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• W2766889567 abstract "Person-centered care for dementia faces challenges in its tranlsation into actual practice, including: 1) assessment that emphasizes detection of deficits, and 2) responsive behaviors that subsume extensive time and attention of caregivers. Using Montessori-based activities for strength-based assessment of persons with dementia has been documented as a means of creating person-centered plans of care based on remaining capacities of persons with dementia. Recent research in France has extended this work by development of the Montessori Assessment System (MAS). 196 long-term care residents in France with moderate to severe dementia were assessed with the MAS, the MMSE and the Severe Impairment Battery – short form (SIB-S). In a second study, residents in dementia care units (9 skilled nursing facilities [SNFs] and 7 assisted living residences [ALs] in the U.S.; N=281) exhibiting responsive behaviors which were disruptive and consuming large amounts of staff members’ time and energy were put into groups with full-day programming – Memory in Rhythm (MIR). MIR uses Montessori-based, person-centered approaches to care. Data were collected and compared for the year previous to MIR implementation and for the year after MIR implementation. As shown in Table 1, the MAS has excellent psychometric properties, including test-retest (r = 0.90) and inter-rater reliability (0.95), internal consistency (α = 0.85), as well as good convergent and divergent validity. In addition, residents with dementia generally responded favorably to the assessment experience, while the MAS yielded information which immediately could be translated into person-centered plans of care. In the U.S., multi-residence study, as shown in Table 2, implementation of MIR was associated with the following average reductions: anti-psychotic medication use (SNFs=60%; ALs=53%), hypnotics (SNFs=94%; ALs=98%), staff turnover (SNFs=22%; ALs=14%), wandering (SNFs=83%; ALs=87%), and agitation (SNFs=85%; ALs=89%), with increases in weight (SNFs=92%; ALs=93%), sleeping at night (SNFs=89%; ALs=90%), and census (SNFs=20%; ALs=41%), as shown in Table 3. Assessing capacities of persons with dementia, especially those in moderate to advanced stages, is both practical and feasible. Translating this information into programming making use of such information, and targeting residents with highly disruptive responsive behaviors results in desirable outcomes for residents, caregivers, and administrators." @default.
• W2766889567 created "2017-11-10" @default.
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• W2766889567 date "2017-07-01" @default.
• W2766889567 modified "2023-09-27" @default.
• W2766889567 title "CREATING PERSON-CENTERED ENVIRONMENTS AS TREATMENT FOR DEMENTIA" @default.
• W2766889567 doi "https://doi.org/10.1016/j.jalz.2017.07.013" @default.
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