Turkiye Klinikleri Journal of Nursing Sciences

.: REVIEW
Demanslı Yaşlı Hastalar İçin İleri Bakım Planlama Süreci ve Hemşirenin Rolü: Geleneksel Derleme
Advanced Care Planning Process for Elderly Patients with Dementia and the Role of the Nurse: Traditional Review
Serap CANLIa, Yeşim ÇETİNKAYA ŞENa, Sultan UĞURb
aAnkara Üniversitesi Haymana Meslek Yüksekokulu, Yaşlı Bakım Programı, Ankara, Türkiye
bAnkara Şehir Hastanesi, Bilkent Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):1232-9
doi: 10.5336/nurses.2022-89482
Article Language: TR
Full Text
ÖZET
 Yaşlı bireylerin birçoğu, demans dâhil olmak üzere karmaşık pek çok bilişsel bozukluğa sahiptir. Demans, damar yapısında meydana gelen bozulmaya bağlı olarak ortaya çıkan dejeneratif ve ilerleyici bir hastalıktır. Demans, biyolojik yaşlanmanın olağan sonuçlarının ötesinde bilişsel işlevde bozulmaya yol açmaktadır. Dünya çapında tüm hastalıklar arasında önde gelen yedinci ölüm nedenidir. Üstelik yaşlı bireylerde engelliliğin ve bağımlılığın başlıca sorumlularındandır. Demansı olan yaşlı hastalar, hem hastalık ilerledikçe artan bilişsel gerileme hem de yaşlanmanın doğasından kaynaklanan yetersizliklerle bakım konusunda yüksek önceliklidir. Bu nedenle 'ileri bakım planlama' önemlidir. İleri bakım planlama; hasta, hasta yakınları ve sağlık profesyonelleri arasında, bireyin yaşam sonu bakımı da dâhil olmak üzere gelecekteki tedavi ve bakım yaklaşımlarına yönelik dinamik bir diyalog sürecidir. Demanslı yaşlı hastaya bakım bir ekip çalışmasıdır. Ancak hemşirelik yaklaşımı, hasta bakımının her alanında olduğu gibi demanslı yaşlı hastaların bakımında da beklenti açısından yüksek sorumluluk gerektirir. Hemşireler, hastaları ve ailelerini uzun süredir tanımaları, onların değerlerine ve tedavi tercihlerine yakından şahit olmaları nedeniyle ileri bakım planlama sürecinde önemli bir rol üstlenmelidir. Hemşireler, demansın henüz ilk semptomları ortaya çıkmadan ve hastalığın teşhisinden sonra bakım sürecini yürütebilecek konumdadır. İleri bakım planlamasına yönelik olarak ülkemizde boşluk olduğu düşünülmektedir. Bu çalışmada, demanslı yaşlı hastalar için ileri bakım planlama sürecinin gerekliliği ve bu süreçte hemşirenin rolü tartışılacaktır.

Anahtar Kelimeler: Demans; ileri bakım planlama; yaşlı; hemşireler
ABSTRACT
 Most of older people have many complex cognitive disorders including dementia. Dementia is a degenerative and progressive disease that occurs due to the deterioration in the vascular structure. Dementia leads to cognitive dysfunction beyond the usual consequences of biological aging. It is the seventh leading cause of death among all diseases worldwide. Moreover, it is one of the main responsible of disability and addiction in elderly individuals. Elderly patients with dementia are a high priority for care, because of increasing cognitive impairment as the disease progresses and age-related deficiencies. Therefore, 'advanced care planning' is important. It is a dynamic process of dialogue between patients, their relatives and healthcare professionals, in which the individual talks about their future treatment and care, including end-of-life care. Caring for the elderly patient with dementia is a teamwork. However, nursing requires high responsibility in terms of expectations in the care of elderly patients with dementia, as in all areas of patient care. Nurses should play an important role in the advanced care planning process, as they have known patients and their families for a long time and closely witnessed their values and treatment preferences. Nurses are in a position to carry out the care process before the first symptoms of dementia appear and after the diagnosis of the disease. It is thought that advanced care planning for elderly patients is very inadequate in our country. In this study, the necessity of the advanced care planning for elderly patients with dementia and the role of the nurse in this process are discussed.

Keywords: Dementia; advance care planning; aged; nurses
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www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com