The Fundamentals of Person-Centered Care for Individuals With Dementia

Fazio, Sam; Pace, Douglas; Flinner, Janice; Kallmyer, Beth

doi:10.1093/geront/gnx122

Cited by 446 publications

(446 citation statements)

References 17 publications

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“…It is enabled by cultures of empowerment that foster continuous approaches to practice development [22]. In recent decades, person-centred dementia care has been introduced as the worldwide intervention of choice to develop high-quality dementia care in nursing homes [19,21,23]. Essential elements of person-centred dementia care have been described in the VIPS framework as valuing people with dementia (V), individualized care (I), understanding the world from the perspective of the person with dementia (P) and providing a social environment that supports the needs of the person (S) [24].…”

Section: Introductionmentioning

confidence: 99%

Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness

Strøm

Engedal

Rokstad

2020

Dement Geriatr Cogn Disord Extra

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Introduction: It has been reported that residents living in nursing homes are often inactive and lonely and are offered a limited number of activities. However, high engagement in activities has been reported to improve residents' quality of life and engagement in personalized activities can even reduce agitation and enhance positive mood. Information regarding occupational patterns and purpose in life is well established in Western countries. However, we know next to nothing about how people living in Indian nursing homes spend their days. Objective: To explore the participation in everyday activities among older people in Indian nursing homes and the extent to which engagement in activities is associated with personcentred care. Methods: The study was conducted in 6 nursing homes in India, comprising 147 residents. In all, 23 nursing staff took part and completed a 26-item questionnaire about resident activities based on the Multi-Dimensional Dementia Assessment Scale and the Person-Directed Care Questionnaire. Person-centredness was measured with the Person-Centred Care Assessment Tool. Results: We found low participation in everyday activities among the residents. Participation in religious activities was the most frequent, whereas the least used activities were excursions, participating in cultural activities, taking part in educational programmes, visiting a restaurant and going to the cinema. A significant positive association was found between person-centred care and participation in religious activities, engagement in an activity programme and physical activity. Conclusions: The most frequently attended activity was religious activities. Person-centred care was associated with participation in religious activities, engagement in an activity programme, physical activity, spending time in the garden and playing and listening to music.

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Section: Introductionmentioning

confidence: 99%

Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness

Strøm

Engedal

Rokstad

2020

Dement Geriatr Cogn Disord Extra

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“…Consistent with addressing the patient's needs, Virginia Henderson's Theory of Need would suffice. Smith and Grami [9] describe this theory based on the nurse's unique functions which mainly entail aiding the patients in performing various activities as they would on a normal basis where they would have the desire, knowledge, and strength. These authors further note that assisting the patients to execute the different actions promotes their recovery rate and reduces the hospitalization duration.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

Non-pharmacological Treatment of Intensive Care Unit Delirium

Liu¹

2019

AJNS

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Objective: To understand whether non-pharmacological treatment can reduce intensive care units. Methods: A review was conducted by searching the literature in the CINAHL, PubMed, PsycINFO, and EMBASE database. The prevalence of sputum in the ICU is 16%-89%. It is characterized by short-term memory loss, disorientation and impaired attention. There are three types of sputum, including hyperactivity, hyperactivity, and mixing. Both pharmacology and non-pharmacology include ABCDE care bundles, sedation, early mobilization, promotion of personal sleep quality, reduced noise and artificial lighting, and patient education. Music therapy as a non-pharmacological intervention has not been fully studied. CONCLUSIONS: Non-pharmacological treatment of sputum in the ICU remains an effective method because it eliminates the use of sedatives. However, this depends on the health of the patient, such as vision and hearing impairment. Exploring the effectiveness of music therapy for this condition will help to further improve the multi-component approach, which requires a combination of non-pharmacological interventions to promote patient health.

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“…To address both issues above, and thus create more useful knowledge for nursing practice, two adaptations to the current approach should be made. Firstly, the assignment of interventions should not be purely based on behaviour, but on its underlying causes (Fazio, Pace, Flinner, & Kallmyer, ; Fazio, Pace, Maslow, Zimmerman, & Kallmyer, ). The Senses Framework (Nolan, Brown, Davies, Nolan, & Keady, ) could prove useful in this perspective.…”

Section: Introductionmentioning

confidence: 99%

A person‐centred team approach targeting agitated and aggressive behaviour amongst nursing home residents with dementia using the Senses Framework

Gillis

Lahaye

Dom

et al. 2019

Int J Older People Nursing

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Purpose The increase in agitated or aggressive behaviour amongst nursing home residents with dementia is a challenging problem. Such behaviour causes stress for both resident and caregiver. Many non‐pharmacological interventions have been studied, but these interventions disregard the resident's unfulfilled needs and are executed by a single, designated caregiver. This study tests a non‐pharmacological intervention, applied by the entire team and based on the resident's underlying needs. Design A pretest and post‐test interventional study design was used, in which 65 residents with dementia who expressed agitated or aggressive behaviour. Data were collected from December 2016 until March 2017. Methods The ABC method and the Senses Framework were used to assign residents to either therapeutic touch, group music sessions or a meaningful individual activity. All staff members applied the interventions. Data were collected by use of the Neuropsychiatric Inventory‐Nursing Home version (NPI‐NH) and the Cohen‐Mansfield Agitation Inventory (CMAI). Results The frequency of aggression, loss of decorum, depression and the severity of aggression decreased for all three interventions. However, the overall severity of fear also increased. The overall prevalence of agitated of residents decreased for the therapeutic touch, group music sessions and individual activities. Conclusions This study shows the possibilities of designing individualised interventions on the Senses Framework and the ABC method for addressing agitated and aggressive behaviour amongst nursing home residents with dementia. The framework presented in this study should be further explored. Implications for practice A team‐based approach is effective to reduce agitated or aggressive behaviour amongst nursing home residents.

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The Fundamentals of Person-Centered Care for Individuals With Dementia

Abstract: Evidence-based practice recommendations for person-centered care for individuals with dementia are outlined. More research is needed to further assess the outcomes of person-centered care approaches and models.

Cited by 446 publications

References 17 publications

Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness

Engagement in Everyday Activities among People Living in Indian Nursing Homes: The Association with Person-Centredness

Non-pharmacological Treatment of Intensive Care Unit Delirium

A person‐centred team approach targeting agitated and aggressive behaviour amongst nursing home residents with dementia using the Senses Framework

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