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Privacy and dignity in continence care project: attributes of dignified bladder and bowel care in hospital and care homes: phase 1 report |
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London: Royal College of Physicians, 2009. 52p., bibliog. |
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Abstract: |
The overall objectives of this two year project were to identify and validate person-centred attributes of dignity in relation to continence, to develop reflective guidelines for the provision of dignified care in this setting and to produce recommendations for best practice. Phase one of the three part study reported here examines attributes of dignified bladder and bowel care using a literature search and interviews with older people in nursing homes and hospitals. The literature search focused on three main areas, dignity and older people, dignity and continence, and dignity and care. This revealed that knowledge is limited to broad descriptions of the pathways care should take to achieve dignity; little is understood about how dignified care can actually be undertaken and achieved, particularly from a user perspective. Qualitative research then explored what dignified care meant to older people. Residents of two nursing homes and patients in an acute hospital setting were included from London and Kent (two contrasting areas in terms of socio-economic profiles and healthcare provision). Thirty three interviews were achieved. Those included were aged over 65 years, had sufficient cognitive and linguistic ability to be able to participate and varying continence needs. The responses are disused in terms of defining dignity, coping strategies, professional care, communication, personal care, choice and privacy. The views provide evidence of user perceptions of continence services and their preferences; the emphasis being on sensitivity, timeliness, loss of self worth and good communication. |
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book; |
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Topics: |
dignity; incontinence; person-centred approach; privacy; user views; |
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www.scie-socialcareonline.org.uk/profile.asp?guid=311e8a16-1fdd-4d3d-8ec0-ee5a42088b50 |
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