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incontinence is a common medical condition among nursing home residents.
Urinary incontinence in older people has a multifactorial etiology and is
therefore more difficult to assess and treat than urinary incontinence in
younger people. Previous research has shown that incontinence care in nursing
home residents often is inadequate and little systematized. The aim of this
study was to identify perceptions and barriers that influence the ability of
the nursing staff to provide appropriate
incontinence care. This was a qualitative study using focus-group methodology.
Data were collected from three focus-group interviews with 15 members of the
nursing staff from six different units in a nursing home. The focus-group
interviews were recorded on tape, transcribed verbatim and analyzed according
to qualitative content analysis. Three topics and eight categories were identified.
The first topic, Perceptions and barriers associated with residents, consisted
of one category: “physical and cognitive problems”. The second topic, Perceptions and barriers associated with nursing staff, consisted of three
categories: “lack of knowledge”, “attitudes and beliefs” and “lack of accessibility”.
The third topic, Perceptions and barriers associated with organizational
culture, consisted of four categories: “rigid routines”, “lack of
resource”, “lack of documentation” and “lack of leadership”. The findings from this study show that there are many
barriers that might influence the possibilities of nursing staff to provide
appropriate incontinence care to residents in nursing homes. However, it can
nevertheless seem like opinions and the attitude of nursing staff, together
with a lack of knowledge about UI, are the most important barriers to provide appropriate incontinence care.
become involved in the care of people with dementia who are living at home. The
caregivers’ burdens are extensively described in several studies, and one of
the most common, unmet needs of the caregivers is the opportunity for daytime activities. The aim in this qualitative
study is therefore to explore the everyday lives of eight relatives of people
with dementia who are receiving day care services. A content analysis is
used, and three major themes emerge and are discussed: 1) when life becomes chaotic; 2) rebuilding a new, everyday life; and 3) the agonies of choice. The findings indicate that day care
service offers respite care, and, at the
same time, it gives both the relatives and
those with dementia a meaningful day. These findings can also be described as
relatives traveling a route from a situation characterized by chaos
and suffering to a new life situation that has meaning through day care
services. It is important to note that despite this new meaning in the relatives’ lives, the relatives continue to
struggle with decisions about the futures of their loves ones in
regard to the dilemma of placing them in an institution versus aging in place.
Approximately 66 million people worldwide will suffer from dementia in
2030. The dementia’s impact affects people with the disorder and those in their
social networks, most notably, their families. This study’s aim was to explore
the experiences of family relationships when a family member has dementia. We
conducted semi-structured interviews with people diagnosed with dementia, their
spouses and adult children. Seventeen participants were interviewed. All participants
were recruited in open-ended ongoing structured support groups provided by a
Swedish municipality in order to elicit the participants’ subjective
experiences on family relationships after the dementia diagnosis. Researchers
used content analysis to examine the transcripts. Two main themes were
identified, one relating to changed relationships where the participants experienced
longing, lost closeness, loneliness and changed sibling relationships. The
second theme related to supporting relationships within the family with
experiences such as kinship, shared responsibilities and love and appreciation.
Support should therefore focus on creating relationships and giving
opportunities for conversations about changes within the families and difficult
decisions, creating family or team support for those who need it.