.net/1893/1526.
Повний текст джерелаHuei-Ru, Lin. "The Effects of Dementia and Long-Term Care Services on the Deterioration of Care-needs Levels of the Elderly in Japan." 京都大学 (Kyoto University), 2015. http://hdl.handle.net/2433/202678.
Повний текст джерелаBromley, Leslie Andrew. "How do carers of people with an intellectual disability with dementia experience their role and the support they receive through services?" Thesis, University of Exeter, 2014. http://hdl.handle.net/10871/16367.
Повний текст джерелаPavlů, Dominik. "Business Plan - Private Nursing Facilities." Master's thesis, Vysoké učení technické v Brně. Fakulta podnikatelská, 2016. http://www.nusl.cz/ntk/nusl-255786.
Повний текст джерелаGibson, Allison K. "Examining the Experiences of Caregivers During the Diagnosis of Alzheimer’s Disease and Related Dementias." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1275071723.
Повний текст джерелаDouglas, Natalie Franko. "Supporting Speech-Language Pathologist Evidence-Based Practice Use: A Mixed-Methods Study in Skilled Nursing Facilities within the Promoting Action on Research Implementation in Health Services Framework." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4663.
Повний текст джерелаNordberg, Gunilla. "Formal and informal care in an urban and a rural elderly population : who? when? what? /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-253-8/.
Повний текст джерелаJakobsson, Sara, and Elinor Larsson. "Närståendes upplevelse av hälso- och sjukvård för demensdrabbade : En litteraturöversikt." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-40455.
Повний текст джерелаBackground: Dementia is a disease that is not part of the normal ageing process and affects not only the person with the dementia diagnosis but also everyone close to that person. A big portion of the care surrounding the person with dementia is executed in their home by a relative. In order to provide optimal care, it is important to communicate with the relatives of the patient and include them in the care both at home, at the hospital and in a residential home setting.Aim: This literature review aims to review how relatives to persons with dementia experience contact with health care services through the course of the disease.Method: Qualitative literature reviewResults: Relatives felt they did not receive the support they asked for and needed from the health care services through the course of the disease. Health care personnel rejected the observations made by relatives which caused the process of getting a diagnosis to extend. After the diagnosis and through the course of the disease the relatives experienced a lack of information and communication with the health care services, however when the communication and cooperation worked between the health care, the relatives and the person with the dementia this resulted in feelings of relief and a reduced caregiver burden.Conclusion: A dementia diagnosis naturally affects the person who gets the diagnosis primarily but also has an impact on the people close to the person. Relatives need support from the health care services both before the diagnosis and after as well as in the decision making through the course of the disease. The results of this review establish that the relatives of people with dementia experience a lack of support in relation to the support they need in every step of the disease.
Bosnjakovic, Amela, and Halane Ahmed Nuure. "Levnadsberättelser inom särskilda boenden för dementa : En kvalitativ studie om omvårdnadspersonals syn på levandsberättelser." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-24607.
Повний текст джерелаDementia is a series of symptoms caused by brain damages and can be explained in different ways depending on which parts of the patient’s brain are damaged. The patient’s memory and ability to plan and carry out his or her daily work worsens. People who suffer from dementia often have language difficulties, poor orientation and difficulties of perceiving time. The person’s cognitive ability also becomes impaired which is leads to depression, anxiety and behavioural changes in dementia affected people. Dementia disease results in the persons with dementia not being able to cope with their existence, which means that they need support from the nursing staff and relatives. The purpose of the study is to investigate how the nursing staff who work in special accommodations for people with dementia use life stories as a tool in order to help their residents, but also their experiences with using life stories in practice. The chosen method for the study was interviews with nursing staff who work in special accommodations, who about how they use life stories in their work and their experiences with it. After the interviews, the authors were able to state that the nursing staff who work with dementia in special accommodations have great help from using life stories in their work. This means that if the patient, for example, somehow is anxious during the day and repeats same question all the time, then the care staff can go through the connections with the patient’s life story and give answers to the dementia patient. This usually helps the person to calm down for a while and feel content. Nurses who were interviewed confirmed that it would be difficult for the nursing staff to take care of the demented people in the best possible way without a life story.
Williams, Caroline Myferi. "The referral journey : an examination of key patient, carer and GP factors affecting the referral of patients with a dementia to mental health services for older people." Thesis, University of Surrey, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310721.
