Document Detail


Causes of crises and appropriate interventions: the views of people with dementia, carers and healthcare professionals.
MedLine Citation:
PMID:  23153294     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aims of this study were to identify which factors may lead to crisis for people with dementia and their carers and identify interventions these individuals believe could help in crisis. Qualitative study using focus groups to compare the perspectives of people with dementia, family carers and healthcare professionals on causes of crises and crisis interventions. To help in a crisis, people with dementia were favourable towards support from family and friends, access to mobile phones and home adaptations to reduce risks. Carers were keen on assistive technology and home adaptation. Both carers and staff valued carer training and education, care plans and well-coordinated care. Staff were the only group emphasizing more intensive interventions such as emergency home respite and extended hours services. In terms of causes of crises, people with dementia focused on risks and hazards in their home, whereas family carers emphasized carer stress and their own mental health problems. Staff, in contrast were concerned about problems with service organization and coordination leading to crises. Physical problems were less commonly identified as causes of crises but when they did occur they had a major impact. Practical interventions such as home adaptations, assistive technology, education and training for family carers, and flexible home care services were highly valued by service users and their families during times of crisis and may help prevent hospital admissions. Specialist home care was highly valued by all groups.
Authors:
Sandeep Toot; Juanita Hoe; Ritchard Ledgerd; Karen Burnell; Mike Devine; Martin Orrell
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-11-16
Journal Detail:
Title:  Aging & mental health     Volume:  17     ISSN:  1364-6915     ISO Abbreviation:  Aging Ment Health     Publication Date:  2013  
Date Detail:
Created Date:  2013-03-12     Completed Date:  2013-09-16     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  9705773     Medline TA:  Aging Ment Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  328-35     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Caregivers / psychology*
Consumer Satisfaction
Crisis Intervention*
Dementia / nursing,  psychology*
Female
Focus Groups
Health Care Surveys
Health Personnel / psychology*
Humans
Interviews as Topic
Male
Middle Aged
Qualitative Research
Risk Factors
Social Support
Grant Support
ID/Acronym/Agency:
RP-PG-0606-1083//Department of Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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