TY  - THES
AB  - **Background:** People with dementia in an advanced state are mostly looked after by relatives or other caregivers usually in resilient informal home settings. In the course of time patients concerned are transferred increasingly to nursing homes. There are only a few informations about the reasons and triggers for those patients to move into formal settings. Furthermore there is little evidence for whether changing into a formal setting is always necessary or if there were alternatives.<br /><br />
**Objectives:** Transitions of care- needing people with dementia from home settings to nursing homes were investigated. The aim was to gain knowledge about the special needs of this group of patients and about the reasons for their transfer.<br /><br />
**Methods:** 17 guided interviews were performed with relatives who had accompanied patients into formal nursing home settings. Data analysis was achieved by qualitative content analysis following Mayring (2010)<br /><br />
**Results:** These transitions can be divided into three phases: entry - orientation and finally the phase of growing routine. During transitions all persons involved undergo complex change processes and they experience a biographical break. The investigated transitions lead to a stabilization of the social environment of inhabitants and caregivers. Two different developments are responsible for transitions: The smaller group consists of unplanned transitions, following a one time critical, health concerned event, preventing the existing setting to be continued. The second, by far the larger group, changes into fulltime care due to an increase of different problems: in these cases, transition usually runs according to plan after a longish period of decision - making. Existing offers for advice or support are either not known, not called for or ineffective.<br /><br />
**Conclusion:** The present results point to a special need for help and complementary assistance, concerning, amongst other things, cooperation and integration of helpers during fulltime care. Added to that, counseling and guiding of people with dementia and their next of kin turns out to be necessary, too. Considering these aspects informal care settings may be stabilized and transitions into nursing home care can be influenced favourably.
DA  - 2019
DO  - 10.4119/unibi/2936854
LA  - ger
PY  - 2019
TI  - Übergänge von pflegebedürftigen Menschen mit Demenz in vollstationäre Pflegeeinrichtungen
UR  - https://nbn-resolving.org/urn:nbn:de:0070-pub-29368540
Y2  - 2024-11-21T22:31:09
ER  -