Taking the responsibility in dementia care: A concept analysis about facticity

Abstract

AimThe aim of this study is to develop a comprehensive definition of facticity, applicable to dementia nursing.MethodsWalker and Avant's Concept Analysis was used to analyse facticity. Published literature found in PubMed, CINAHL, PsycInfo, and Scopus using the search term facticity and nursing, as well as books and dictionaries and empirical data was used to clarify the concept.ResultsFacticity in nursing dementia care is being in reality taking on responsibility to truth. Antecedents of facticity include persons occupied with caring a demented older person including full‐time duties, often accompanied by resistive behaviours. They are overloaded both physically and psychologically. Being present and feeling compassion and nurturing the relationship with the demented older persons and in that way strengthen the caregiving process.ConclusionNurses need to be aware that all human beings are living with facticity.

Guilt experienced by caregivers to individuals with dementia: A concept analysis

“…The creation of such a comprehensive definition for caregiver guilt in the dementia context was necessary as it is unique from guilt experienced with other chronic diseases. As dementia progresses, the individual the caregiver once knew starts to disappear, and caregiving is made more complicated as it may be met with resistance from the individual with dementia (Caldas & Berterö, ). Further, the inescapable deterioration of verbal communication, memory and personality often leads to the loss of the essence of the individual before the physical death actually occurs (Caldas & Berterö, ).…”

“…As dementia progresses, the individual the caregiver once knew starts to disappear, and caregiving is made more complicated as it may be met with resistance from the individual with dementia (Caldas & Berterö, ). Further, the inescapable deterioration of verbal communication, memory and personality often leads to the loss of the essence of the individual before the physical death actually occurs (Caldas & Berterö, ). The described gradual disease progression of dementia can be devastating for familial caregivers (Albinsson & Strang, ), leading to significant caregiver psychological overload and guilt, thereby making guilt experienced by caregivers to individuals with dementia distinct from guilt experienced by caregivers to individuals with other chronic diseases.…”

“…These disease characteristics can lead to significant caregiver psychological overload and guilt, thereby making guilt experienced by caregivers to individuals with dementia different from guilt experienced by caregivers to individuals with other chronic diseases. The uniqueness of dementia caregiving is further demonstrated in the concept analysis regarding facticity and dementia care by Caldas and Berterö ().…”

“…The experiences they have shared become less and less salient to the individual with dementia. The inevitable erosion of verbal communication, memory and personality can lead to a metaphorical death of the individual with dementia, before the physical death actually occurs (Caldas & Berterö, ). These disease characteristics can lead to significant caregiver psychological overload and guilt, thereby making guilt experienced by caregivers to individuals with dementia different from guilt experienced by caregivers to individuals with other chronic diseases.…”

Effect and Nursing Satisfaction of Bedside Nursing Combined with Detail Nursing in Clinical Nursing of Gastroenterology Department

“…e clinical data of the two groups were compared and analyzed, which included gender, age, body mass index (BMI), smoking history, drinking history, marital status, and disease types. e pain degree before and after intervention was evaluated by referring to the visual analogue scale (VAS) [10], with the total score of 10 points, and higher scores indicated higher pain degree.…”