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Confirmation and lucidity during conversations with a woman with severe dementia
University of Tromsø, Norway & Umeå universitet.
University of Tromsø, Norway & Umeå universitet.
University of Tromsø, Norway & Umeå universitet.
2002 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 39, no 4, 370-376 p.Article in journal (Refereed) Published
Abstract [en]

Rationale. Patients with severe dementia sometimes surprise the care providers because they seem to be much more aware of their situation and function much more adequately than usual. Such episodes are labelled 'episodes of lucidity' (ELs). The aim of this study was to describe the characteristics of the particular conversations with a woman with severe dementia when ELs occurred as compared with conversations when she was not lucid.

Methodological design. A woman with a probable diagnosis of Alzheimer's disease (AD) was selected. Her Mini Mental State Examination (MMSE) was estimated as 3. The first author met the woman for 4 hours five times over a period of 2 weeks.

Research methods. The conversations were tape-recorded and transcribed verbatim. The text was divided into 278 content units and analysed.

Findings. Lucidity is promoted by supporting the patient in various ways, that is sharing the patient's view, repeating and reformulating the patient's utterance, reinforcing the patient by using positive utterances, not emphasizing errors and supporting the patient's language in various ways, and avoiding making demands. The relation between the patient and her conversation partner during ELs is characterized by confirmation and communion.

Conclusions. This case study indicates that a supportive attitude in conversation with the patient with severe dementia promotes lucidity. A supportive attitude includes the avoidance on the part of the conversational partner making demands on the patient, confirming the patient as an important, unique and valuable person and creating communion. The connection between supporting and avoiding demands and lucidity/nonlucidity during conversation needs further study.

Place, publisher, year, edition, pages
2002. Vol. 39, no 4, 370-376 p.
Keyword [en]
Dementia, Lucidity, Conversation, Confirmation, Communion, Support, Demand
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5565DOI: 10.1046/j.1365-2648.2002.02298.xISI: 000177043300007PubMedID: 12139649OAI: oai:DiVA.org:esh-5565DiVA: diva2:1063481
Available from: 2010-02-23 Created: 2016-11-30 Last updated: 2017-01-10Bibliographically approved

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