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Table of Contents Chapter 1: Introduction ......................................................................................................... 3 Chapter 2: Aim of the Thesis ................................................................................................. 4 Chapter 3: Background Research........................................................................................... 5 Long Term Care Facility .................................................................................................... 5 Evidence based Research ................................................................................................... 5 Alzheimer Society of British Columbia Research ............................................................... 5 Chapter 4: Search strategy and selection criteria of research papersError! defined. Empirical Research Papers ................................................. Error! Bookmark not defined. Interview based research papers ......................................... Error! Bookmark not defined. Statistical based research paper .......................................................................................... 6 Chapter 5: Results and Analysis ............................................................................................ 7 Unfamiliar territory ............................................................................................................ 7 Making decisions .............................................................................................................. 7 The grieving carer .............................................................................................................. 7 Chapter 6: Discussion ........................................................................................................ 9 Chapter 7: Conclusion........................................................................................................ 9 References: ......................................................................................................................... 10 Bookmark not
Chapter 1: Introduction
Dementia problem is an increasing issue in the aging population as observed from the research done in the health care activities. It is very difficult to analyse the issue and the need in case of end of life care for the dementia affected people, their families and caregivers. In the healthcare institution it has be observed that number of the people with dementia end their lives there and also in these health care institution there is no or can say very little care is given to the patients and for their needs (Ferri C et al, 2005). In the health care homes where palliative care is given which is basically developed for the people who are caused with the disease of cancer but this kind of palliative care is not appropriate for the people who are caused with dementia. Thus, it is seen as the not providing the perfect care to the patients with dementia and suffer their life at the end of life.
Unfamiliar territory
In the care homes for the people with dementia disease there are few things need to describe such as lack of knowledge, bad communication or poor communication, and also other is active interventions that are needed for the people who are with the dementia disease and these effort are done for the best cause of the dying relative.
Making decisions
The decision making process towards the people with the dementia is very necessary because the decision taken by either the family member of the patient or by the nurse is in the benefit of the people with dementia. The role of the family member is most important because they are the people who have taken care about the person earlier and know about him/her better. In the decision making process the role of the family member is unforgettable for the person with dementia who is living the care homes and the disease is defined and the unclear
In the development countries the life expectancy is not so much higher as in the developed countries therefore it can be said that the dementia disease increases with the ageing in developed countries.
Fig: The trend of the patient with dementia disease The above analysis suggests that how serious is the problem of dementia in the developed countries and this is increasing with the time. It is important to analyse the dementia cases in these countries and to take action accordingly based on the results and analysis obtained from the earlier researches.
Chapter 6: Discussion
The communication between the nurse and medical professionals and to the person with dementia is most important because it decides the fate of the person with dementia. It can be strongly said that if there is no communication with the nurse to the patient with dementia disease it will be very difficult to know more about the person what is the problem he has and what help the person needed. The literature review above indicates that many researchers have stated in their research that the patient with dementia disease need active care and strong attention in the care homes to live their life peacefully (Mitchell S, 2009).
Chapter 7: Conclusion
The above analysis shows that there are many issues in the end of life of care of the patient with dementia disease and it is increasing rapidly in the world. There are not much research available in this area but still the present research describes that the communication is the most important aspect of the patient with dementia disease because it helps in deciding the treatment of the patient with dementia disease and also help in making the decision by the family.
References:
1. Alzheimer Society of BC (2009). Put your mind to it: Make change happen for those living with dementia. Brochure 2. Ana Tuya Fulton, Jennifer Rhodes-Kropf, Amy M. Corcoran, Diane Chau, Elizabeth Herskovits Castillo,Clinics in Geriatric Medicine, Volume 27, Issue 2, May 2011, Pages 153-170 3. Dawn Felch Rondeau, Terri A. Schmidt,Emergency Medicine Clinics of North America, Volume 27, Issue 2, May 2009, Pages 341-354 4. Els Bryon, Chris Gastmans, Bernadette Dierckx de Casterl,International Journal of Nursing Studies, Volume 47, Issue 9, September 2010, Pages 1105-1116 5. Esther Chang, Karen Hancock, Kathleen Harrison,Nurse Education Today, Volume 25, Issue 4, May 2005, Pages 326-332 6. Fink, A. (1998) Conducting Research Literature Reviews: From Paper to the Internet. London: Sage Publications Ltd. 7. Hertzberg A, Ekman S-L. We, not them and us? Views on the relationships and interactions between staff and relatives of older people permanently living in nursing homes. J Adv Nursing 2000; 31: 61422 8. Joseph W. Shega, Gavin W. Hougham, Carol B. Stocking, Deon Cox-Hayley, Greg A. Sachs,Journal of Pain and Symptom Management, Volume 35, Issue 5, May 2008, Pages 499-507 9. Journal of the American Medical Directors Association, Volume 8, Issue 3, March 2007, Page B16 10. Mette L. Rurup, Bregje D. Onwuteaka-Philipsen, H. Roeline W. Pasman, Miel W. Ribbe, Gerrit van der Wal,Patient Education and Counseling, Volume 61, Issue 3, June 2006, Pages 372-380