Communication from individuals with advanced DAT: can it provide clues to their sense of self-awareness and well-being?

Geriatric Nursing
P A MayhewB A Hopkins

Abstract

Often communication from people with advanced dementia of the Alzheimer type (DAT) is regarded as incoherent and meaningless. However, with careful listening and observation, such communication often becomes more understandable. To better understand DAT communication, the investigators designed an exploratory qualitative study to videotape and critically analyze conversations between a clinical nurse specialist and 15 subjects with DAT ranging from mild to severe. One of the findings was that, even in later stages, indications were given that subjects had self-awareness of their cognitive decline. The investigators further examined the communication of the five most cognitively impaired subjects for other indications of self-awareness and well-being. To demonstrate this premise of awareness of cognitive decline and self in the later stages of DAT, excerpts from communication received from five subjects with advanced cognitive impairment are presented.

Citations

Aug 31, 2007·International Psychogeriatrics·Marike E de BoerJan A Eefsting
Jul 26, 2006·Neuropsychological Rehabilitation·Tamara OwnsworthRobin Morris
Feb 16, 2010·Aging & Mental Health·Linda Clare
Mar 24, 2007·Research and Theory for Nursing Practice·Gayle J ActonPatricia A Mayhew
Jul 19, 2005·Aging & Mental Health·Linda ClareGeraldine Kenny
Mar 17, 2004·Journal of Gerontological Nursing·Sonia ReichmanHeather Lisner-Kerbel
Apr 21, 2005·Journal of Gerontological Nursing·Joann PerrySandra Nixon
Mar 20, 2010·The Journal of Medical Investigation : JMI·Chiemi OnishiYutaka Nakahori
Jan 17, 2020·Aging & Mental Health·N J O'ShaughnessyJ Huntley
Nov 20, 2015·The Journal of Nursing Research : JNR·Ya-Ping YangJing-Jy Wang
May 5, 2017·Health & Social Care in the Community·Geraldine Boyle
May 30, 2017·Dementia and Geriatric Cognitive Disorders Extra·Benedicte Sørensen StrømEllen-Karine Grov

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