Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/28400
Appears in Collections:Faculty of Social Sciences Journal Articles
Peer Review Status: Refereed
Title: The perceived and observed needs of patients with dementia admitted to acute medical wards
Author(s): Scerri, Anthony
Scerri, Charles
Innes, Anthea
Keywords: dementia
acute hospitals
Maslow’s Hierarchy of Needs
patient perceptions
constant observation
qualitative research
Issue Date: 27-Nov-2018
Citation: Scerri A, Scerri C & Innes A (2018) The perceived and observed needs of patients with dementia admitted to acute medical wards. Dementia. https://doi.org/10.1177/1471301218814383
Abstract: It is acknowledged that the needs of persons living with dementia admitted in acute hospitals are not always met. Previous studies have focused on the perceived needs of professional caregivers or family members whilst the voices of patients with dementia in acute hospitals have not been extensively reported. This may have contributed to the under-recognition of the needs of persons living with dementia. The aim of this study was to categorise the perceived and observed needs of persons with dementia admitted in acute medical wards and to explore whether these needs are being or have been met. Thirteen people with dementia in three medical wards, who could verbally communicate with the researcher, were purposively selected as research participants. Semi-structured interviews were conducted to elicit each participant’s experiences of their hospital stay and whether their needs were perceived to have been/are being met. Moreover, routine care with the same participants was observed using Dementia Care Mapping. Maslow’s Hierarchy of Needs was used as a framework to categorise care needs. Our findings demonstrate that basic needs such as toileting, feeding, drinking, continence and comfort were not always met. Moreover, the largest gap between met and unmet needs was found in patients who were either under constant observation or unable to communicate. Too much emphasis was perceived and observed to be given on what staff considered as safety needs at the expense of other needs. The patients’ need for social contact and self-esteem such as dignity and respect were often ignored and this led to patients feeling devalued. Hospital staff have to be more aware of the holistic needs of patients with dementia in acute settings and the way care is delivered in order to make up for these unmet needs, thus facilitating person-centred care.
DOI Link: 10.1177/1471301218814383
Rights: Scerri A, Scerri C & Innes A, The perceived and observed needs of patients with dementia admitted to acute medical wards, Dementia (Forthcoming). Copyright © The Authors 2018. Reprinted by permission of SAGE Publications
Notes: Output Status: Forthcoming/Available Online

Files in This Item:
File Description SizeFormat 
Dementia-Innes-2018.pdfFulltext - Accepted Version1.18 MBAdobe PDFView/Open



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.