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Morning care of patients with Alzheimer‐type dementia. A theoretical model based on direct observations
Author(s) -
Sandman P. O.,
Norberg A.,
Adolfsson R.,
Axelsson K.,
Hedly V.
Publication year - 1986
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/j.1365-2648.1986.tb01263.x
Subject(s) - morning , dementia , medicine , nursing care , compensation (psychology) , psychology , nursing , disease , psychoanalysis
Five hospitalized patients in different stages of Alzheimer‐type dementia were monitored by unstructured, direct observations during morning care. Orem's model of nursing as a compensation for the patient's lack of self‐care capabilities was used as a frame of reference for an analysis of the behaviours of patients and nurses during morning care. A 12‐step classification system was developed to be used as a guide to understand and determine abilities essential for performance of morning care for demented patients. The quantitative assessment showed that none of the patients was able to manage morning care independently, but there was a wide variation in their highest level of performance.