RESUMEN
INTRODUCTION: People with dementia have difficulties with memory, executive functions and behaviour which pose a challenge during diagnostic imaging. There is abundant literature on the radiographic diagnosis of dementia; however, there is little research on how to best to care for people with dementia during imaging procedures. The aim of this study is to explore the experiences of dementia care in imaging departments through the perspectives of people with dementia, carers, radiographers and student radiographers. METHODS: This was a cross-sectional qualitative study. Four people with dementia and six carers participated in individual semi-structured interviews; eight academic radiographers and 19 student radiographers participated in focus groups. Interviews and focus groups were transcribed and thematically analysed. RESULTS: Participants described positive and negative experiences during imaging procedures. Common themes existed among people with dementia, carers and radiographers. Findings were (1) People with dementia and carers had negative experiences such as distress and pain; radiographers experienced stigma and violence. (2) Negative experiences during imaging were associated with disrespected personhood, poor communication, insufficient knowledge of dementia, inappropriate time management, overly stimulating physical environments and exclusion of carers. (3) Departmental protocols that contributed to negative experiences included lack of preparation, lack of dementia protocols, and the use of restraints. CONCLUSION: People with dementia and their carers can experience poor care in imaging departments and radiographers can find it difficult working with people with dementia. Radiographers need training about dementia, imaging services can improve their procedures and environment, and work in greater partnership with carers.
Asunto(s)
Competencia Clínica , Demencia/complicaciones , Diagnóstico por Imagen , Relaciones Profesional-Paciente , Adulto , Anciano , Anciano de 80 o más Años , Estudios Transversales , Femenino , Grupos Focales , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Personeidad , Investigación CualitativaAsunto(s)
Excipientes Farmacéuticos/análisis , Preparaciones Farmacéuticas/análisis , Conservadores Farmacéuticos/análisis , Sulfitos/análisis , Australia , Hipersensibilidad a las Drogas/etiología , Etiquetado de Medicamentos , Conservadores Farmacéuticos/efectos adversos , Conservadores Farmacéuticos/farmacología , Sulfitos/efectos adversos , Sulfitos/farmacologíaRESUMEN
The treatment of patients with coeliac disease is based on the strict avoidance of gluten. Such patients may be at risk if they ingest inadvertently pharmaceutical products that contain gluten. This paper provides information on the gluten content of Australian pharmaceutical products. It is recommended that legislation be introduced to require that excipients in pharmaceutical products which are known to be potentially hazardous to susceptible individuals be listed on the product label, possibly in code form.
Asunto(s)
Excipientes , Glútenes/análisis , Preparaciones Farmacéuticas/análisis , Australia , Enfermedad Celíaca , Humanos , Legislación de Medicamentos , RiesgoRESUMEN
In a double-blind trial of phenytoin for the prevention of postoperative epilepsy in craniotomy patients, epilepsy was observed in 7.9% (8/101) of patients treated with phenytoin and in 16.7% (17/102) of those receiving placebo. Therapeutic drug levels were associated with a significant reduction in the frequency of epilepsy. Three-quarters of the fits occurred within a month of cranial surgery. High rates of epilepsy have been observed after cranial surgery in patients with meningioma, aneurysm, and head injury with or without intracranial clots, and routine prophylaxis with phenytoin would seem to be indicated in such patients.