![]() Conclusion: PCC that is reflective of occupational engagement and supports natural scenarios of everyday life is paramount when providing services in someone’s last home.Īpplication to Practice: The diverse nature and holistic approach of OT a history evident of pressure to conform to the medical model and expanding into new areas of practice delivery continue to impact the day-to-day business of OT. Results: Key characteristics of each study will be presented to demonstrate how the advancement of PCC is supported or inhibited. Relevant data were extracted and summarised using a critical interpretive synthesis developed for this study. Studies retrieved from the searches were first independently screened for relevance and then assessed for inclusion. Eligibility criteria include peer-reviewed studies published between 19 focusing on OT within aged residential care with people who have moderate to severe cognitive impairment associated with dementia. Method: The scoping review methodology followed guidelines by Arksey and O’Malley (2005). A scoping review was conducted to determine how PCC is reflected by occupational therapy (OT) practice. There appears to be a persistent strain between the medical and social models of care in institutionalised environments that strives to provide the last homely comforts to the people living there. Significance: Creating continued opportunities for building agency of residents with dementia could promote occupational justice in residential care.īackground: Person-centred care (PCC), especially for frail and vulnerable elders with advanced dementia, remains in many ways an elusive concept. Two overarching constructs emerged, namely promoting a culture of collaborative care and understanding the resident as a person with a past, present and future.Ĭonclusions: Occupational deprivation prevails and person-centered care is not fully addressed if opportunities for growth and engagement for residents with moderate to advanced dementia is not extended beyond their life history. Results: Papers were classified as theoretical papers and empirical research. Methods: A systematic search of research addressing meaningful engagement of people with moderate to advanced dementia identified 26 papers. While both meaningful engagement and person-centered care have been well researched the relationship between the two concepts is poorly understood.Īim: A critical interpretative synthesis was conducted to determine how principles of person-centered care inform occupational therapy practice in relation to promotion of meaningful engagement among residents with moderate to advanced dementia. In this context, there has been shift in occupational therapy practice from addressing occupational performance towards focusing on meaningful engagement. Person-centered care has been adopted as a guiding principle in the provision of residential care for older adults with dementia. This paper examines whether DCM could be used as a means to develop quality dementia care in formalcare settings in South Africa despite a lack of human and financial resources.īackground: People with moderate to advanced dementia living in residential care are at risk of occupational deprivation. DCM is an observational tool that involves observing care from the perspective of the person with dementia. The first author conducted an initial pilot feasibility study to assess Dementia Care Mapping (DCM), a method used internationally to help improve the quality of formal dementia care, at three identified residential care facilities in South Africa. This often results in persons with dementia being deprived of opportunities for engagement and occupation that have the potential to bring about well-being. In South Africa staff training on dementia and person-centred care (PCC) is limited, which in turn impacts on how staff interact with residents. Due to the disabling effect of the condition, residents are often unable to engage independently in occupations that they find meaningful, requiring staff support to enable them to do this. In a developing country such as South Africa, where needs surpass resources, elderly persons living in institutional care due to dementia are generally viewed as well-cared for if their basic needs for security, food and personal hygiene are met. ![]()
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