Personer med demenssykdom i sykehjem: Refleksjon over livet

AbstractPersons with dementia disease in nursing homes: Reflection about lifeThe article is based on interviews with eight individuals with dementia disease living in nursing homes in Northern Norway. They were asked to tell about their lives, especially habits, interests and activities through the lifespan. Narrative analysis was conducted, phases and happenings through the lifespan were especially important for the interpretation. The persons reflected about their lives, they held up what had been meaningful to them, what they wanted to continue in the nursing home, and how they experienced living with dementia disease. The article holds up the importance of letting the patient tell from his or her life to be able to experience sense of coherence when moving to the nursing home. Continuing contact with family, relationship with nature, animals, local food traditions, singing and music, were also told about as meaningful activities throughout lifespan and in the nursing home

Familie og kontinuitet: Pårørende forteller om livsløpet til personer med demenssykdom

Artikkelen bygger på intervju av nære pårørende om livsløpet til pasienter med demenssykdom som bor i sykehjem i Nord-Norge. De pårørende ble spesielt spurt om pasientenes vaner, interesser og aktiviteter gjennom livsløpet. Det ble utført narrativ analyse av intervjuene med vekt på fortolkning av livsløp og livshendelser hos pasientene. Artikkelen viser hvordan pårørende konkret bidrar til å videreføre kontinuiteten i livsløpet til pasienten, samtidig som det kommer fram hvordan denne kontinuiteten også har stor betydning for pårørende i deres eget liv. Artikkelen viser og at for at pasienten skal oppleve kontinuitet i eget liv etter flytting til sykehjem, er det viktig med en form for kontakt med hjemplass og landskap, og at det gis rom for tradisjoner og livshistorie

Recruitment bias in mild traumatic brain injury research. Description of patients with mild traumatic brain injury not included for research in a single centre in Norway

Study aim: The aim of this study was to give a description of demographic and injury variables of the patients who were not included in the mild traumatic brain injury (TBI) study at St. Olav´s Hospital. Methods: All patients not included who; (1) had been examined with head CT because of sustained or suspected head trauma and (2) fulfilled the WHO criteria for mild TBI during the study period of the mild TBI study, were compared to the patients enrolled. Patients were referred from St. Olav’s Hospital, Trondheim municipal emergency clinic and from general practitioners in Sør-Trøndelag county and Værnesregionen emergency clinic. Results: 624 patients had a head CT and fulfilled the WHO criteria for mild TBI and 48% (n = 301) were enrolled in the mild TBI study. The remaining patients were not included, where 25% (n = 159) were missed for inclusion and 26% (n = 164) were excluded. The patients missed for inclusion tended to be younger than the patients enrolled and the injuries were more often due to violence and head CTs were more often performed during weekend nights. The patients excluded were significantly older, they were less often injured in sports accidents and if admitted, they were more often admitted to other hospital departments for treatment. Conclusion: The enrolment percentage in our study can be considered high and more representative than for previous mild TBI studies. However, this study demonstrates that there were some differences between patients enrolled and patients excluded or missed for inclusion. Hence, also this study suffers from a degree of recruitment bias with an unknown effect on study results. We experienced, that a low accuracy of mild TBI diagnosis set in outpatient clinics, combined with strict study criteria for inclusion and patients declining participation or being difficult to reach, made the inclusion of patients for our study demanding. We suspect these factors to contribute to recruitment bias in all mild TBI research

Personer med demenssykdom i sykehjem: Refleksjon over livet

Abstract Persons with dementia disease in nursing homes: Reflection about life The article is based on interviews with eight individuals with dementia disease living in nursing homes in Northern Norway. They were asked to tell about their lives, especially habits, interests and activities through the lifespan. Narrative analysis was conducted, phases and happenings through the lifespan were especially important for the interpretation. The persons reflected about their lives, they held up what had been meaningful to them, what they wanted to continue in the nursing home, and how they experienced living with dementia disease. The article holds up the importance of letting the patient tell from his or her life to be able to experience sense of coherence when moving to the nursing home. Continuing contact with family, relationship with nature, animals, local food traditions, singing and music, were also told about as meaningful activities throughout lifespan and in the nursing home

Familie og kontinuitet; pårørende forteller om livsløpet til personer med demenssykdom

Artikkelen bygger på intervju av nære pårørende om livsløpet til pasienter med demenssykdom som bor i sykehjem i Nord-Norge. De pårørende ble spesielt spurt om pasientenes vaner, interesser og aktiviteter gjennom livsløpet. Det ble utført narrativ analyse av intervjuene med vekt på fortolkning av livsløp og livshendelser hos pasientene. Artikkelen viser hvordan pårørende konkret bidrar til å videreføre kontinuiteten i livsløpet til pasienten, samtidig som det kommer fram hvordan denne kontinuiteten også har stor betydning for pårørende i deres eget liv. Artikkelen viser og at for at pasienten skal oppleve kontinuitet i eget liv etter flytting til sykehjem, er det viktig med en form for kontakt med hjemplass og landskap, og at det gis rom for tradisjoner og livshistorie

