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首页> 外文期刊>International journal of older people nursing >Dementia, dignity and quality of life: nursing practice and its dilemmas.
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Dementia, dignity and quality of life: nursing practice and its dilemmas.

机译：痴呆症，尊严与生活质量：护理实践及其困境。

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AIMS: The need for healthcare practitioners to respect the dignity of older people is widely recognised in England, where it has been given attention by politicians, professionals and health service regulators. This article aims to provide examples of how such ambitions may be used in practice development. METHODS: This article reports the use of five vignettes discussed by dementia care practitioners that explored the areas of dementia diagnosis, lying, incontinence, behavioural and psychological distress, and end of life care. FINDINGS: Each vignette promoted discussion of differences of perspectives about the ways to enhance the dignity of people with dementia in hospital, care home and community settings. The discussion confirmed that while dignity may be one quality indicator of good care potentially enhancing quality of life, it is not always straightforward. It may be more easily conceptualised when talking of physical care and treatment than other areas. CONCLUSION: The opportunity to debate the subject and to discuss practice examples revealed differences of opinion and moral perspectives between practitioners about the use and relevance of the term dignity. These need to be acknowledged in any debates about objective and subjective definitions of quality of life.
机译：目的：在英格兰，医务人员必须尊重老年人的尊严，这已得到政界人士，专业人员和卫生服务监管机构的重视。本文旨在提供一些示例，说明如何在实践开发中使用这些雄心壮志。方法：本文报道了痴呆症护理从业人员讨论的五个小插曲的使用，探讨了痴呆症的诊断，躺卧，失禁，行为和心理困扰以及临终关怀的领域。结果：每个小插图都促进了关于在医院，疗养院和社区环境中增强痴呆症患者尊严的方法的不同观点的讨论。讨论确认，虽然尊严可能是良好护理的一项质量指标，但可能会改善生活质量，但这并不总是那么简单。与其他领域相比，在谈论身体护理和治疗时可能更容易概念化。结论：辩论主题和讨论实践案例的机会揭示了实践者之间关于尊严一词的使用和相关性的观点和道德观点的差异。在有关生活质量的主观和主观定义的任何辩论中都必须承认这些。

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