Implementing Person-Centered Care in Residential Dementia Care
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Person-centered care (PCC) for people with dementia is a system of care that is based on the belief that personhood can be maintained despite cognitive impairment. A recently conducted cluster randomized trial (Chenoweth et al., 2009) demonstrated that PCC was effective in reducing agitation in people with dementia who were in residential care. This article provides a detailed overview of the PCC intervention arm of the study and describes the training and procedures used to facilitate implementation of PCC. Training emphasized the impact of the social world on the person with dementia and promoted the skills of interpersonal engagement, especially in relation to feeling expression. Facilitated on-site learning involved care planning that included obtaining a life story of the person with dementia and observing social interactions. The success of the PCC intervention was related to this two-pronged approach, which included support from managers. Implementation of PCC requires a whole-of-system approach, which includes formal and informal learning.
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Caring for Aged Dementia Care Resident Study (CADRES) of Person-Centred Care, Dementia-Care Mapping, and Usual Care in Dementia: a Cluster-Randomised TrialChenoweth, L.; King, M.; Jeon, Y.; Brodaty, H.; Stein-Parbury, J.; Norman, Richard; Haas, M.; Luscombe, G. (2009)Background. Evidence for improved outcomes for people with dementia through provision of person-centred care and dementia-care mapping is largely observational. We aimed to do a large, randomised comparison of person-centred ...