Reviewing the definition of crisis in dementia care
<p>Abstract</p> <p>Background</p> <p>Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utili...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2013-02-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2318/13/10 |
| _version_ | 1819030839169646592 |
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| author | Vroomen Janet MacNeil Bosmans Judith E van Hout Hein PJ de Rooij Sophia E |
| author_facet | Vroomen Janet MacNeil Bosmans Judith E van Hout Hein PJ de Rooij Sophia E |
| author_sort | Vroomen Janet MacNeil |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice.</p> <p>Methods</p> <p>We systematically searched for articles containing definitions of crisis in the context of dementia care. We created an operational framework of crisis based on retrieved definitions. Recommendations to address crisis situations were reviewed and classified according to care settings.</p> <p>Results</p> <p>Abstracts and titles of 1,113 articles, screened from PubMed and EMBASE, were narrowed down to 27 articles. After review, crisis in dementia was defined as <it>a process where a stressor causes an imbalance requiring an immediate decision to be made which leads to a desired outcome and therefore a resolution of the crisis</it>. <it>If the crisis is not resolved, the cycle continues.</it> Recommendations for resolving crisis involving persons with dementia and their caregivers include awareness therapy after diagnosis and increased contact with general practitioners, case manager consultations, caregiver support and education. Furthermore, nursing home staff should be attuned to the environmental, physical and psychological needs of persons with dementia.</p> <p>Conclusions</p> <p>This is the first article to review the definition of crisis in the context of dementia care. A review of the literature indicated that the definition of a crisis is idiosyncratic. Therefore, it is difficult to prevent or plan for all crises. We used an operational framework to compile types of crisis stressors and recommendations from the crisis literature based on three different perspectives; the person with the dementia, the caregiver and the healthcare providers.</p> |
| first_indexed | 2024-12-21T06:36:32Z |
| format | Article |
| id | doaj.art-e0b5a7a3af804e878ffd015da28f5503 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-12-21T06:36:32Z |
| publishDate | 2013-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-e0b5a7a3af804e878ffd015da28f55032022-12-21T19:12:51ZengBMCBMC Geriatrics1471-23182013-02-011311010.1186/1471-2318-13-10Reviewing the definition of crisis in dementia careVroomen Janet MacNeilBosmans Judith Evan Hout Hein PJde Rooij Sophia E<p>Abstract</p> <p>Background</p> <p>Crisis is a term frequently used in dementia care lacking a standardized definition. This article systematically reviews existing definitions of crisis in dementia care literature to create a standardized definition that can be utilized for research, policy and clinical practice.</p> <p>Methods</p> <p>We systematically searched for articles containing definitions of crisis in the context of dementia care. We created an operational framework of crisis based on retrieved definitions. Recommendations to address crisis situations were reviewed and classified according to care settings.</p> <p>Results</p> <p>Abstracts and titles of 1,113 articles, screened from PubMed and EMBASE, were narrowed down to 27 articles. After review, crisis in dementia was defined as <it>a process where a stressor causes an imbalance requiring an immediate decision to be made which leads to a desired outcome and therefore a resolution of the crisis</it>. <it>If the crisis is not resolved, the cycle continues.</it> Recommendations for resolving crisis involving persons with dementia and their caregivers include awareness therapy after diagnosis and increased contact with general practitioners, case manager consultations, caregiver support and education. Furthermore, nursing home staff should be attuned to the environmental, physical and psychological needs of persons with dementia.</p> <p>Conclusions</p> <p>This is the first article to review the definition of crisis in the context of dementia care. A review of the literature indicated that the definition of a crisis is idiosyncratic. Therefore, it is difficult to prevent or plan for all crises. We used an operational framework to compile types of crisis stressors and recommendations from the crisis literature based on three different perspectives; the person with the dementia, the caregiver and the healthcare providers.</p>http://www.biomedcentral.com/1471-2318/13/10CrisisDementia careDefinitionOperational framework |
| spellingShingle | Vroomen Janet MacNeil Bosmans Judith E van Hout Hein PJ de Rooij Sophia E Reviewing the definition of crisis in dementia care BMC Geriatrics Crisis Dementia care Definition Operational framework |
| title | Reviewing the definition of crisis in dementia care |
| title_full | Reviewing the definition of crisis in dementia care |
| title_fullStr | Reviewing the definition of crisis in dementia care |
| title_full_unstemmed | Reviewing the definition of crisis in dementia care |
| title_short | Reviewing the definition of crisis in dementia care |
| title_sort | reviewing the definition of crisis in dementia care |
| topic | Crisis Dementia care Definition Operational framework |
| url | http://www.biomedcentral.com/1471-2318/13/10 |
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