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Living with dementia from the patient's perspective
1Department of Physiological Nursing, University of California, San Francisco, USA.
Journal of Gerontological Nursing
|August 26, 1998
Summary
People with Alzheimer's disease experience fluctuating symptoms, leading to uncertainty and efforts to maintain normalcy. Understanding the patient's perspective is crucial for improving dementia care.
Area of Science:
- Gerontology
- Neurology
- Qualitative Health Research
Background:
- Dementia, particularly Alzheimer's disease, significantly impacts individuals' lives.
- Understanding the lived experience of dementia from the patient's viewpoint is essential for effective care.
Purpose of the Study:
- To explore the illness experience of dementia from the perspective of individuals with Alzheimer's disease.
- To identify key themes and challenges faced by patients living with dementia.
Main Methods:
- Qualitative study involving in-depth interviews and observations.
- Home visits were conducted with five individuals diagnosed with Alzheimer's disease and their spouses.
- Thematic analysis was employed to analyze the collected data.
Main Results:
- Two primary themes emerged: 'being unsure' and 'trying to be normal'.
- 'Being unsure' reflects the fluctuating symptom experience and disorientation.
- 'Trying to be normal' highlights patients' efforts to maintain life continuity.
Conclusions:
- The patient's perspective is vital for a comprehensive understanding of living with dementia.
- Findings underscore the need for care practices that acknowledge and support patients' efforts to navigate their illness.
- Empathizing with the patient's subjective experience can lead to improved treatment strategies and enhanced quality of life.