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Care of the older person
Feeling fearful and lonely are indicative experiences of emotional distress for people with dementia
  1. Rita Gruber1,2,
  2. Manuel Schwanda2
  1. 1School of Nursing, Bildungszentrum Diakonissen, Linz, Austria
  2. 2Department of Health Sciences, St. Pölten University of Applied Sciences, St. Pölten, Austria
  1. Correspondence to Rita Gruber, School of Nursing, Bildungszentrum Diakonissen, Linz, Austria; rita.gruber{at}

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Commentary on: Petty S, Harvey K, Griffiths A, et al. Emotional distress with dementia: a systematic review using corpus-based analysis and meta-ethnography. Int J Geriatr Psychiatry 2018;33:679–87.

Implications for practice and research

  • Using the advanced nursing process could provide individual as well as evidence-based care for people with dementia who suffer from emotional distress.

  • Further research is necessary to demonstrate all emotional aspects of individuals with dementia.


People who suffer from dementia have a decline in thinking, memory, orientation and behaviour.1 Furthermore, this syndrome is accompanied by a lack of ability to act appropriately in everyday activities. Currently, about 50 million people have dementia worldwide.1 This disease does not only affect the person concerned but also their caregivers, their families and society. The signs and symptoms linked to dementia are forgetfulness, getting lost in familiar places, and at home, or having increased difficulty communicating.1 These are all associated with emotional distress, the focus of the present study.2


A systematic mixed-method review was used to answer the following questions …

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