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☐ ☆ ✇ Evidence-Based Nursing

Refusal of care behaviours among people with major neurocognitive disorder highlight the need for multiple research approaches to account for the complexity of the phenomenon

Por: Daneau · S. · Auclair · I. — Septiembre 26th 2023 at 16:14

Commentary on: Backhouse T, Killett A, Mioshi E, Khondoker M. What are the factors associated with people with advanced dementia refusing assistance with personal care? Int J Geriatr Psychiatry. 2023 Jan;38(1): e5857. doi: 10.1002/gps.5857.

Implications for practice and research

  • To promote caregivers’ capacity for action, the occurrence of refusal of care in people living with a major neurocognitive disorder (NCD) can be conceptualised as a need for the caregiver to adapt the care offered, its characteristics and/or the approach used.

  • Further research should address the relationship between agitation and refusal of care in people with an NCD, while considering its complexity, to reduce both behaviours.

    •  Context

    Refusal of care or resistance to care is the terms frequently used to describe people living with a major NCD refusing care verbally or physically. As people with an NCD have significant cognitive impairment, these behaviours are common...
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