Transferring from an acute hospital and settling into a subacute facility: the experience of patients with dementia

Abstract

Nurses who understand the specific needs of patients with dementia can develop ways of working with patients to ensure person-centred care. More conversations with people with dementia are needed to investigate how this can be achieved. Orientation procedures should ensure that support for people with dementia is optimized during the settling-in phase.

The experience of people with dementia and nurses in hospital: an integrative review

“…The patronising attitude of the staff was not altogether lost on the patients, some of whom remarked on this (Cowdell , Digby et al . ). In the study by Edvardsson and Nordvall () one of the patients felt the stigmatisation acutely: ‘… they toss me my sandwiches the way you would do a dog’.…”

“…, Digby et al . , Edvardsson et al . , Digby & Bloomer ) which limits the transferability of the results.…”

“…In five articles it was reported that nurses made derogatory remarks about the patients either directly to them or within earshot, or the nurses discussed the patient in front of them as if they weren't there (Norman , Cowdell , Digby et al . , Edvardsson et al . , Goldberg et al .…”

“…The main strengths identified in the included articles was that the impact of participation for patients with dementia was considered (Cowdell ,b, Digby et al . , Digby & Bloomer , Porock et al . ), the data was obtained from multiple sites (Clissett et al .…”

Comparison of sit-to-stand strategies used by older adults and people living with dementia

“…It is possible that this variability in trunk position observed for the DG participants was the result of many factors, including general motor restlessness (Zuidema, Derksen, Verhey, & Koopmans, 2007), difficulty staying orientated to the purpose of the activity (Joray, Herrmann, Mulligan, & Schnider, 2004), or decreased ability to cope with the testing situation due to cognitive problems associated with dementia. The testing environment was new for participants and it has been found that people living with dementia can feel anxious when faced with a novel situation (Digby, Moss, & Bloomer, 2012). However, these proposed explanations are only speculative, as levels of motor restlessness, orientation, and anxiety during the task were not specifically assessed.…”