Related Experiment Videos
Reframing person-centered nursing care for persons with dementia
Janice Penrod1, Fang Yu, Ann Kolanowski
1The Pennsylvania State University, University Park, PA 16802, USA. jlp198@psu.edu
Research and Theory for Nursing Practice
|March 24, 2007
Summary
The need-driven dementia-compromised behavior (NDB) model integrates biomedical and phenomenological views for person-centered dementia care. This nursing theory enhances thoughtful action and excellence in caring for individuals with Alzheimer's dementia.
Area of Science:
- Gerontology
- Nursing Science
- Neuroscience
Background:
- Alzheimer's dementia presents complex clinical symptoms.
- Current care approaches often rely on biomedical or phenomenological perspectives.
- Neither perspective alone adequately supports person-centered nursing care.
Purpose of the Study:
- To introduce the need-driven dementia-compromised behavior (NDB) model as a midrange nursing theory.
- To demonstrate how the NDB model integrates diverse perspectives for improved dementia care.
- To promote a higher standard of person-centered care for individuals with dementia.
Main Methods:
- Discussion of the need-driven dementia-compromised behavior (NDB) model.
- Exploration of its theoretical underpinnings, integrating biomedical and phenomenological views.
- Emphasis on its application in clinical nursing practice.
Main Results:
- The NDB model offers a theoretical framework for person-centered dementia care.
- Integration of perspectives enhances understanding of dementia-related behaviors.
- The model facilitates a new level of praxis (thoughtful action) in care.
Conclusions:
- The NDB model represents an advancement in nursing theory for dementia care.
- It bridges theoretical perspectives to practical, person-centered interventions.
- Clinical application of the NDB model leads to improved care quality for persons with dementia.
Related Concept Videos
01:13Patient-centered Care
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
01:30Dementia
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
The progression of dementia is generally gradual.
01:22Dementia l: Introduction
Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...