Повний текст джерелаMonahan, Ann Corneille. "Day care for people with dementia--the importance of communicating a safe and uncritical environment to clients and facilitating stimulating activity." Thesis, University of Stirling, 2005. http://hdl.handle.net/1893/270.
Повний текст джерелаTsang, Yin-mei, and 曾燕薇. "A study of stress in the caregivers of the demented elderly." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1992. http://hub.hku.hk/bib/B31249371.
Повний текст джерелаTrosic, Branka. "Att tolka dementa : Vårdpersonalens egna berättelser." Thesis, Karlstad University, Karlstad University, Karlstad University, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-5129.
Повний текст джерелаTidigare forskning pekar på försämrad kommunikationsförmåga som ett av de mest uppmärksammade symtomen vid demenssjukdom. För att förmedla ett budskap till sin omgivning använder dementa som alla andra människor både verbala och icke-verbala signaler. Med tiden försämras deras verbala uttrycksätt och de börjar istället att i allt högre grad använda sig av de icke-verbala signalerna, som till exempel ansiktsuttryck, kroppsspråk, gester, paraspråk och liknande. Eftersom dementas olika kommunikativa uttryckssätt ibland kan vara väldigt svåra att tolka av andra i deras närhet, är det av stor betydelse att ta reda på de förutsättningar som påverkar detta. Syftet med denna studie är att utifrån vårdpersonalens berättelser belysa vilka faktorer som påverkar deras tolkning av dementas olika kommunikativa uttryckssätt under omvårdnadsmötet. För att svara på detta syfte har jag använt mig av fokusgruppsintervjuer som metod för att samla in data, vilken sedan analyserades med hjälp av kvalitativ innehållsanalys. Resultatet visar att de faktorer som påverkar vårdpersonalens tolkning av dementas olika kommunikativa uttryckssätt är (1) kunskap, (2) yrkeskompetens och (3) institutionella aspekter som psykosocial miljö och tid. Den föreliggande studiens resultat kommer förhoppningsvis att bidra till en bättre kommunikation mellan dementa och vårdpersonal.
Zad, Carina, and Annika Andreasson. "Rätten att bestämma över sitt liv : En studie hur biståndshandläggare hanterar äldre demenssjukas självbestämmanderätt och hjälpbehov." Thesis, Linnéuniversitetet, Institutionen för socialt arbete (SA), 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-54048.
Повний текст джерелаSyftet med studien var att förstå hur biståndshandläggare i en äldreförvaltning i Sverige hanterar äldre demenssjukas självbestämmanderätt och hjälpbehov samt vilka etiska dilemman de kan ha i arbetet med dessa brukare. Empirin bygger på kvalitativa intervjuer där åtta biståndshandläggare haft möjlighet att med egna ord beskriva hur ärendehanteringar med äldre demenssjuka brukare kan se ut. Fem huvudteman identifierades i intervjuerna vilka var: självbestämmande, strategier, dilemman, tvång samt olika kunskaper och förståelse i organisationen. Analysen av dessa teman bidrar till att förstå hur handläggarna i sin yrkesroll hanterar situationer och dilemman som kan uppstå i deras praktiska vardag. Slutsatsen utifrån resultat och analys är att de främsta dilemman som biståndshandläggarna möter i arbetet med demenssjuka brukare är brukarnas ovilja att ta emot hjälp, oförståelse om självbestämmanderätten hos anhöriga och övriga professioner samt när anhöriga vill ta beslut åt brukarna. Utifrån empirin kunde vi se att biståndshandläggarna använde sig av omfattande motiveringsarbete med de demenssjuka brukarna för att hantera deras självbestämmanderätt och hjälpbehov. Något som handläggarna efterfrågade var mer kunskap om självbestämmanderätten bland äldreförvaltningens hemtjänstpersonal och anhöriga till brukarna.
Larsson, Kristina. "According to need? : Predicting use of formal and informal care in a Swedish urban elderly population." Doctoral thesis, Stockholm : Dept. of Social Work [Institutionen för socialt arbete], Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-109.
Повний текст джерелаLoh, Poh Kooi. "Innovations in health for older people in Western Australia." University of Western Australia. School of Medicine and Pharmacology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0051.
