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Meeting the Emotional Needs of Hospital Patients With Dementia: A Freelisting Study With Ward Staff

2018; Oxford University Press; Linguagem: Inglês

10.1093/geront/gny151

1758-5341

Stephanie Petty, Tom Dening, Amanda Griffiths, Donna Maria Coleston,

Dementia and Cognitive Impairment Research

People with dementia are vulnerable when in hospital, with serious risks to their physical and emotional well-being. Hospital staff are expected to understand and respond to the emotions of the patient; however, it is not known how this can be achieved. We provide a concise description of achievable emotion-focused care for patients with dementia. Exploratory qualitative interviews were conducted with a whole U.K. hospital ward providing dementia care, constituting 47 staff members. Staff responded to four questions using ethnographic freelisting. They listed (a) all the ways they notice the emotional distress of patients with dementia, (b) the causes of emotional distress, (c) all the ways they respond, and (d) the responses that seem to work. Cultural consensus analysis was applied. A single-factor solution for each question indicated a consensus approach to emotional distress. Emotional distress was noticed from agitation (Smith's saliency score, 0.418), crying (0.350), and increased mobilizing (0.238). The main causes of distress were the unfamiliar hospital environment (0.355) and not knowing what is happening (0.313). The most effective ways to respond to emotional distress required knowing the person (0.299), talking (0.283), and being with the person (0.269). The findings expand what is understood of behavioral and psychological symptoms of dementia; these communicated emotional distress with well-understood causes. Prioritized ways of responding to emotional distress described person-centered care. The results offer a menu of options for providing emotionally responsive care for patients with dementia in hospital. Future research should evaluate the care described.