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P1‐541: DISRUPTIONS, DISCONTINUITIES AND DISPERSIONS: ETHNOGRAPHIC FINDINGS ON DISJUNCTURES IN ORGANISING ORTHOPAEDIC WARD PRACTICES IN DEMENTIA CARE
Author(s) -
Fox Chris,
Cross Jane,
Backhouse Tamara,
Hammond Simon P.,
Poland Fiona
Publication year - 2018
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2018.06.552
Subject(s) - dementia , delirium , context (archaeology) , nursing , medicine , psychology , psychiatry , paleontology , disease , pathology , biology
four to eight co-existing NPI symptoms. Disinhibition and irritability were common symptoms identified by the respondents. Frequency, severity and distress varied. From the narrative data thirteen categories were created; Communication challenges, lacking self-insight, a changed person, self-neglect, diagnosis before person, anti-social behaviour, suicidal thoughts, loss of impulse control, childlike behaviour, breeching social norms, coping and problem solving, support and unmet needs and fears for safety. The following two themes emerged; Living with a well-known stranger and Coping and overstepping social norms. Conclusions: Family members to persons with FTD found symptoms such as; apathy, disinhibition, and irritability most distressing. Coping and living alongside a changed family member with anti-social behaviour and other NPS was demanding on practical and emotional levels. The presence of NPS can threaten the safety and welfare of the person with FTD and their family in real world and on social media. Support offered should focus on the unique physical and psychological needs of the family.