| 1. |
- Grafström, Margareta, et al.
(författare)
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Silviahemmets fortsatta satsningar på en unik utbildning för undersköterskor i demensvård
- 2004
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Ingår i: Incitament : för en hälso- & sjukvård i förvandling. - 1103-503X. ; :4
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Endast 60 procent av vårdpersonalen inom vård och omsorg har adekvat utbildning, samtidigt gör nedskärningarna att de äldre som får vård blir allt sjukare.Kompetensutveckling är en viktig drivkraft för att höja vårdens kvalitet men också för att öka arbetstillfredsställelsen och arbetsglädjen inom demensvården. Ett stort problem idag är att få tid och pengar att räcka till kompetensutveckling till den personal som är närmast patienten. I denna artikel presenteras Silviahemmet och dess utbildning av Silviasystrar.
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| 2. |
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| 3. |
- Hedman, Ann-Marie, et al.
(författare)
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Conditions for rehabilitation of older patients with dementia and hip fracture : – the perspective of their next of kin
- 2001
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Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 15:2, s. 151-158
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the conditions for rehabilitation of older patients with dementia and hip fracture from the perspective of their next of kin. Twenty patients at orthopaedic wards were examined postfracture using a short cognitive test. The same number of next of kin answered four open-ended questions about rehabilitation as well as about the patient’s physical function. Qualitative content analysis was used to identify categories. The findings indicate that the conditions for rehabilitation of older patients with dementia and hip fracture are related to the patients’ competence, specific needs of support in the light of competence, environmental factors and classification of the rehabilitation activities. The study confirms that the conditions for rehabilitation are related to symptoms of dementia disease and arise from a decline in competence making the patient unable to cope with the environmental pressure and to perform rehabilitation activities. Because of difficulties in assessing competence, patients with dementia are being judged as incapable of managing rehabilitation. A supportive strategy is necessary to encourage the recovery process.
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| 4. |
- Hedman, Ann-Marie, et al.
(författare)
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Dementia, delirium and other comorbid conditions in acute hip fracture care : Traditions, attitudes and local policies rather than actual state guide diagnose making?
- 2005
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Ingår i: Vård i Norden. - Oslo : Nordic Journal of Nursing Research & Clinical Studies. - 0107-4083 .- 1890-4238. ; 25:4, s. 25-29
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Tidskriftsartikel (refereegranskat)abstract
- In the elderly, hip fracture is a common disease. Previous studies show that more than half of these patients has a co-existing dementia and/or delirium diagnose. We found a cognitive disorder diagnose code registered in only 11% of 14,993 hip fracture patients, 65 years or older, in Stockholm, Sweden during 1994–1999. Although most common in the clinical setting, acute confusional state (delirium) was hardly ever diagnose-coded (1%). Furthermore, the share of dementia/delirium registrations ranged from 6 to 17% between hospitals and within a single hospital from 1 to 20 %. The lack of pattern in diagnosis coding became even more evident in the patients who were transferred from acute care to geriatric rehabilitation – it was unusual that the diagnosis was given at both specialities. Also regarding secondary diagnoses on the whole, large differences on hospital level was found (range 0.4 – 2.2/patient). The over all impression of the findings was that recording of comorbid conditions in acute somatic care depends on other factors than the patient’s actual state such as traditions, attitudes and local policies (or the lack thereof). In conclusion, significant conditions crucial for planning, treatment and prognosis in the hip fracture population are virtually invisible in this administrative database.
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| 5. |
- Lundgren, Ingela
(författare)
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Releasing and relieving encounters : Experiences of pregnancy and childbirth
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The experience of childbirth is an important life event for women, which may follow them throughout life. The overall aim of this thesis has been to describe and analyse these experiences from the women's perspective as well as the encounter between the woman and the midwife, and the possibility that a birth plan might improve women's experience of childbirth. The setting has been the ABC-centre (Alternative Birth Care), antenatal clinics and Sahlgrenska University hospital in Göteborg, and Karolinska hospital in Stockholm, Sweden. The studies have used both qualitative (phenomenological and hermeneutic) and quantitative approaches. The essential structure of the experiences of pregnancy and childbirth may be conceptualised under the heading ‘releasing and relieving encounters’, which for the woman constitutes an encounter with herself as well as with the midwife, and includes stillness as well as change. Stillness is expressed as being in the moment; exemplified as presence and being one's body. Change is expressed as transition; to the unknown and to motherhood. In the releasing and relieving encounter, for the midwife stillness and change equals being both anchored and a companion. To be a companion is to be an available person that listens to and follows the woman through the process of childbirth. To be anchored is to be the person that in the transition process respects the limits of the woman's ability as well as her own professional limits. The releasing and relieving encounter is not improved for women by a birth plan. Instead, in some aspects the relationship between the woman and her midwife during childbirth is reported as less satisfactory if preceded by a birth plan although some experiences of fear, pain and concerns for the child might be improved.
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| 6. |
- Nilsson, Jan, 1963-, et al.