Continuity and Change in Life Engagement Among People With Dementia

Hensikten med denne studien var å undersøke endring og kontinuitet i engasjement i livet til mennesker med demens. Ideen om meningsfylte aktiviteter er ofte brukt i sykepleieforskning, men få studier har blitt utført på hva som gjør aktiviteter meningsfylte. Denne studien tar sikte på å belyse betydningen av aktiviteter i et livsløpssammenheng, endringer i aktivitetsmønstre som følge av demenssykdom, og betydningen av fortellinger fortalt av nære slektninger. De 11 historier om aktiviteter ble analysert ved hjelp av tematisk narrativ analyse med Leontyev aktivitetsteori som teoretisk rammeverk. Funnene avdekket flere typer endringer: treg og brå endringer i hverdagslige og fysiske aktiviteter, endringer i personens bevissthet, og endringer av vaner i nye miljøer. Den meningsfulle aktiviteten var koblet til en persons bakgrunn, hans / hennes motiver, livsstil og identitet, og kontekstualitet av aktiviteter. Gjennom fortellinger kunne omsorgspersonell skaffe seg et nyansert bilde av personen og hans / hennes engasjement i livet. Disse fortellingene er viktig for å hjelpe mennesker som har demens til å holde tritt med meningsfulle aktiviteter og forbedre sin livskvalitet, særlig når personen mangler kommunikasjon

Familie og kontinuitet : pårørende forteller om livsløpet til personer med demenssykdom

Artikkelen bygger på intervju av nære pårørende om livsløpet til pasienter med demenssykdom som bor i sykehjem i Nord-Norge. De pårørende ble spesielt spurt om pasientenes vaner, interesser og aktiviteter gjennom livsløpet. Det ble utført narrativ analyse av intervjuene med vekt på fortolkning av livsløp og livshendelser hos pasientene. Artikkelen viser hvordan pårørende konkret bidrar til å videreføre kontinuiteten i livsløpet til pasienten, samtidig som det kommer fram hvordan denne kontinuiteten også har stor betydning for pårørende i deres eget liv. Artikkelen viser og at for at pasienten skal oppleve kontinuitet i eget liv etter flytting til sykehjem, er det viktig med en form for kontakt med hjemplass og landskap, og at det gis rom for tradisjoner og livshistorie

Personer med demenssykdom i sykehjem : refleksjon over livet

The article is based on interviews with eight individuals with dementia disease living in nursing homes in Northern Norway. They were asked to tell about their lives, especially habits, interests and activities through the lifespan. Narrative analysis was conducted, phases and happenings through the lifespan were especially important for the interpretation. The persons reflected about their lives, they held up what had been meaningful to them, what they wanted to continue in the nursing home, and how they experienced living with dementia disease. The article holds up the importance of letting the patient tell from his or her life to be able to experience sense of coherence when moving to the nursing home. Continuing contact with family, relationship with nature, animals, local food traditions, singing and music, were also told about as meaningful activities throughout lifespan and in the nursing home

Identity-supportive nursing of patients with dementia in nursing homes

This article aims to explore how nursing can support a sense of continuity and identity in patients with advanced dementia disease, living in nursing homes. Fourteen carers and managers in two nursing homes in northern Norway were interviewed. The analysis and discussion are based on the theoretical concepts of identity, continuity and person-centred nursing. This study concludes that an awareness of an individual's earlier life may be practically expressed in person-centred nursing, and may support continuity in the patient´s life even after moving into the nursing home. Documentation, professional development, and the organisation of the nursing home are important elements to ensure this awareness. Whilst on-going competence building in the nursing home is necessary, the value of local knowledge among the staff is also emphasized. Before a person moves to a nursing home it would be useful for staff to visit the person's home, gather information from the person and their family, and establish a relationship that can give a sense of security. In the nursing home, a feeling of belonging and identity can be enhanced through daily activities, personal care and mealtimes. The importance of reinforcing a sense of belonging in patients with dementia disease is highlighte

Incidence of mild traumatic brain injury: A prospective hospital, emergency room and general practitioner-based study

Background: There are no recent estimates of incidence rates of mild traumatic brain injury (MTBI) from Norway. Moreover, reported incidence rates rarely comprise cases of MTBI evaluated in the primary care setting. In this study, we utilized existing data collected as part of the recruitment to a large, follow-up study of patients with MTBI. We estimated the incidence rate of MTBI, including patients who visited outpatient clinics, in the age group 16–59 years in a Norwegian region. Methods: During 81 weeks in 2014 and 2015, all persons aged 16–59 years, presenting with possible MTBI to the emergency department (ED) at St. Olavs Hospital, Trondheim University Hospital or to the general practitioner (GP)-run Trondheim municipal outpatient ED, were evaluated for a diagnosis of MTBI. Patients were identified by computerized tomography (CT) referrals and patient lists. Patients referred to acute CT from their primary GP with suspicion of MTBI were also recorded. This approach identified 732 patients with MTBI. Age- and sex-specific incidence rates of MTBI were calculated using population figures from the regional catchment area. Results: Overall incidence of MTBI in people between 16 and 59 years was 302 per 100,000 person-years (95% confidence interval 281–324). The incidence rate was highest in the age group 16–20 years, where rates were 835 per 100,000 person-years in males and 726 in females. Conclusion: The overall incidence rate of MTBI was lower than expected from existing estimates. Like other reports, the incidence was highest in the late teens