Negotiating Points of Care: Describing the Complexity of Decisions Facing Families and Nurse Caregivers of People with Dementia

2.50
Hdl Handle:
http://hdl.handle.net/10755/152887
Type:
Presentation
Title:
Negotiating Points of Care: Describing the Complexity of Decisions Facing Families and Nurse Caregivers of People with Dementia
Abstract:
Negotiating Points of Care: Describing the Complexity of Decisions Facing Families and Nurse Caregivers of People with Dementia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Pierce, Penny, PhD
P.I. Institution Name:University of Michigan
Title:Associate Professor
Objectives: Describe how real-world circumstances affecting the care of the elderly heighten our need to know how complex cognition proceeds under difficult circumstances and varying contexts. Identify the paucity of research focused on the decisions of elderly patients and their family caregivers, especially around the recognition and management of NDBs. Lack of understanding of these influences implies that elders and their families must continue to suffer from the practical problems arising from decisional conflict. Concepts or variables: Decision-making by family and nurse caregivers. Methods: Theories of cognition and decision science will be used to illuminate human performance as it occurs in these real-world settings across the trajectory of elder care (e.g., at diagnosis, disposition, episodic illnesses and end of life), and will point the way for the design of interventions to address shortfalls in decision behavior in these varied contexts. Conclusions and Implications: Those with severe cognitive impairment rely heavily on others to provide substituted judgments when health care decisions must be made raising numerous emotional, ethical and legal considerations. Understanding major decision points for older persons and their family caregivers provides suggestions for designing and testing interventions and care environments to support cognitive and mental functioning and to foster effective decision making for older persons, their family and caregivers.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNegotiating Points of Care: Describing the Complexity of Decisions Facing Families and Nurse Caregivers of People with Dementiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152887-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Negotiating Points of Care: Describing the Complexity of Decisions Facing Families and Nurse Caregivers of People with Dementia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Pierce, Penny, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pfpierce@umich.edu</td></tr><tr><td colspan="2" class="item-abstract">Objectives: Describe how real-world circumstances affecting the care of the elderly heighten our need to know how complex cognition proceeds under difficult circumstances and varying contexts. Identify the paucity of research focused on the decisions of elderly patients and their family caregivers, especially around the recognition and management of NDBs. Lack of understanding of these influences implies that elders and their families must continue to suffer from the practical problems arising from decisional conflict. Concepts or variables: Decision-making by family and nurse caregivers. Methods: Theories of cognition and decision science will be used to illuminate human performance as it occurs in these real-world settings across the trajectory of elder care (e.g., at diagnosis, disposition, episodic illnesses and end of life), and will point the way for the design of interventions to address shortfalls in decision behavior in these varied contexts. Conclusions and Implications: Those with severe cognitive impairment rely heavily on others to provide substituted judgments when health care decisions must be made raising numerous emotional, ethical and legal considerations. Understanding major decision points for older persons and their family caregivers provides suggestions for designing and testing interventions and care environments to support cognitive and mental functioning and to foster effective decision making for older persons, their family and caregivers.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T11:53:49Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T11:53:49Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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