(författare)
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Role and function: Aspects of quality of life of older peoplein rural Bangladesh
- 2005
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Ingår i: Journal of Aging Studies. - : Elsevier BV. - 0890-4065 .- 1879-193X. ; :19, s. 363-374
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to explore the meaning of quality of life (QoL) for elderly people in a rural communityin Bangladesh. Data were obtained through in-depth interviews with 11 elderly persons aged 63–86 years.Interview data were analysed using content analysis to determine the conceptual meaning of elderly peoples’experiences of QoL. Two major themes emerged from the data as being of utmost importance in QoL of elderlypeople in rural Bangladesh. These were: (i) having a role in the family and the community and (ii) beingfunctional, both physically and economically. Results also showed that elderly people in rural Bangladeshprioritise being healthy, having a good social network, social support and a secure financial situation in order tohave good QoL. This study is a step towards a better understanding of QoL experienced by the elderly peoplethemselves in a rural Bangladeshi context.
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| 7. |
- Rydholm Hedman, Ann-Marie, et al.
(författare)
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Hip fracture patients’ cognitive state affects family members’ experiences : a diary study of the hip fracture recovery
- 2011
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 25:3, s. 451-458
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many patients with hip fractures suffer from dementia disease, which has shown to affect the outcome of recovery strongly, as well as care and treatment. As most hip fracture patients are discharged home early after surgery, caregiving often falls on family members – spouses, daughters, sons, or even neighbours become informal carers.Aim: To explore how hip fracture patients’ cognitive state affect family members’ experiences during the recovery period.Methods: Eleven diaries written by family members’ of hip fracture patients were analysed by means of qualitative content analysis.Findings: The analysis generated two main categories with four categories. The first main category was; ‘Being a family member of a cognitively impaired patient’ with the categories ‘Dissatisfaction with lack of support’ and ‘Emotional distress due to the patient’s suffering’. The second main category was ‘Being a family member of a cognitively intact patient’ with the categories ‘Satisfaction with a relative’s successful recovery’ and ‘Strain due to their caring responsibilities’. Being a family member of a patient with cognitive impairment and a hip fracture meant being solely responsible for protecting the interests of the patient; in regard to care, rehabilitation and resources. The family members were also burdened with feelings of powerlessness and sadness due to the patients’ suffering. On the contrary, family members of cognitively intact hip fracture patients had positive experiences. The family members expressed pleasure from seeing their close ones make progress. However, when the healing process was delayed this led to strain on the family members.Conclusions: The findings suggest the hip fracture patient’s cognitive state is more decisive than the hip fracture itself for the family members’ experiences.
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| 8. |
- Rydholm Hedman, Ann-Marie, et al.
(författare)
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Hip fractures and cognitive state : patient outcomes and proxies’ perceptions of the rehabilitation period
- 2008
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Ingår i: International Journal of Older People Nursing. - Oxford : Wiley-Blackwell. - 1748-3735 .- 1748-3743. ; 3:3, s. 178-186
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Tidskriftsartikel (refereegranskat)abstract
- Background. Numerous studies are available on hip fracture and rehabilitation outcomes, some mention dementia but very few from a family/proxy perspective.Aim. To investigate whether cognitive state influences the hip fracture patients’ rehabilitation outcomes as well as the proxies’ perceptions of the 6-month rehabilitation period.Design. A survey with structured and unstructured questions. Statistics and content analysis.Methods. The questionnaire was sent to 40 proxies of hip fracture patients with and without cognitive impairment, 32 replied. Statistics and content analysis were used to analyse the data.Results. In the cognitively impaired group, physical function decreased (P = 0.0241) as well as locomotion (P = 0.0005) compared to pre-fracture. This group mainly participated in rehabilitation sessions in institutions (P = 0.0001) and their main support came from nursing staff. The cognitively impaired group assessed the rehabilitation period as being of a much lower quality than the cognitively intact group (P = 0.0048). In the impaired group, hindrances to rehabilitation were low level of staffing, and lack of access to rehabilitation resources such as physiotherapists.Conclusions and relevance for clinical practice. Hip fracture patients are a dichotomous group and cognition is decisive for physical and social outcomes as well as type of rehabilitation support.
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| 9. |
- Samuelsson, Ann Margret, et al.
(författare)
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Burden of responsibility experienced by family caregivers of elderly dementia sufferers : Analyses of strain, feelings and coping strategies
- 2001
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 15:1, s. 25-33
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Tidskriftsartikel (refereegranskat)abstract
- Eight family caregivers of elderly dementia sufferers participated in in-depth interviews regarding their experiences of giving care. They were selected according to strain, isolation, disappointment and emotional involvement, measured on a 'caregiver burden' scale. Structural analyses of the interviews identified six categories reflecting the feelings and experiences of the caregivers. The first symptom of dementia noted by caregiving husbands was a change in personality, whereas other relatives first observed impaired memory. The dementia sufferers were deemed to be helpless, vulnerable and anxious. The quality of the relationship preceding the onset of dementia had a bearing on the carer's situation. All caregivers felt a heavy burden, especially early in the dementia process. Husbands sustained the heaviest burden; they expressed anger, worry, weariness, guilt, distress and isolation. The caregivers used different problem- and emotion-focused strategies to cope with their situation. Visits to the homes of the elderly, for instance by the district nurse or home help, which should include interviews with close relatives, are recommended in order to disclose early signs of dementia and to prepare further individual support for the family caregivers and their relatives suffering from dementia.
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