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Shared understandings of dementia?
 — an application of the Common Sense Self Regulation Model to a case study
Author(s)Liz Glidewell, Marie Johnston, Ruth Thomas
Journal titleDementia: the international journal of social research and practice, vol 11, no 2, March 2012
Pagespp 217-250
Sourcehttp://dem.sagepub.com/
KeywordsDementia ; Family care ; Doctors ; Diagnosis ; Attitude ; Theory.
AnnotationEvidence suggests that Illness Representations (IRs: identity, cause, timeline, consequences and the ability to cure or control the condition) can improve understanding of how people talk about their health condition. Accumulating experience also indicates that people with a diagnosis of dementia are capable of talking about their condition in an insightful and meaningful way. This in-depth case study explored whether one health care triad (a person with a diagnosis of dementia (PWD), their caregiver and primary care doctor) spoke about diagnosis in terms of the Common Sense-Self Regulation Model (CS-SRM) and considers whether PWD IRs are understood by their caregiver and doctor. Each participant was asked a series of open questions, followed by questions prompting for each IR. The caregiver and doctor were interviewed about how the PWD thought. All talked about IRs without prompting, with the exception of cause. Prompting for IRs elicited additional data. There were areas where participants shared IRs, but also areas of difference, which, it is suggested, could have implications for health outcomes. The authors conclude that IRs can provide a theoretical framework for discovering how people think about dementia, which could improve shared understandings in clinical practice. (JL).
Accession NumberCPA-120710006 A
ClassmarkEA: P6:SJ: QT2: LK7: DP: 4D

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