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Caring for elderly patients with dementia: nursing interventions
Authors Joosse LL, Palmer D, Lang NM
Received 2 May 2013
Accepted for publication 29 June 2013
Published 6 August 2013 Volume 2013:3 Pages 107—117
DOI https://doi.org/10.2147/NRR.S34531
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Laura L Joosse,1 Debra Palmer,1 Norma M Lang2
1University of Wisconsin-Milwaukee, College of Nursing, Milwaukee, WI, USA; 2University of Wisconsin-Milwaukee, College of Nursing, Knowledge Based Nursing Research Initiative, Milwaukee, WI, USA
Abstract: Elderly patients suffering from chronic cognitive decline/dementia are susceptible to poor quality of care which further erodes their quality of life. Seemingly benign events can create cascade iatrogenesis in those whose compensatory ability is compromised by impairments in multiple domains. Under recognition, misrecognition, or failure to intervene and manage this vulnerable population leads to suboptimal care. This places them at risk for cognitive decline, functional decline, and challenging behaviors, creating financial and emotional burdens for not only the patients but also family, staff, and organizations that are attempting to provide care. Identifying, managing, and therapeutically responding to confused elderly is complex. Recognizing the challenges makes the development of tools that guide comprehensive assessment planning, interpretation of findings, and treatment plans imperative. Innovative and effective assessment and interventional approaches are present in the literature. This article synthesizes the scientific evidence to guide clinicians to implement in practice.
Keywords: dementia, older adults, assessment, intervention, quality of life, elderly, cognitive decline
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