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Practitioners' Views on Enabling People With Dementia to Remain in Their Homes During and After Crisis.

Published version
Peer-reviewed

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Type

Article

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Authors

Poland, Fiona 
Coleston-Shields, Donna Maria 
Stanyon, Miriam 
Yates, Jennifer 

Abstract

One way of supporting people living with dementia is assisting them to live in their homes (as opposed to being admitted to hospital or other facility) and providing them with a specialist service that responds to crises. This makes it important to understand how best to organize such crisis response services. This study examines practitioners' actions to reduce inpatient admissions among this population. Through interviews with healthcare practitioners, we find that practitioners negotiate a complex intersection between (1) what constitutes a crisis in relation to the patient and/or the carer, (2) the demands of building a working relationship with both the patient and their family carers, and (3) ensuring effective communications with social services responsible for long-term community support. Findings suggest that policies aimed at reducing admissions should be based on a model of care that more closely maps practitioners' relational and bio-medical work in these services.

Description

Peer reviewed: True

Keywords

community, dementia, health services, mental health, qualitative methods, Humans, Dementia, Caregivers, Delivery of Health Care, Hospitalization

Journal Title

J Appl Gerontol

Conference Name

Journal ISSN

0733-4648
1552-4523

Volume Title

41

Publisher

SAGE Publications
Sponsorship
National Institute for Health Research (NIHR) Programme Grants for Applied Research (RP-PG-0612-20004)