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The philosophy of special care in Alzheimer's special care units
Author(s)Sheryl Itkin Zimmerman, Philip D Sloane, Ann Gruber-Baldini
Journal titleJournal of Mental Health and Aging, vol 3, no 2, Summer 1997
Pagespp 169-181
KeywordsDementia ; Nursing homes ; Psychogeriatric units ; United States of America.
AnnotationSpecial Alzheimer's care is not based on a single conceptual model. This study aimed to: identify the philosophical principles underlying dementia care in nursing facilities; determine whether some domains were common and constituted an overarching philosophy of Alzheimer's special care; and, examine the degree to which practice was consistent with espoused philosophy. Literature review and expert conceptual sort identified thirteen philosophies. Interviews with special care unit coordinators in 20 facilities in Maryland, United States (US) supported six domains which constituted both a custodial and a therapeutic approach to care. Philosophies were not notably intercorrelated, implying that the diverse needs of residents with dementia and inherent contradictions in philosophies impede the existence of a single approach. None of the five domains for which objective data were available was confirmed, implying that practice might not reflect philosophy. Additional exploration of the philosophy of Alzheimer's care, and its relation to process and outcome, is indicated.
Accession NumberCPA-980312402 A
ClassmarkEA: LHB: LDM: 7T

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