scholarly journals Caring for an older person with dementia in the Emergency Department (ED): An Appreciative Inquiry exploring family member and ED nurse experiences

2019 ◽  
Vol 28 (15-16) ◽  
pp. 2801-2812
Author(s):  
Sarah Watkins ◽  
Fiona Murphy ◽  
Catriona Kennedy ◽  
Belinda Dewar ◽  
Margaret Graham
Keyword(s):  
Emergency Department ◽  
Family Member ◽  
Appreciative Inquiry ◽  
Older Person ◽  
Person With Dementia

scholarly journals Caring for older people with dementia in the emergency department

2020 ◽  
Vol 29 (12) ◽  
pp. 692-699
Author(s):  
Sarah Watkins ◽  
Fiona Murphy ◽  
Catriona Kennedy ◽  
Margaret Graham ◽  
Belinda Dewar
Keyword(s):  
Emergency Department ◽  
Older People ◽  
Negative Consequences ◽  
Older Person ◽  
Primary Research ◽  
Exclusion Criteria ◽  
People With Dementia ◽  
Need Support ◽  
Person With Dementia ◽  
Partnership Approach

Background: Admission to an emergency department (ED) may expose the older person with dementia to a range of negative consequences, including a deterioration in their behavioural symptoms. The authors conducted a review of primary research relating to the experiences of older people with dementia, their carers and ED nurses, to understand how these experiences might inform nursing practice. Methods: Integrative review with a search of the electronic databases of Medline, CINAHL and PSYCHINFO using specified inclusion and exclusion criteria. Results: Three themes were identified: carers and older people with dementia—waiting and worrying; nurses juggling priorities; and strategies for improvement—taking a partnership approach. Conclusion: Older people with dementia may be exposed to disparities in treatment in the ED. A practice partnership between carers and ED nurses may help to prevent this. ED nurses need support to blend technical- and relationship-centred care. Participatory research exploring the experiences of older people with dementia, their carers and ED nurses is needed.

scholarly journals Generating insights into what matters to emergency nurses and family members when caring for older people with dementia: how to use generativity as a principle of appreciative inquiry

2020 ◽  
Vol 10 (2) ◽  
pp. 1-16
Author(s):  
Sarah Watkins ◽  
◽  
Belinda Dewar ◽  
Margaret Graham ◽  
Fiona Murphy ◽  
...  
Keyword(s):  
Family Member ◽  
Appreciative Inquiry ◽  
Emergency Nurses ◽  
People With Dementia ◽  
The Status ◽  
Clinical Environments ◽  
Collaborative Sensemaking ◽  
Person With Dementia ◽  
Practice Development ◽  
What Matters

Background: Participatory research approaches aim to hear the voices of those who give and receive services in order to co-create insights into future improvements in care experiences. Appreciative inquiry is one such participatory approach. Its purpose is generativity, which is defined as helping people to see old things in new ways. Generativity shows much potential but there is little research describing the ‘how to’ of doing this in practice. This article describes the how to of generativity in the dream phase of an appreciative inquiry study. Aim: The aim was to share and co-analyse, with emergency nurses, family member experiences of being in an emergency department with an older person with dementia. Methods: Three critical methods were used to generate data – storytelling, appreciative framing and dialogue, and collaborative sensemaking. The principles of appreciative inquiry provided a framework for data analysis. Findings: In using appreciative inquiry methodology, emergency nurses were able to envision a preferred future based on what people value and what matters in approaches to care. Generativity enabled them to visualise what it would take to bring this new way of nursing to reality. Conclusion: Creative methods, when maximised, can be powerful tools in reframing narratives and helping practitioners to transcend the rut that perpetuates the status quo and obscures hope of future improvement. Generation of new insights and perspectives is critical to identifying and developing strategies for practice enhancement. Implications for practice: Generativity is an underexplored concept yet it has the potential to help practitioners to see things with new eyes Patient and/or family member stories play an important part in practice development, to determine what matters and is valued in enhancing experiences of care Finding ways to integrate the relational aspects of care provides a mechanism for nurses to articulate their skills and contribution in highly technical and task-orientated clinical environments

The Older Person and the Emergency Department

1993 ◽  
Vol 41 (8) ◽  
pp. 880-882 ◽  
Author(s):  
Arthur B. Sanders ◽  
John E. Morley
Keyword(s):  
Emergency Department ◽  
Older Person

Clinical Practice Guidelines

2021 ◽  
Vol 3 (1) ◽  
pp. 1-155
Author(s):  
Malaysian Society of Neurosciences
Keyword(s):  
Emergency Department ◽  
Clinical Practice ◽  
Hospital Care ◽  
Elderly Population ◽  
Mechanical Thrombectomy ◽  
Rapid Development ◽  
Reperfusion Therapy ◽  
Current Evidence ◽  
Older Person ◽  
Stroke Patients

The 1st Clinical Practice Guideline (CPG) on the management of ischaemic stroke was published in 2006 and the second edition was published in 2012. Since then, there was a rapid development in the management of acute stroke, mainly with the improvement and advancement of reperfusion therapy, encompassing both medical thrombolysis and mechanical thrombectomy. Furthermore, the importance of timely intervention, especially in the emergency department, had significantly improved the outcome in stroke patients. Therefore, this current CPG emphasizes the hyperacute management and has introduced new chapters, for example, emergency medical services. With the growing numbers of elderly population in Malaysia, we have also included a new chapter on stroke in the older person. This 3rd edition was developed to provide a clear and concise approach based on current evidence with the focus being on the efforts to reduce time and improve pre-hospital care. We have summarised and adapted relevant clinical trials data and published literatures to our local practice.

Cognitive Decline and the Changing Self in Relationship

2015 ◽  
pp. 61-75
Author(s):  
Darby Morhardt ◽  
Marcia Spira
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Decline ◽  
Family Member ◽  
Family Members ◽  
Well Being ◽  
Family Roles ◽  
The Family ◽  
Person With Dementia ◽  
The Impact

When a member of a family is diagnosed with Alzheimer's disease, the impact of the disease reverberates throughout the relationships within the family. This paper explores the challenges and strengths within one family as members manage and cope with Alzheimer's disease. The person with dementia and his family members are individually interviewed and each person explores the consequences of the disease on personal well-being as well as the relationships within the family. The family demonstrates how dementia in one family member demands flexibility in family roles as they navigate life through the challenges of living with dementia.

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