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The communication between nurse and end of life dementia patients

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Table of Contents Chapter 1: Introduction ......................................................................................................... 3 Chapter 2: Aim of the Thesis ................................................................................................. 4 Chapter 3: Background Research........................................................................................... 5 Long Term Care Facility .................................................................................................... 5 Evidence based Research ................................................................................................... 5 Alzheimer Society of British Columbia Research ............................................................... 5 Chapter 4: Search strategy and selection criteria of research papersError! defined. Empirical Research Papers ................................................. Error! Bookmark not defined. Interview based research papers ......................................... Error! Bookmark not defined. Statistical based research paper .......................................................................................... 6 Chapter 5: Results and Analysis ............................................................................................ 7 Unfamiliar territory ............................................................................................................ 7 Making decisions .............................................................................................................. 7 The grieving carer .............................................................................................................. 7 Chapter 6: Discussion ........................................................................................................ 9 Chapter 7: Conclusion........................................................................................................ 9 References: ......................................................................................................................... 10 Bookmark not

Chapter 1: Introduction
Dementia problem is an increasing issue in the aging population as observed from the research done in the health care activities. It is very difficult to analyse the issue and the need in case of end of life care for the dementia affected people, their families and caregivers. In the healthcare institution it has be observed that number of the people with dementia end their lives there and also in these health care institution there is no or can say very little care is given to the patients and for their needs (Ferri C et al, 2005). In the health care homes where palliative care is given which is basically developed for the people who are caused with the disease of cancer but this kind of palliative care is not appropriate for the people who are caused with dementia. Thus, it is seen as the not providing the perfect care to the patients with dementia and suffer their life at the end of life.

Chapter 2: Aim of the Thesis


The aim of the report is to find the present situations of the communication between nurse and end of life dementia patients and impact on the patients and to the family as well. What other improvements that can be done for the communication between the nurse an end of life dementia patients. The main focus is on how the care is taken for the patients and how they are being treated in the care homes. The reaction and the decision by the families of the patients and also the help from the nurses are being discussed with the examples and statistics.

Chapter 3: Background Research


This literature review aims to identify, synthesize and evaluate current knowledge about family carers experiences and needs regarding end of life and dying in care homes for people with dementia. The communication between the nurses and the patients with end of life dementia is important to know about the care of the patients and the requirement of the patients at the end of life. The patients who are caused with this disease of dementia need more care and help from the nurses, families so that their care can be done at the end easily (Zieber, C.G., et al, 2005).

Long Term Care Facility


The long term care facility is referred as the care home for the elderly people for their better care and help in the elderly age. The personal care and the nursing to these elderly people are necessary because after some age these elderly people are unable to help themselves. The dementia disease also takes place at the early age so it is very difficult to say that dementia only occurs to the youth. It is very difficult to analyse the number of people who are caused with dementia disease and die in the care homes because of the careless in their care and not proper help to the patients.

Evidence based Research Alzheimer Society of British Columbia Research


According to the Alzheimer Society of British Columbia (2009), it has been estimated that there are more than 500,000 Canadians who are caused with the dementia disease and more than 50,000 Canadians are dying with this disease and not getting the proper care in the nursing home and so dying the number of patients every year. The data from the British Columbia suggests that there are more than 70,000 British Columbian residents who are living with the dementia diseases and dying every year too because of the lack of the proper care and attention towards the patients who are with the dementia diseases (Wolf-Klein, et al, 2007).

Statistical based research paper


Statistical analysis was also done to get the trend for the last years for the dementia disease and also the behaviour and decision of the family members of the patients. The report database and health care organizations are very useful in getting the data for the characteristics of the dementia disease and also about the patients. The government health ministry of the specific country have the data for the dementia disease so these data were taken to analyse the trend about the patients with dementia and also about the nurses and to the family of the patients with dementia.

Chapter 5: Results and Analysis


The most important thing is to know about how the current status of the patients with dementia is in the health care homes and what nurses communicating with the patients and the impacts of the communication in the decision making process for the patients. There were more than twelve research papers that were studied for the dementia disease and also the behaviour of the patients and the family members (Mitchell S, 2009).

