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痴呆症护理中的信息:英国的意义构建和公共卫生方向?

Information in dementia care: sense making and a public health direction for the UK?

机构信息

School of Health in Social Science, University of Edinburgh, Edinburgh, UK.

出版信息

Int J Older People Nurs. 2011 Sep;6(3):237-43. doi: 10.1111/j.1748-3743.2011.00288.x.

Abstract

Providing information is a core focus of policy and practice in dementia care. Information is a vehicle through which people can be enabled or disabled, so it is essential that we ensure that information is available in a way that is accessible and relevant for people with dementia and that it enables personal aspiration and collective identity to be advanced in a way that is to the benefit of those living with dementia. People with dementia need information to support autonomy in making decisions and in acting on those decisions. Information must be provided in a way that is appropriate to the individual and to achieve that requires knowledge of the needs of that individual. However, maintaining autonomy includes, but involves much more than, the provision of information - others need to listen and hear their views and be prepared to act on them. As professionals, we must be aware that the (dementia) information we provide may disrupt the biographical narrative that people with dementia value. Thus, a person-centred approach encourages the sharing of knowledge and information. The (mis)use of information also impacts on the way that society disables, discriminates and applies barriers against people with disability.

摘要

提供信息是痴呆症护理政策和实践的核心关注点。信息是赋予或剥夺人们能力的工具,因此,我们必须确保以可访问和与痴呆症患者相关的方式提供信息,并且信息能够促进个人愿望和集体认同的发展,使痴呆症患者受益。痴呆症患者需要信息来支持他们在做出决策和执行决策方面的自主权。信息必须以适合个人的方式提供,而要做到这一点,就需要了解个人的需求。然而,维持自主权包括但不仅仅是提供信息——还需要他人倾听并听取他们的观点,并准备好据此采取行动。作为专业人士,我们必须意识到,我们提供的(痴呆症)信息可能会打乱痴呆症患者重视的个人生活经历叙述。因此,以患者为中心的方法鼓励知识和信息的共享。信息的(滥用)也会影响社会对残疾人士的歧视和设置障碍的方式。

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