Description du fonctionnement d’une unité Alzheimer en EHPAD

Ducato, M.-G.; Tabard, F.; Barbaroux, É.

doi:10.1016/j.npg.2013.01.007

Cited by 1 publication

(1 citation statement)

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“…Third, the relevant interviews tended to highlight the influence of the investigator and his or her attitude toward awareness. When a person has disorganized speech, the practices of reformulation, the verbalization of a thought, or the stimulation of verbal exchanges appear to help him or her express him- or herself in a more suitable and coherent manner, thereby restoring meaning ( Ducato et al, 2013 ). According to the ASDA (e.g., Table 1 ), this process can be translated, for example, into the expression of changes with a self-description, the expression of doubts about daily life and the future, or the expression of a need for help.…”

Section: Discussionmentioning

confidence: 99%

Awareness for People With Alzheimer’s Disease: Profiles and Weekly Trajectories

Mayelle

Hazebrouck²,

Haj

et al. 2022

Front. Aging Neurosci.

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Objective: To understand awareness and fluctuations of awareness in Alzheimer’s disease (AD), it is fruitful to consider the objects of awareness, e.g., cognitive functioning or recognition of the disease, as well as the mechanisms and modes of expression underlying awareness. With a holistic and discourse-centered approach, we aimed to identify different awareness profiles and test whether these profiles were stable or whether transitions from one profile to another occurred over short time intervals.Methods: Twenty-eight residents of nursing homes with a diagnosis of AD participated in four semistructured interviews at biweekly intervals. These interviews were cluster analyzed to determine profiles of awareness. A Markov chain was applied to model their fluctuation.Results: Five awareness profiles were observed that differed in terms of objects and underlying processes. Awareness proved to be quite stable for four of the five profiles. Interindividual variability in awareness was also observed through numerous different trajectories that were identified.Discussion: Self-awareness and disease awareness are characterized by profiles that vary subtly between individuals. Fluctuations in awareness underscore the need to employ assessment intervals that closely reflect daily life in institutions.

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Section: Discussionmentioning

confidence: 99%