Повний текст джерелаCai, Yongyong, and 蔡雍咏. "Intervention service programmes for family caregivers of a relative with dementia: a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422381.
Повний текст джерелаpublished_or_final_version
Public Health
Master
Master of Public Health
Santos, Janici Therezinha. "Interpretações de enfermeiros sobre o cuidado à demência no contexto hospitalar." Pontifícia Universidade Católica de São Paulo, 2007. https://tede2.pucsp.br/handle/handle/12526.
Повний текст джерелаThis research is aimed at investigating the interpretation of a nurse team in the context of the dementia care in hospitals. The world aging is a present phenomenon which is very debated by health professionals and researchers. The fast aging process observed in the developing countries as Brazil has not been supported by policies adequate to this population. It is known that chronic degenerative diseases along with aging cause staying for long days in a hospital. Families are broken-up when looking for a way out from the dependence that the elderly might present. It is necessary to choose family caregivers and others to give special attention to the elderly. Dementia is among the diseases which makes the patient very dependent as it develops. In the hospitals the elderly is admitted in medical-surgical clinic wards and stays among other patients who belong to different age groups and present several pathologies. It is up to the nurse, who is the nearest and most present professional for being longer with the patient and his family, to get institutional resources and adequate information so as to provide quality and decent assistance. Thinking just about the patient is not enough due to the fact that the family, as well as the family caregiver, also need support, mainly psychological, while they are escorting the elderly during the hospital admission. The nurse interpretations show what this work context is, which involves the elderly/family dependence disease problem. The professional nurse often works under overburden stress and in several occasions he/she needs institutional support and structure to give quality assistance. Also there are evidences concerning the conflict and afflicting situations which affect the families and family caregivers who reveal several aspects while dealing with so many difficulties related to the disease. Many of them do whatever is possible to stay with the patient, many are as old as the patient and need professional help. This research is aimed at showing the interpretations and, therefore, contributing to inform a certain reality, which may be one among many others, found in hospitals. Acknowledging the nurse value in searching information and decency in treating these elderly and families or family caregivers. Looking for ways and stimulating the team learning process so as to show that the care is in the Nurse s hand. This can not transferred to someone else!
A presente pesquisa objetiva estudar as interpretações de uma equipe de enfermeiros no universo do cuidado em relação à demência no contexto hospitalar. O envelhecimento mundial é um fenômeno presente, muito discutido por profissionais de saúde e estudiosos do assunto. O rápido processo de envelhecimento observado nos países em desenvolvimento, como o Brasil, ainda não tem sido respaldado com políticas adequadas a esta população. Sabe-se que as doenças crônico-degenerativas que acompanham o envelhecimento acabam desencadeando longos dias de internação nos hospitais. Famílias desestruturam-se em busca de saídas para a situação de dependência que o idoso internado pode apresentar. Faz-se necessário a escolha de cuidadores familiares e outros para dar atenção especial ao idoso. Entre estas doenças estão as demências, que à medida que evolui deixam o paciente altamente dependente. Nos hospitais, o idoso dementado é internado nos setores de clínica médico-cirúrgica e permanece, em meio a outros pacientes com faixa etária e patologias diversas. Cabe ao enfermeiro, como profissional mais próximo e mais presente por estar mais tempo ao lado do paciente e família, obter recursos institucionais e conhecimentos adequados para dar assistência com qualidade e dignidade. Não vale pensar somente no paciente, pois a família, bem como o cuidador familiar também necessitam de suporte, principalmente psicológico, enquanto estiver acompanhando o idoso no processo de internação. As interpretações dos enfermeiros mostram qual o universo deste trabalho, o qual envolve a problemática da doença-dependência-família-idoso. O profissional enfermeiro geralmente atua com sobrecarga de estresse, necessitando muitas vezes de estrutura e suporte institucional para dar continuidade à assistência com mais qualidade. Evidenciam também as situações de conflitos e angústias de famílias e cuidadores familiares, que, em meio a tantas complicações da doença, revelam vários perfis e muitos fazem o que estão ao seu alcance para continuar ao lado do paciente, muitos ainda são tão idosos quanto seus pacientes, necessitando de ajuda profissional. A pesquisa propõe mostrar as interpretações e, assim, contribuir para o conhecimento de uma determinada realidade hospitalar que pode ser uma entre tantas outras. Reconhecer o valor do enfermeiro na busca por conhecimento e dignidade no tratamento a estes idosos e familiares ou cuidadores familiares. Buscar saídas e estimular o aprendizado pela equipe com o intuito de mostrar que o cuidado está nas mãos do Enfermeiro. Isso não se transfere!
