Exploring Healthcare Providers’ Difficulties and Strategies when Caring for Community-Dwelling People With Dementia Who are at Risk of Getting Lost

Author:

Hu Chia Jung1ORCID,Chang Ling Hui2,Lo Yu Tai34,Wang Jing Jy5

Affiliation:

1. Department of Nursing, Da-Yeh University, Changhua, Taiwan

2. Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan (R.O.C.)

3. Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, Tainan, Taiwan (R.O.C.)

4. College of Medicine, National Cheng Kung University, Tainan, Taiwan (R.O.C.)

5. Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan (R.O.C.)

Abstract

Caring for patients with dementia at risk of getting lost is challenging for community healthcare providers. Through semi-structured interviews with 25 participants, we examined the challenges faced by these providers and the strategies they employed. We identified the following themes of challenging parts: (a) the disturbance caused by behavioral and psychological symptoms in dementia; (b) difficulty in helping older family caregivers to keep the patient from going out; (c) difficulty in changing the attitudes of the family members; families’ unawareness of the risk of getting lost. We also identified the following strategies to mitigate these themes: (a) detecting the risk of getting lost through early assessment; (b) encouraging the family to use resources or devices to prevent the patient from getting lost; (c) educating the family to manage behavior and psychological symptoms of dementia; (d) strengthening the patient’s crisis awareness.

Funder

Taiwan Ministry of Science and Technology

Publisher

SAGE Publications

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