Diagnosis disclosure in dementia is a complex area that results in positive and negative outcomes for both clinicians and patients. Eight clinicians and seven patients were interviewed about their recent experience of either giving or receiving a diagnosis of dementia. Interview transcripts were analysed using interpretative phenomenological analysis. The analysis revealed two higher order themes: Hiding from the Truth and The Social Environment: Help or Hindrance? Both clinicians and patients experience avoidance in relation to the diagnosis. The results support a psychosocial model of dementia and highlight the need for flexible follow up interventions that both recognise patients' use of avoidance and denial as coping strategies and facilitate social support. The social environment can also assist and hamper clinicians' efforts to help their patients. Future research is needed to elucidate optimal conditions for facilitating patients' uptake of positive coping strategies.
The analysis revealed three themes: (i) maintaining a bond, (ii) change and adjustment, and (iii) the challenge of coping. The results highlight the importance of studying the dyadic perspective and including people with dementia in research. Couples experienced an enduring commitment to one another as they adjusted to life with dementia.
Venepuncture is one of the most feared hospital procedures for children and inadequate pain management has the potential to affect future care. Distraction has been shown to help to reduce procedural distress in children. A thematic analysis of relevant literature on distraction techniques revealed that passive distraction is more effective than active distraction during venepuncture and that the effectiveness of a particular technique depends on the attention capacity of the child and their engagement in the distraction activity.
Venepuncture is one of the most feared hospital procedures for children and inadequate pain management has the potential to affect future care. Distraction has been shown to help to reduce procedural distress in children. A thematic analysis of relevant literature on distraction techniques revealed that passive distraction is more effective than active distraction during venepuncture and that the effectiveness of a particular technique depends on the attention capacity of the child and their engagement in the distraction activity.
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