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The use of biographical anamnesis in care for clients with dementia in homes for the elderly in České Budějovice.
ČÁPOVÁ, Pavlína
Basic theoretical background: The number of people suffering from dementia is increasing, mainly due to falling birth rate and lengthening of life expectancy. The World Health Organization deals with the issue of caring for clients with dementia in a detailed report. A summary of this report was written by the Institute of Health Information and Statistics of the Czech Republic.In this summary, it is stated that in 2011 the number of clients treated in outpatient care in the Czech Republic climbed to number 14,932 (of which 67% were women) diagnosed with F00 (Alzheimer's disease) and with F01 - F03 (other dementia) to 17,955 (of which almost were women). In 2010, the estimated global number of patients with dementia was 35,6 million. Our society constantly considers a person with dementia to be an uncommunicative client, who is very difficult to be cared (Kopecká, 2012). That is why dementia touches not only the bio-psycho-social, but also the economic field (Wija, 2012). The basis of the psycho-biographical model of care is to change the perspective to the client and to see him or her as a personality with his or her own individual, regional or collective biographical history. With the help of the psycho-biographical model, the care becomes more tolerant, as this model is primarily focused on maintaining and supporting self-care skills and reflecting client's current skills, especially his or her mental ability (Procházková, 2011). For clients with dementia it is essential to find a way to their emotional life, which can be achieved by means of the information from the client´s biography. The knowledge of the client's story of life will also explain his or her needs and requests in care (Kopecká, 2012). The psycho-biographical model improves care for clients with dementia, particularly in the area of individual care and activation of clients. Aims of the thesis: As for the research part of this thesis, two objectives were defined. The first objective was to find out nurses' opinions about the use of biographical history in homes for seniors in České Budějovice. The second one was to discover the influence of biographical history in care for clients in homes for seniors in České Budějovice. These research questions were set to these objectives: What do nurses working in nursing homes for seniors in České Budějovice think of the influence of biographical history in care for clients? Another research question was: In what ways do the nurses working in nursing homes for seniors in České Budějovice think the biographical history improves care for clients? Methodology: The research on the topic of using biographical history in caring for clients with dementia in nursing homes for seniors in České Budějovice was conducted via qualitative investigation. Semi-structured interviews with nurses working in nursing homes for seniors in České Budějovice were chosen for the data collection. Results: The results of the research showed that all respondents found the use of biographical history beneficial in care for clients with dementia, especially in the area of improving individual care, cooperation with the client and his or her family members and obtaining information about the client. All respondents would like to start using biographical history in caring for clients with dementia, although some of them would find the introduction of the model into practice quite problematic. Conclusion: The results of this research could be used to change the approach to care for clients with dementia and to improve the quality of care. This thesis could serve to nurses in charge as a background material for the introduction to this issue and for considering the possibility of introducing biography history in caring for clients with dementia, as all interviewed respondents reported working with clients´ biographies to be beneficial in care for clients with dementia.
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