A New Look at Episodes of Mistaken Identity

Dran, David S.

doi:10.1177/0733464808323450

Cited by 7 publications

(4 citation statements)

References 4 publications

(4 reference statements)

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“…• Environmental factor (Hung & Chaudhury, 2011;Milte et al, 2015;Zingmark, Sandman, & Norberg, 2002) • Quality of interaction (Dran, 2008;Haggerstad, Nortvedt, & Slettebø, 2015;Hung & Chaudhury, 2011;Zingmark, Sandman, & Norberg, 2002) • Social inclusion (Milte et al, 2015;Hung & Chaudhury, 2011;Haggerstad, Nortvedt, & Slettebø, 2015;Tolhurst & Weicht, 2017) Coping with dementia Coping with one's own identity…”

Section: Third Order Constructs Categories Themesmentioning

confidence: 99%

“…• Social network (Nowell, Thornton, & Simpson, 2011;Surr, 2006) • Dealing with past/present roles (Dran, 2008;Nowell, Thornton, & Simpson, 2011;Phinney, Dahlke, & Purves, 2013;Tranvag, Petersen, & Naden, 2014) • Active engagement (Milte et al, 2015;Palmer, 2013;Tolhurst & Weicht, 2017;Zingmark, Sandman, & Norberg, 2002) Family carers' perspectives • Feeling a duty of care (Perry & O'Connor, 2002) • Maintaining a positive view of the person (Perry & O'Connor, 2002) • Justifying behaviours/cognitive decline in dementia (Vezina et al, 2011) • Manipulating the physical environment (Perry & O'Connor,…”

Section: Third Order Constructs Categories Themesmentioning

confidence: 99%

See 1 more Smart Citation

Dementia care model: Promoting personhood through co-production

Bosco

Schneider

Coleston-Shields

et al. 2019

Archives of Gerontology and Geriatrics

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Background Despite robust evidence on its effectiveness, current approaches that aspire to person-centred care (PCC) frequently locate people with dementia as passive recipients rather than as active agents in the care process. We define active involvement in care as 'coproduction'. In order to investigate co-production, we set out to review the evidence concerning personhood and dignity in dementia care. Method We adopted a meta-ethnographic approach to synthesise the predominantlyqualitative literature on personhood and dignity in dementia care using EMBASE, PsycINFO, and ASSIA databases. We also included relevant policy documents. Members of Patient and Public Involvement (PPI) group were consulted throughout. Results A total of 14 empirical studies were subjected to content analysis. Three themes were identified: dignity and personhood, coping with dementia, and barriers to dignity in care. The findings suggest that positive strategies and coping mechanisms are associated with superior outcomes in relation to: sense of self, dignity and quality of care. The 22 policy documents yielded six themes pertaining to co-production: the part played by the person with dementia, family, environment, behaviour, governance and law, and health care partnership. Conclusion Personhood in dementia care is enhanced through co-production, by actively participating in social, civic and political life. This is promoted through behavioural changes at the micro and macro levels of society, including providers of care being trained in coproducing care and policy makers creating opportunities with, rather than for people with dementia.

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Section: Third Order Constructs Categories Themesmentioning

confidence: 99%

Section: Third Order Constructs Categories Themesmentioning

confidence: 99%

Dementia care model: Promoting personhood through co-production

Bosco

Schneider

Coleston-Shields

et al. 2019

Archives of Gerontology and Geriatrics

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“…There are two main skills that would seem to facilitate this learning. The first skill can be summarized as “being open” (A6, Watson, 2019, p. 556), and is variously described in the articles as “genuine interest in and engagement with the resident” (A1, Clarke & Davey, 2004, p22), a caregiver taking their cue from a resident (A2 Dran, 2008, p. 643), inviting communication (A3, Hammar et al, 2011, p. 163), and “paying attention and expecting a response” (A6, Watson, 2019, p. 556).…”

Section: Resultsmentioning

confidence: 99%

Relational Care, Dementia, and Communication Challenges in Long-Term Care: A Meta-Ethnography

et al. 2022

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Few studies examine care as a relational process in long-term care, and still fewer describe the participation of residents with dementia. In this article, our objective was to understand the development of knowledge in this area by means of a meta-ethnography. Our search and selection process resulted in six eligible articles. Each documents a qualitative study of resident–staff interactions during care activities in a residential care setting, and includes participants with dementia. Tronto’s 4 Phases of Care were used to guide the identification of relational care practices within the articles selected. We identified five translatable concepts across the six studies: (1) doing with versus doing for, (2) staff responsiveness, (3) resident agency, (4) inclusive communication, and (5) time. In our new configuration of relational care, we combine these concepts to delineate an “interactive space” in which the agency of residents and initiative of staff are equally visible.

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“…Second, there is need for research about how the senses of Selves 1-3 can be supported in people with AD. Encouraging a patient with AD to make use of his or her remaining abilities and to avoid trying to use his or her lost abilities, as well as reminding the person about positive events in his or her life story, may help increase the person's self-esteem (Dran, 2008;Eggenberger, Heimerl, & Bennett, 2013;Vasse, Vernooij-Dassen, Spijker, Rikkert, & Koopmans, 2010). The use of these strategies to foster an awareness of the patients with AD's feelings of significance and a competent sense of self could further facilitate the patients' well-being.…”

Section: Implications For Nursing Practice Education and Researchmentioning

confidence: 99%

Expressions of Sense of Self Among Individuals With Alzheimer’s Disease

Skaalvik

Fjelltun

Normann

2016

Res Theory Nurs Pract

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Recent research has challenged the previously held view that people with Alzheimer's disease (AD) lack a sense of self, with several studies demonstrating that the sense of self is partially preserved, even in late stages of AD. The aim of this study was to examine how people with AD express their sense of self (Self 1-3) using the social constructionist theory of selfhood described by Harré (1998). Personal interviews were analyzed deductively. The participants narrated fragments of their life stories and expressed the fear of becoming a burden to family members and of nursing home placement. They expressed Self 1 (personal singularity or personal identity) without any problems, whereas their Self 2 (self-concept) attributes had undergone changes that they had learned to live with. The participants expressed surprisingly few problems with their narratives of Self 3 (social personae), that is, their accounts of interactions with other people. They reported being received positively when they were open about their diagnosis. These results provide further nuances that broaden our understanding of the process of preserving the sense of self, that is, simultaneously being the same and a different person.

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A New Look at Episodes of Mistaken Identity

Cited by 7 publications

References 4 publications

Dementia care model: Promoting personhood through co-production

Dementia care model: Promoting personhood through co-production

Relational Care, Dementia, and Communication Challenges in Long-Term Care: A Meta-Ethnography

Expressions of Sense of Self Among Individuals With Alzheimer’s Disease

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