Author: Perry, JoAnn

Source: CJNR (Canadian Journal of Nursing Research), Volume 37, Number 2, June 2005 , pp. 166-180(15)

Publisher: McGill School of Nursing

Abstract:

The biomedical model that guides the processes of assessment and diagnosis of dementia is based on assumptions and approaches which, while critical to medicine, may render them less consequential for nursing. Although gerontological nurses' research concerning dementia frequently uses the diagnosis as an inclusion criterion for projects, and screening tools are often employed to evaluate the impact of interventions, we may wish to consider expanding our views of assessment and evaluation to include the person's narrative. The purpose of this paper is to argue for this expanded dialogue and to suggest that nurses reposition the medical diagnosis behind the narrative of the individual patient. To that end, this paper explores and critiques the limitations of the diagnostic process and questions its relevance to nursing. The alternative considerations that are discussed include constructionist and interpretivist approaches, the exploration of assumptions, and a relational approach to supporting personhood.

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Keywords: DEMENTIA; NURSING RESEARCH; NARRATIVE; DIAGNOSIS

Document Type: Research article

Publication date: 2005-06-01

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• CJNR is a peer-reviewed, quarterly journal published by the McGill University School of Nursing since 1969. With world-wide circulation, CJNR's primary mandate is to publish original nursing research that develops basic knowledge for the discipline and examines the application of the knowledge in practice. Research related to education and history is also welcomed, as are methodological, theoretical, and review papers that advance nursing science. Letters or commentaries about published articles are encouraged. Learn more.
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