Parajuli, Jyotsana. "EFFECT OF AN INTERGENERATIONAL SERVICE LEARNING PROGRAM ON STUDENTS’ ATTITUDES TOWARD PEOPLE WITH DEMENTIA." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1438263576.
Повний текст джерелаEdwards, Angela Catherine. "An Evaluation of a Specialist Multi-Agency Home Care Support Service for Older People with Dementia." Thesis, University of Nottingham, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.517848.
Повний текст джерелаErickson-Taube, Christina Marie. "Special care units: Recreational activities for patients with Alzheimer's disease." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2843.
Повний текст джерелаIVANCIC-RIBOU, CHRISTINE. "Devenir des dements seniles dans un service de long sejour." Aix-Marseille 2, 1989. http://www.theses.fr/1989AIX20192.
Повний текст джерелаHarvey, C. Froggatt S. Lightowler B. and Hodge A., C. Harvey, S. Froggatt, Bryan Lightowler, and A. Hodge. "The ambulance service advanced practitioner's role in supporting care homes: a qualitative study of care staff experiences." Mark Allen Group, 2020. http://hdl.handle.net/10454/18604.
Повний текст джерелаThe demand from care homes on NHS services continues to rise, with little evidence of ambulance service contribution in this area. The Yorkshire Ambulance Service provides an advanced practitioner model to support care homes in Sheffield, as an alternative to calling 999. This study investigated the experiences and needs of the care home staff who use the ambulance service advanced practitioner model. This qualitative study conducted semi-structured, face-to-face interviews with 19 staff members from 10 different care home settings. Thematic analysis using a combination of NVivo and manual coding was undertaken. The three key themes from the interviews were variations in service demand, the service user’s expectations and experience, and benefits to residents. Participants reported that good community services reduced the need to call 999, empowering carers to support residents to remain in the community. Care homes require comprehensive services that meet their needs. The advanced practitioner model provided by the ambulance service supports this, preventing unnecessary 999 calls and fitting with other community service provision.
Hautz, Oliver R. "WHO AM I AND WHO ARE YOU? EXPLORING STUDENTS CONSTRUCTIONS OF PEOPLE WITH DEMENTIA DURING A CREATIVE ARTS PROJECT." Miami University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=miami1379669602.
Повний текст джерелаHerrera, Pérez Eder Guillermo. "Perfil clínico epidemiológico de la enfermedad de Alzheimer en el servicio de neurología del Hospital Nacional Daniel Alcides Carrión." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2011. https://hdl.handle.net/20.500.12672/455.
Повний текст джерелаTesis
Ellames, Lorraine. "Dementia care training for residential care workers : building residential care workers' own views into a conceptual model." Thesis, University of Sussex, 2018. http://sro.sussex.ac.uk/id/eprint/76639/.
Повний текст джерелаPettersson, Mats, and Martin Holm. "Äldreomsorg på vinst och förlust-Råder det kommunala skillnader i utförande av särskilt boende?" Thesis, Linköpings universitet, Nationalekonomi, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-129883.
Повний текст джерелаThe swedish welfare state has a history of equal rights for living needs. In cases whereolder people become incapable to take care of their needs, there are specialaccommodations where the elderly can receive all forms of assistance. Theapplication to these special accommodations are managed by the municipal officialsand must be handled equal by law, regardless of local performers.This study examines and analyzes whether there are differences between the largermunicipalities in Sweden in terms of planning and placement to specialaccommodations.The conclusion is that differences exist because some municipalities have designed areactive strategy in which a buildup of unexecuted decisions has to be correctedretrospectively and does not take needs but age into to account. The municipalitiesthat managed to weigh health and needs in their planning and tried to estimate thefuture in advance regarding demand for special accommodations has been moresuccessful. The result of this study is that there are municipal differences in planningand placement for special accommodations
Novo, Ana Lúcia Marques de Souza. "Gestão gerontológica domiciliar: a fragilidade do crepúsculo de uma flor." Pontifícia Universidade Católica de São Paulo, 2008. https://tede2.pucsp.br/handle/handle/12557.
