Caring for people with Alzheimer's disease who show defensive behaviours. Part 1: Four essential pieces of nursing knowledge

Rey, S., Dallaire, C., Hardy, M.S., Voyer, P., Bouchard, S., Gauthier, M. et Savoie, C. (2021). Caring for people with Alzheimer's disease who show defensive behaviours. Part 1: Four essential pieces of nursing knowledge. Journal of Nursing and Practice, 41 (1). pp. 249-264. ISSN 2578-7071 DOI 10.36959/545/392

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Résumé

When caring for people living with Alzheimer's disease (AD) and showing aggressive behaviours, nurses must perform a knowledge-based nursing practice to better understand the people's needs and support them. This article aims to present a structure for the knowledge essential for nurses caring for people living with Alzheimer's disease who show defensive behaviours. People living with AD some times show defensive behaviours that have disastrous consequences for them, their family members, the other residents, and the formal caregivers. Rather than considering these behaviours as being aggressive and disruptive, nurses must understand that they are protective and defensive. Because of the important role that nurses have in the care of people living with AD, they must possess specific knowledge. This discursive paper is based on the literature of defensive behaviours and integrates the Fundamentals of Care Framework. We use Kim's perspective regarding the knowledge-based practice and the knowledge-use in nursing practice. Several dimensions that must be considered for the nursing practice for the elderly living with AD are introduced. This permits to present a clinical gerontological nursing process centred on the relationship with the person living with AD and their family. Moreover, a mid-paradigm for nursing care of these people is introduced. Then, essential nursing knowledge for the care of people living with AD is presented in four parts, which are 1) Characteristics of AD, 2) Goals of the behaviours, 3) Contributing factors, and 4) Ecobiopsychosocial and pharmacological interventions related to the person and family's needs. The specific structure of knowledge permits to precisely identify pieces of knowledge nurses should possess and nursing students should learn in order to take care of people living with AD and their families.

Type de document:	Article
Mots-clés libres:	Dementia care Fundamental care Nursing theory Family-Centred care Aggression management Non-Pharmacological method
Date de dépôt:	22 juill. 2024 19:29
Dernière modification:	22 juill. 2024 19:29
Version du document déposé:	Version officielle de l'éditeur
URI:	https://depot-e.uqtr.ca/id/eprint/11398

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