Search results for ‘Author:"drennan vari m."’ Sort:
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Living with incontinence: the experience of people with dementia
- Authors:
- COLE Laura, DRENNAN Vari M.
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 18(5), 2019, pp.1826-1839.
- Publisher:
- Sage
Dementia is a distressing condition in which individuals progressively require the support of others. Many people experience problems with incontinence and continence management. The presence of incontinence is influential in decisions for people with dementia to move into a care home. This study, in the interpretative tradition, investigates for the first time the person with dementia’s perspective on these problems and their strategies for managing them. This study conducted semi-structured conversational interviews with seven people with mild-to-moderate dementia and analysed the transcripts thematically. Our participants described both a variety of problems with incontinence and continence management, and their embarrassment and humiliation. Strategies included managing their presentation of self to others to keep such problems hidden, although it was evident that for some their cognitive problems led to strategies that were potentially problematic for others. In addition, some described the ways in which they acted to protect others, such as spouses, from the stigmatising effect of the incontinence. (Edited publisher abstract)
Meeting the needs of older people living at home with dementia who have problems with continence
- Authors:
- DRENNAN Vari M., MANTHORPE Jill, ILIFFE Steve
- Journal article citation:
- Quality in Ageing and Older Adults, 18(4), 2017, pp.246-253.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to discuss the question of how to meet the needs of older people living at home with dementia who have problems with continence. The paper is focused on social care practice in community settings. Design/methodology/approach: This paper is practice focused and draws on the authors’ research and experiences in clinical care, workforce development and service improvement. Findings: This paper summarises research on incontinence and its negative effects on quality of life and care relationships. It describes the impact of incontinence in terms of social embarrassment, restricted social activity, extra work (such as laundry) and costs, but also distress. It links research with care practice, with a focus on people with dementia who may be at particular risk of both continence problems and of assumptions that nothing can be done to assist them. Social implications: This paper provides questions that could be addressed in commissioning and provision of services and argues that they need to be informed by care practitioners’ experiences. It provides details of sources of support that are available at national and local levels. Originality/value: This paper draws together research on continence and social care practice to provide a series of self-assessment questions for local services. It focuses on social care workers who are at the frontline of practice including personal assistants and carers. (Publisher abstract)
Continence care for people with dementia at home
- Authors:
- DRENNAN Vari M., GREENWOOD Nan, COLE Laura
- Journal article citation:
- Nursing Times, 110(9), 2014, p.19.
- Publisher:
- Nursing Times
This article summarises key findings of the systematic review 'Conservative interventions for incontinence in people with dementia or cognitive impairment, living at home: a systematic review' by Drennan et al. Searches were carried out on a total of 14 databases, 56 relevant studies were retrieved, and three met inclusion criteria. Interventions included an occupational therapist problem solving invervention, visits by a nurse practitioner, and visits by a nurse practitioner with additional information and a telephone helpline. Inclusive evidence was found to recommend any of the interventions for people with dementia living at home. (Original abstract)