Fitzpatrick Lindsay
Gartnavel General Hospital, Glasgow, Scotland.
Nurs Older People. 2018 Feb 26;30(2):30-34. doi: 10.7748/nop.2018.e982.
Hospital stays can have significant negative effects for people with dementia. This article explores methods of improving dementia care in general hospital wards. Taking its starting point as the importance of person-centred care, it explores ways of improving the ward environment, meaningful activities, personal history work, involving carers, and identifying and treating delirium. Practical strategies are suggested in each of these areas. The article acknowledges that implementing change can be challenging in NHS settings where wards are understaffed, and time is precious. However, it encourages all nurses working in these settings to recognise the importance of person-centred care for people with dementia and to make even small changes that can have a significant effect.
住院对患有痴呆症的人可能会产生重大负面影响。本文探讨了改善综合医院病房中痴呆症护理的方法。文章以以人为本的护理的重要性为出发点,探索改善病房环境、开展有意义的活动、进行个人历史梳理、让护理人员参与其中以及识别和治疗谵妄的方法。在这些领域的每一个方面都提出了切实可行的策略。文章承认,在国民保健制度(NHS)的病房人员配备不足且时间宝贵的情况下实施变革可能具有挑战性。然而,它鼓励在这些环境中工作的所有护士认识到以人为本的护理对痴呆症患者的重要性,并做出哪怕是微小的改变,这些改变也可能产生重大影响。