变化的双极障碍老年人的护理:叙事分析
Aaron Warner1, Jasper Palmier-Claus2,3, Carol Holland4
1Institute of Population Health, University of Liverpool, Liverpool, UK.
Qualitative health research
|July 30, 2024
概括
患有双相情感障碍的老年人面临着独特的挑战和不断变化的护理需求. 目前的服务往往缺乏量身定制的支持,需要适应以后生活中的有效护理.
科学领域:
- 老年精神病学是一门精神病学专业.
- 心理健康服务研究 心理健康服务研究
- 双极性障碍管理管理
背景情况:
- 患有双相情感障碍的老年人存在独特的护理挑战,与年轻人群体不同.
- 现有的心理健康服务可能无法充分满足这一群体不断变化的需求.
- 过渡到晚年生活可能会加剧管理双相情感障碍的困难.
研究的目的:
- 探索患有双相情感障碍的老年人之间的护理生活经验.
- 识别随着时间的推移,这一群体的护理需求变化.
- 了解当前的服务提供及其适合老年患有双相情感障碍的人.
主要方法:
- 对60岁及以上被诊断患有双相情感障碍的人进行了传记叙事采访.
- 参与者通过国家卫生服务 (NHS) 信托,慈善机构,大学数据库和社交媒体招募.
- 使用叙事分析来解释采访数据,确定关键主题.
主要成果:
- 出现在四个主要主题:导航诊断中断,失去支持服务,在晚年被遗弃的感觉,和持续的支持需求.
- 参与者报告说,他们经历的护理和他们实际的需求之间存在很大的差距.
- 服务被认为是不充分的,不适合老年双相情感障碍患者的特定需求.
结论:
- 患有双相情感障碍的老年人的护理需求不断发展,目前现有服务尚未满足.
- 目前的心理健康支持结构需要大幅调整,以提供有效和适当的护理.
- 量身定制的干预措施至关重要,以使双相情感障碍的老年人能够健康老龄化并保持生活质量.
相关概念视频
01:30Bipolar Disorder
61
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
61
01:24Mania and Antimanic Drugs: Overview
157
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
157
01:15Methods of Documentation VI: Case Management Model
564
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...
For example, a patient with a chronic...
564
01:30Community Based Intervention
37
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
37
01:29Documentation in Long-Term and Home Healthcare Setting
876
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
876
01:21Planning Nursing Care I
4.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K