| 1. |
- Björkman Björkelund, Karin, et al.
(författare)
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The Organic Brain Syndrome (OBS) scale: a systematic review.
- 2006
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Ingår i: International Journal of Geriatric Psychiatry. - : Wiley. - 1099-1166 .- 0885-6230. ; 21:3, s. 210-222
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Forskningsöversikt (refereegranskat)abstract
- Background/Objective The Organic Brain Syndrome (OBS) Scale was developed to determine elderly patients' disturbances of awareness and orientation as to time, place and own identity, and assessment of various emotional and behavioural symptoms appearing in delirium, dementia and other organic mental diseases. The aim of the study was to examine the OBS Scale, using the eight criteria and guidelines formulated by the Scientific Advisory Committee of the Medical Outcomes Trust (SAC), and to investigate its relevance and suitability for use in various clinical settings. Method Systematic search and analysis of papers (30) on the OBS Scale were carried out using the criteria suggested by the SAC. Results: The OBS Scale in many aspects satisfies the requirements suggested by the SAC: conceptual and measurement model, reliability, validity, responsiveness, interpretability, respondent and administrative burden, alternative forms of administration, and cultural and language adaptations, but there is a need for additional evaluation, especially with regard to different forms of reliability, and the translation and adaptation to other languages. Conclusions The OBS Scale is a sensitive scale which is clinically useful for the description and long-term follow-up of patients showing symptoms of acute confusional state and dementia. Although the OBS Scale has been used in several clinical studies there is need for further evaluation. Copyright (c) 2006 John Wiley & Sons, Ltd.
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| 2. |
- Bolmsjö, Ingrid, et al.
(författare)
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Everyday ethics in the care of elderly people
- 2006
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Ingår i: Nursing Ethics. - : SAGE Publications. - 1477-0989 .- 0969-7330. ; 13:3, s. 249-263
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Tidskriftsartikel (refereegranskat)abstract
- This article analyses the general ethical milieu in a nursing home for elderly residents and provides a decision-making model for analysing the ethical situations that arise. It considers what it means for the residents to live together and for the staff to be in ethically problematic situations when caring for residents. An interpretative phenomenological approach and Sandman’s ethical model proved useful for this purpose. Systematic observations were carried out and interpretation of the general ethical milieu was summarized as ‘being in the same world without meeting’. Two themes and four subthemes emerged from the analysis. Three different ethical problems were analysed. The outcome of using the decision-making model highlighted the discrepancy between the solutions used and well-founded solutions to these problems. An important conclusion that emerged from this study was the need for a structured tool for reflection.
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| 3. |
- Wann-Hansson, Christine, et al.
(författare)
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Patients' experiences of living with peripheral arterial disease awaiting intervention: a qualitative study.
- 2005
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Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 1873-491X .- 0020-7489. ; 42:8, s. 851-862
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate patients’ experiences of living with peripheral arterial disease (PAD) and the influence on activities of daily living. Twenty-four patients with various degrees of PAD were interviewed. The transcribed texts were analysed using manifest and latent content analysis. Living with PAD meant carrying a hard-to-bear physical, social and emotional burden, and struggling for relief. The experience of burden was interpreted in the following themes representing consequences and strategies for gaining control in daily life: (I) “being limited by the burden” (II) “striving to relieve the burden” (III) “accepting and adapting to the feeling of burden”. The use of different coping strategies was crucial to achieve some relief. Pain and sleep disturbance emerged as a major feature of living with PAD, and by combining both analgesics and non-pharmacological methods some pain relief was received. To provide optimal alleviation of pain for these patients, education about pain and pain management is of great importance followed by regular evaluations of the pain and pain management. Furthermore, the study underlines the importance of preventing the progression of the vascular disease and from the individual power and knowledge support and preserve as independent life as possible.
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| 4. |
- Wann-Hansson, Christine, et al.
(författare)
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The long-term experience of living with peripheral arterial disease and the recovery following revascularization : a qualitative study
- 2006
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Ingår i: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; :Feb 3
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT Background: The long-term experience of living with peripheral arterial disease (PAD) and the durability of improvements after revascularization are sparsely described in the literature. The primary goal of medical treatment and nursing care for PAD is to provide relief of symptoms, improve quality of life and prevent the progression of arterial disease and cardiovascular complications. A majority are elderly with a significantly increased risk of myocardial infarction, stroke and cardiovascular death. Which can limit mobility and functional status even in the absence of ischaemic claudication, rest pain or ulceration after a successful revascularization. Objectives: To illuminate the long-term experience of living with peripheral arterial disease and the recovery following revascularizations. Methods: Fourteen patients were interviewed 6 months and 2½ years after revascularization. The transcribed texts were analysed using manifest and latent content analysis. Results: The long-term experience of living with PAD meant gradually becoming aware of having a chronic disease. This was interpreted in the following themes, representing the transition from being in an acute phase of PAD to the recovery after revascularization and entering a chronic phase of PAD: (I) “becoming better but not cured”; (II) “recapturing control over life”; (III) “reappraising meaning in life”. Conclusions: Becoming aware of having a chronic disease results in a need to adapt to and accept permanent restrictions in daily life. The findings showed that revascularizations offer several benefits, however when PAD symptoms were relieved other ailments became discernable, which reflects the complex course of PAD and atherosclerotic disease. Moreover, several critical points and events such as other concurrent diseases, unrealistic hope for recovery, the complex course of PAD and atherosclerotic disease complicated the transition process towards health and well-being.
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