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Centre for Policy on Ageing | |
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Recognising and supporting self in dementia
— a new way to facilitate a person-centred approach to dementia care | | Author(s) | Fiona Kelly |
| Journal title | Ageing and Society, vol 30, part 1, January 2010 |
| Pages | pp 103-124 |
| Source | http://www.journals.cambridge.org/aso doi:10.1017/S0144686X09008708 |
| Keywords | Dementia ; Personality ; Well being ; Management [care] ; Quality ; Longitudinal surveys. |
| Annotation | This paper reports findings from a three-year study which integrated Kitwood's (1997) person-centred and Sabat's (2001) selfhood approaches in the design, fieldwork and analysis of a multi-method observational study that explored the social worlds of 14 people with dementia in continuing care. The types of interactions that participants experienced in everyday ward life and during creative sessions were identified by observing, video-recording and engaging with them, and by Dementia Care Mapping (DCM). The participants' responses to such interactions in terms of their well- or ill-being and expressions of self were identified and documented. The findings indicate that in the wards, staff interactions were often limited and sometimes abusive and that participants experienced ill-being, whereas during creative sessions, interactions were generally facilitatory and celebratory with the participants experiencing well-being. By developing the selfhood approach and integrating it with the person-centred approach, the author argues that recognising and supporting selfhood (or not) during interactions can lead to qualitatively different staff behaviours, with consequences for the well- or ill-being of people with dementia. There is scope for incorporating this developed selfhood framework into staff training, for it has the potential to transform practice and the experiences of people with dementia in receipt of care. (KJ/RH). |
| Accession Number | CPA-100121206 A |
| Classmark | EA: DK: D:F:5HH: QA: 59: 3J |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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