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Vårdpersonals erfarenheter av patienter med demenssjukdom som vårdas palliativt: En litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nursing staffs' experiences of patients with dementia in palliative care : A literature review (English)
Abstract [sv]

Bakgrund: Många äldre personer drabbas av olika former av demenssjukdomar. Om personerna inte drabbas av annan dödlig sjukdom kommer demenssjukdomen i sig slutligen leda till döden. Palliativ vård är ofta förknippat med cancer- och hjärt- och kärlsjukdomar men allt mer börjar den palliativa vården introduceras även för patienter med demenssjukdom. Då demens ofta leder till kommunikationssvårigheter uppstår det problem i att ge en god personcentrerad vård i livets slutskede.

Syfte: Syftet var att belysa vårdpersonals erfarenheter i det palliativa vårdandet av patienter med demenssjukdom inom äldreomsorgen.

Metod: En litteraturöversikt har genomförts utifrån sökningar på databaserna CINAHL complete, Pubmed och Ageline. De utvalda artiklarna bestod av åtta kvalitativa studier och två tvärsnittsstudier. Analysen genomfördes utifrån Fribergs analysmetod.

Resultat: I resultatet beskrivs Tillämpning av palliativ vård för patienter med demenssjukdom, vårdpersonalens upplevelse av symtomlindring, vikten av god kommunikation och hinder och möjligheter för god palliativ vård. Det framkom att det kunde upplevas svårare att bedöma när en patient med demenssjukdom är i behov av palliativ vård än vid andra sjukdomstillstånd. Detta resulterade även i att vårdrelationen mellan patient och vårdpersonal var av stor betydelse för igenkänning av symtom. Vårdpersonal upplevde att det fanns brister i det emotionella stödet efter att ha vårdat en patient med demenssjukdom palliativt.

Diskussion: I metoddiskussionen diskuteras metodens fördelar och nackdelar, valet av artiklar och varför vissa begränsningar har utförts. I resultatdiskussionen diskuteras det framkomna resultatet i relation till den teoretiska utgångspunkten De 6 s:n. Kopplingar till personcentrerad vård belyses i resultatdiskussionen.

Abstract [en]

Background: A great amount of elderly people suffer from different forms of dementia and unless these individuals suffer from another terminal disease the dementia will by its nature lead to death of the patient. Palliative care is often associated with cancer and cardiovascular diseases, however the palliative care is beginning to see the introduction of treatment for people with dementia.

Aim: The aim was to highlight nursing staffs' experiences of patients suffering from dementia within gerontological care in end of life.

Method: A literature review has been done based on search results from databases CINAHL complete, Pubmed and Ageline. The selected articles consisted of eight qualitative studies and two cross-sectional studies. The authors have based the analysis on Friberg's method of analysis.  

Results: In the result describes Introduction of palliative care for the people suffering from dementia, nursing staffs´experience of symptom relief, the importance of good communication as well as hindrance and possibilities for good palliative care. It was discovered that it can be perceived as harder to judge when a patient suffering from dementia is in need of palliative care compared to patients with other medical conditions. This also resulted in the caring relationship between patient and nursing staff is of high importance for the recognition of symptoms. Nursing staff perceived there were flaws in the emotional support after having nursed a patient with dementia.

Discussion: In the method discussion pros and cons regarding the chosen method is discussed, as well as the choice of articles and why some restrictions have been made. In the result discussion the result in relation to the theoretical entry points 6 S:s  is discussed. Correlations to person-centered care is discussed through the discussion of the result.

Place, publisher, year, edition, pages
2017. , p. 27
Keywords [en]
Dementia, Palliative care, Nursing staffs' experiences, 6 S:s
Keywords [sv]
Demens, Palliativ vård, Vårdpersonals upplevelser, De 6 s:n
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6036OAI: oai:DiVA.org:esh-6036DiVA, id: diva2:1107388
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2017-06-09 Created: 2017-06-09 Last updated: 2017-06-09Bibliographically approved

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