Unfamiliar territory
In the care homes for the people with dementia disease there are few things need to describe such as lack of knowledge, bad communication or poor communication, and also other is active interventions that are needed for the people who are with the dementia disease and these effort are done for the best cause of the dying relative.

Making decisions
The decision making process towards the people with the dementia is very necessary because the decision taken by either the family member of the patient or by the nurse is in the benefit of the people with dementia. The role of the family member is most important because they are the people who have taken care about the person earlier and know about him/her better. In the decision making process the role of the family member is unforgettable for the person with dementia who is living the care homes and the disease is defined and the unclear

The grieving carer


It is sure that if any person from the family gets in trouble that other member of the family also feel very uncomfortable and restless because of the situation of the other family member who is with dementia. This leads to the family member to take decision on behalf of the life and treatment of the family member with dementia towards their end of life.

Reviews of the people


Patients Nurses Family Others

Fig: The surveys answers given the different people

In the development countries the life expectancy is not so much higher as in the developed countries therefore it can be said that the dementia disease increases with the ageing in developed countries.

Trend of the patients with dementia


100 80 60 40 20 0 2010 2020 2030 2040 Trend of the patients with dementia

Fig: The trend of the patient with dementia disease The above analysis suggests that how serious is the problem of dementia in the developed countries and this is increasing with the time. It is important to analyse the dementia cases in these countries and to take action accordingly based on the results and analysis obtained from the earlier researches.

Chapter 6: Discussion
The communication between the nurse and medical professionals and to the person with dementia is most important because it decides the fate of the person with dementia. It can be strongly said that if there is no communication with the nurse to the patient with dementia disease it will be very difficult to know more about the person what is the problem he has and what help the person needed. The literature review above indicates that many researchers have stated in their research that the patient with dementia disease need active care and strong attention in the care homes to live their life peacefully (Mitchell S, 2009).

Chapter 7: Conclusion
The above analysis shows that there are many issues in the end of life of care of the patient with dementia disease and it is increasing rapidly in the world. There are not much research available in this area but still the present research describes that the communication is the most important aspect of the patient with dementia disease because it helps in deciding the treatment of the patient with dementia disease and also help in making the decision by the family.

References:
1. Alzheimer Society of BC (2009). Put your mind to it: Make change happen for those living with dementia. Brochure 2. Ana Tuya Fulton, Jennifer Rhodes-Kropf, Amy M. Corcoran, Diane Chau, Elizabeth Herskovits Castillo,Clinics in Geriatric Medicine, Volume 27, Issue 2, May 2011, Pages 153-170 3. Dawn Felch Rondeau, Terri A. Schmidt,Emergency Medicine Clinics of North America, Volume 27, Issue 2, May 2009, Pages 341-354 4. Els Bryon, Chris Gastmans, Bernadette Dierckx de Casterl,International Journal of Nursing Studies, Volume 47, Issue 9, September 2010, Pages 1105-1116 5. Esther Chang, Karen Hancock, Kathleen Harrison,Nurse Education Today, Volume 25, Issue 4, May 2005, Pages 326-332 6. Fink, A. (1998) Conducting Research Literature Reviews: From Paper to the Internet. London: Sage Publications Ltd. 7. Hertzberg A, Ekman S-L. We, not them and us? Views on the relationships and interactions between staff and relatives of older people permanently living in nursing homes. J Adv Nursing 2000; 31: 61422 8. Joseph W. Shega, Gavin W. Hougham, Carol B. Stocking, Deon Cox-Hayley, Greg A. Sachs,Journal of Pain and Symptom Management, Volume 35, Issue 5, May 2008, Pages 499-507 9. Journal of the American Medical Directors Association, Volume 8, Issue 3, March 2007, Page B16 10. Mette L. Rurup, Bregje D. Onwuteaka-Philipsen, H. Roeline W. Pasman, Miel W. Ribbe, Gerrit van der Wal,Patient Education and Counseling, Volume 61, Issue 3, June 2006, Pages 372-380

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