Dementia, dignity and quality of life: nursing practice and its dilemmas

Manthorpe, Jill, Iliffe, Steve, Samsi, Kritika, Cole, Laura ORCID: https://orcid.org/0000-0001-7194-5616, Goodman, Claire, Drennan, Vari and Warner, James (2010) Dementia, dignity and quality of life: nursing practice and its dilemmas. International Journal of Older People Nursing, 5 (3). pp. 235-244. ISSN 1748-3735

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Abstract

Aims. The need for healthcare practitioners to respect the dignity of older people is widely recognised in England, where it has been given attention by politicians, professionals and health service regulators. This article aims to provide examples of how such ambitions may be used in practice development.

Methods. This article reports the use of five vignettes discussed by dementia care practitioners that explored the areas of dementia diagnosis, lying, incontinence, behavioural and psychological distress, and end of life care.

Findings. Each vignette promoted discussion of differences of perspectives about the ways to enhance the dignity of people with dementia in hospital, care home and community settings. The discussion confirmed that while dignity may be one quality indicator of good care potentially enhancing quality of life, it is not always straightforward. It may be more easily conceptualised when talking of physical care and treatment than other areas.

Conclusion. The opportunity to debate the subject and to discuss practice examples revealed differences of opinion and moral perspectives between practitioners about the use and relevance of the term dignity. These need to be acknowledged in any debates about objective and subjective definitions of quality of life.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: [manthorpe j., iliffe s., samsi k., cole l., goodman c., drennan v. & warner j. (2010) Dementia, dignity and quality of life: nursing practice and its dilemmas. International Journal of Older People Nursing 5, 235–244 doi: 10.1111/j.1748‐3743.2010.00231.x], which has been published in final form at https://doi.org/10.1111/j.1748-3743.2010.00231.x. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Uncontrolled Keywords: dementia, dignity, ethics, nursing, older people, quality of life
Subjects: Medicine and health > Clinical medicine > Dementia
Medicine and health > Nursing
Related URLs:
Depositing User: Laura Cole
Date Deposited: 03 Aug 2021 10:18
Last Modified: 28 Aug 2021 07:14
URI: http://repository.uwl.ac.uk/id/eprint/7706

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