Повний текст джерелаCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
This study intends to understand how features related to elderly dementia care develop, if grounded on a Homely Gerontology Management (Gestão Gerontológica Domiciliar - GGD). Professional experience incited me to write this study on GGD s building process, within elderly dementia care organization, involving also the family, caregivers and the environment. Research was carried through in the field of private homely care, in São Paulo, along with a team of professionals responsible for the care of an elderly patient with dementia. In a qualitative approach, I employed the participant observation of the care organization, as well as a semi-structured interview with some of the team s members. The study shows that the care organization to dementia subjects yields dynamic features and demands to be constantly re-structured. GGD is part of this complex functioning group and, in this study, seven approaches are described and detailed: 1) clinic evolution s monitoring; 2) the patient s emotional and psychic suffering aspects care; 3) family orientation; 4) recruiting, selection, training and development of professionals involved in elderly care; 5) orientation and management of home employees; 6) environmental adequacy; 7) financial management. The obtained knowledge does not intend to cover all the questions in the field. However, it was presented as a possible therapeutic in care actions carried out in the private health system, and which, therefore, forces us to reflect upon the extension of such experience to the public sphere, in lack of care projects to elderly subjects in fragile situation
O estudo pretende compreender como se desenvolvem os aspectos que abrangem o cuidado no atendimento a idosos com demência, quando parte de um programa de Gestão Gerontológica Domiciliar (GGD). A experiência profissional incitou-me a escrever este estudo sobre o processo de construção da GGD, na organização do cuidado a idosos com demência, familiares, cuidadores envolvidos e o ambiente. A pesquisa foi feita no campo da assistência domiciliar privada, na cidade de São Paulo, com uma equipe de profissionais envolvidos no cuidado a uma idosa com demência. Em abordagem qualitativa, utilizei a observação participante da organização do cuidado e entrevista semi-estruturada com alguns membros da equipe. O estudo constatou que a organização do cuidado nas situações demenciais tem caráter dinâmico e requer constante reestruturação. A GGD faz parte desse grupo de atuação complexa e, nesta pesquisa, estão descritas e detalhadas sete frentes: 1) acompanhamento da evolução clínica; 2) cuidados com os aspectos emocionais e o sofrimento psíquico do paciente; 3) orientação familiar; 4) recrutamento, seleção, treinamento e desenvolvimento dos profissionais envolvidos no atendimento ao idoso; 5) orientação e administração de funcionários domésticos; 6) adequação ambiental; 7) administração financeira. O conhecimento adquirido não pretende ser proposta que abrange a totalidade dos fatores desse cenário. No entanto, apresentou-se como terapêutica possível nas ações de cuidado que ocorrem no sistema privado, e que, consequentemente, nos leva a refletir sobre a extensão da experiência à esfera pública, que tem carência de planos de atendimento aos idosos em situação de fragilidade
Litherland, R., and Andrea Capstick. "Involving people with dementia in service development and evaluation." 2014. http://hdl.handle.net/10454/7106.
Повний текст джерелаHsieh, Meng-Lun, and 謝孟倫. "Use of Rehabilitation Services among Newly Diagnosed Dementia Patients and its influencing factors." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/qfp939.
Повний текст джерела國立陽明大學
醫務管理研究所
105
The increasing number of people with dementia is one of the most challenging problems for the worldwide healthcare system . In Taiwan , the estimation of prevalence of dementia will increase to 4.65% of the population , approximately 8.5 million people will suffer from dementia in 2061. Because dementia becomes the mainly causation of disability of elders , the World Health Organization lists dementia as a crucial issue of public health problem. Current evidence-based guidelines for the treatment of dementia recommend a wide variety of medication and non-pharmacological treatment options . However there are no pharmacological treatments demonstrated to cure the dementia and there are no any preventive strategies either. Rehabilitation is an important non-pharmacological treatment options for dementia. Rehabilitation combines multiple therapies including physiotherapy , occupational therapy , psychological therapy and speech therapy .Moreover in Taiwan , the expense of rehabilitation therapies is covered by the NHI program and over 99% of people are enrolled in the NHI program. In the total of 5,129 patients are diagnosed with dementia between 2005 and 2010 . 66.5% of patients received the rehabilitation therapies .the proportion of patients was the highest (97.5%) centered on psychic-related rehabilitation (97.5%) , comparing to other intervention is a huge gap . Both patients and the medical providers’ characteristics were investigated to determine their influence on rehabilitation receipt. including “ patient’s gender” ,“ past admission ” , “OPD visits in the last year” , “ provider’s specialty “ , “provider’s gender ”, “provider’s age ” , “accreditation level “ , “ past year of patient volume” , which significantly affect patient’s decision of receiving rehabilitation or not . Although 66.5% dementia patients receive rehabilitation therapy , they only take single therapy rather than multidisciplinary treatment. The results of this study also suggest that patient’s health status is an important factor influencing patient to receive rehabilitation therapy . Medical provider is also an important role for the patients to receive rehabilitation services . In the future , health care system should improve access of mobile rehabilitation in communities . and should provide full information of dementia disease , and the related welfare policy for the patients during diagnostic stage .
