Chamberlain Lucy, Anderson Carole, Knifton Chris, Madden Gayle
Royal British Legion, Birmingham, England.
Worcestershire Health and Care NHS Trust, Worcester, England.
Nurs Older People. 2018 Jul 26;30(5):20-25. doi: 10.7748/nop.2018.e1035. Epub 2018 Jun 5.
With an ageing population comes an increasing risk of illnesses such as dementia and a growing need for care. There are 670,000 informal, unpaid carers in the UK, reducing costs for health and social care services but presenting other concerns for healthcare professionals. Carer burden and carer stress are well-documented concepts, and can lead to depression and a risk of suicide in some individuals. It is important that this risk is considered when supporting informal carers of people living with dementia. Admiral Nurses work with families living with dementia to provide the one-to-one support and expert guidance they need to manage. This article discusses a case study that highlights how caring can affect an individual, leading to thoughts of suicide. It also demonstrates how an Admiral Nurse could support the carer in a relationship-centred way, using appropriate interventions to avoid crisis. The article offers implications for practice and provides recommendations for nurses working in this field.
随着人口老龄化，患痴呆症等疾病的风险增加，护理需求也日益增长。英国有67万名非正式的无薪护理人员，这降低了医疗和社会护理服务的成本，但也给医疗专业人员带来了其他问题。护理负担和护理压力是有充分记录的概念，在某些个体中可能导致抑郁和自杀风险。在支持痴呆症患者的非正式护理人员时，考虑到这种风险很重要。海军护士与患有痴呆症的家庭合作，提供他们所需的一对一支持和专业指导。本文讨论了一个案例研究，突出了护理如何影响个人，导致自杀念头。它还展示了海军护士如何以关系为中心的方式支持护理人员，使用适当的干预措施避免危机。本文对实践具有启示意义，并为该领域的护士提供了建议。
