Person-centered care as a tool to reduce behavioral and psychological symptoms in older adults with dementia living in residential care facilities
Artikel i vetenskaplig tidskrift, 2024

Among older adults living in dementia residential care facilities (RCF) behavioral and psychological symptoms (BPSD) are common, affecting the quality of life (QOL) for the residents as well as being challenging for the staff. The person-centered care (PCC) approach addresses BPSD by giving trained staff mandate to focus on the relation and to adapt the encounter and the environment to increase QoL for the person with dementia. The aims with this study were to improve PCC, decrease BPSD and improve QOL among older persons with dementia living in RCFs, and to explore leaders' and healthcare staff's experiences of a PCC intervention. An educational program was implemented at two RCFs. Data was collected through questionnaires, from national quality registries and through focus group interviews. A significant increase in PCC and QOL at three months was seen. However, no significant difference in BPSD was seen. The interviews showed the importance of a trust-based relationship, and support from an active management to improve PCC, as well as changing old patterns and recognising competence among staff. Factors that affect implementation of PCC in RCF are discussed in the article.

Quality of life

Education

Person-centred care

Behavioral and psychological symptoms in dementia

Dementia

Residential facility

Författare

Lena Zidén

Göteborgs universitet

Sahlgrenska universitetssjukhuset

Hanna Falk Erhag

Göteborgs universitet

Sahlgrenska universitetssjukhuset

Helle Wijk

Göteborgs universitet

Chalmers, Arkitektur och samhällsbyggnadsteknik, Byggnadsdesign

Sahlgrenska universitetssjukhuset

Geriatric Nursing

0197-4572 (ISSN) 1528-3984 (eISSN)

Vol. 57 51-57

Ämneskategorier

Geriatrik

Omvårdnad

Gerontologi, medicinsk/hälsovetenskaplig inriktning

DOI

10.1016/j.gerinurse.2024.03.003

Mer information

Senast uppdaterat

2024-06-10