Balsinha, Maria da Conceição Sousa. "Users and health professionals' perspectives regarding Portuguese primary care services: a focus on dementia." Doctoral thesis, 2022. http://hdl.handle.net/10362/135509.
Повний текст джерелаLin, Huey-Jane, and 林惠珍. "Factors Affecting Caregivers of Person with Dementia to Use Institutional Long-Term Care Services." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/73603961425612941371.
Повний текст джерела南華大學
企業管理學系非營利事業管理碩士班
103
Based on Andersen’s behavior model of health service use, this study aims to investigate factors affecting caregivers of person with dementia who are now staying in nursing homes and long-term care institutions to choose institutional long-term care services, and to explore the relationships among predisposing factors, enabling factors, need factors and the utilization of institutional long-term care services. This study uses a cross-sectional survey with structured questionnaire. The sample includes 113 residents in one long-term care institution in Yunlin County and two nursing homes in Tainan City. The major findings of this study are as following: (1) Both predisposing factors and need factors are more important predictors for using institutional long-term care services. (2) The analyses of multiple logistic regressions controlling other variables indicate that predisposing factors such as age and education level of elders with dementia, education level and care responsibility recognition of caregivers; enabling factors such as the perception of quality of institutional care services; need factors such as physical disability and emotion-behavior disturbance of elders with dementia and care and emotion loading and economic burden of caregivers are the most important predictors of institutional care service utilization. (3)However, the caregivers of institutional residents with dementia received few assistance from formal community care services when they cared elders with dementia at home. Based on these findings, this study suggests that the government should develop various community care resources to support the disabled elders and their caregivers to mitigate their living burdens. More information, guidance and community resources regarding dementia care should be provided to assist elders with dementia staying at home for a longer time that the purpose of aging in place can be achieved.
Wang, Ming Chiu, and 王明秋. "An investigation of needs for community services for patients with dementia and family caregiver." Thesis, 2016. http://ndltd.ncl.edu.tw/handle/psxh44.
Повний текст джерела長庚大學
護理學系
104
As the aging of the population, dementia has great impact on the health of the older persons who suffered from the disease and also created huge burden for family caregivers. The purpose of this study was to understand the needs for community services of older person with dementia and their family caregivers. Andersen’s health behavioral model was modified to service as the theoretical model for this study, in order to explore related factors of needs for community services. These factors include pre-disposing factors (characteristics of the persons with dementia and family caregiver); enabling factors (the knowledge of the family caregivers of the community resources; competence of family caregiver in handing behavioral problems of the patient; and family caregiver’s preparedness) and needs factors (cognitive and physical function, quality of relationship, hours of care provided, and disturbance caused by behavioral problems of family caregivers). Secondary data analysis of the pre-test of a clinical trial (N=128) on family caregiver training program was implemented. Measures including service needs, knowledge, Mini-mental state examination (MMSE), Clinical Dementia Rating Scale (CDR), family caregiver competence, and preparedness were used to measure the related factors. This study found that older persons with dementia who live alone, with higher behavioral problems, with female family caregivers, and with younger family caregivers (<45 years old), reported higher needs for community services. Those with helps from friends and relatives reported higher needs for community services. Family caregivers with more knowledge of the community resources had higher preparedness and better competence in handing behavioral problems. Higher family caregiver preparedness was found to associate with better competence in handing behavioral problems. Family caregivers had more disturbance caused by behavioral problems of the older persons reported higher need for community service. This study can provide a reference for development of community service and related policy.