Related Experiment Videos
Reducing patient distress: a model for dementia care
Eileen Hackman1, Lynne Tomlinson, Anita Mehrez
1Christie NHS Foundation Trust, Manchester, UK.
British Journal of Nursing (Mark Allen Publishing)
|March 2, 2013
Summary
Patients with dementia undergoing cancer treatment may experience distress from immobilisation masks. An individualized care plan is crucial for managing dementia patients during radiotherapy, ensuring dignity and consent.
Area of Science:
- Oncology
- Geriatrics
- Neurology
Background:
- Over 750,000 individuals in the UK have dementia, with numbers projected to rise.
- Increasingly, cancer patients will also have dementia, requiring specialized care during treatment.
- Radiotherapy immobilization masks can induce anxiety, particularly in patients with cognitive impairments.
Purpose of the Study:
- To report on the care of a dementia patient undergoing cancer treatment.
- To highlight challenges associated with radiotherapy for patients with dementia.
- To propose strategies for individualized care in managing dementia patients during medical procedures.
Main Methods:
- A single case study approach was used.
- Detailed care provision for a patient with dementia and his wife (carer) during cancer treatment was documented.
- The impact of sedation on the patient's condition was observed.
Main Results:
- Sedation exacerbated confusion rather than aiding procedures for the patient.
- The patient experienced distress related to immobilization masks during radiotherapy.
- An individualized contract of care was developed to manage the patient's needs.
Conclusions:
- Individualized care contracts are essential for maximizing interactions and ensuring dignity for dementia patients during challenging medical procedures.
- Careful consideration of sedation and immobilization techniques is necessary for patients with dementia undergoing cancer treatment.
- Maintaining ongoing consent and dignity is paramount when treating cancer patients with dementia.
Related Concept Videos
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.
01:30Ethical Dilemmas II
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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...
01:21Kubler Ross's Stages of Dying
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from emotional distress. Anger...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from emotional distress. Anger...
01:26Modeling in Therapy
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in situations...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...