Redley Marcus, Poland Fiona, Coleston-Shields Donna Maria, Stanyon Miriam, Yates Jennifer, Streater Amy, Orrell Martin
6106School of Health Sciences, University of East Anglia, Norwich, UK.
2152Department of Psychiatry, University of Cambridge, Cambridge, UK.
J Appl Gerontol. 2022 Dec;41(12):2549-2556. doi: 10.1177/07334648221118557. Epub 2022 Aug 25.
One way of supporting people living with dementia is assisting them to live in their homes (as opposed to being admitted to hospital or other facility) and providing them with a specialist service that responds to crises. This makes it important to understand how best to organize such crisis response services. This study examines practitioners' actions to reduce inpatient admissions among this population. Through interviews with healthcare practitioners, we find that practitioners negotiate a complex intersection between (1) what constitutes a in relation to the patient and/or the carer, (2) the demands of building a working relationship with both the patient and their family carers, and (3) ensuring effective communications with social services responsible for long-term community support. Findings suggest that policies aimed at reducing admissions should be based on a model of care that more closely maps practitioners' relational and bio-medical work in these services.
支持痴呆症患者的一种方式是帮助他们居家生活（而非住院或入住其他机构），并为他们提供应对危机的专业服务。因此，了解如何最好地组织此类危机应对服务就显得很重要。本研究考察了从业者为减少该人群住院人数所采取的行动。通过对医疗从业者的访谈，我们发现，从业者在以下几个方面进行复杂的协调：（1）对于患者和/或照顾者而言，什么构成危机；（2）与患者及其家庭照顾者建立工作关系的要求；（3）确保与负责长期社区支持的社会服务部门进行有效沟通。研究结果表明，旨在减少住院人数的政策应基于一种护理模式，该模式能更紧密地反映从业者在这些服务中的关系性和生物医学工作。
