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• W848689129 abstract "A person's self-image may be more relevant to their care than is an impression of them from family or residential care staff.The concept of person-centered care was first introduced in residential dementia care settings in the late 1990s. Since then, person-centered care has been proposed to improve the quality of medical and mental health services (Cloninger, Zohar, and Cloninger, 2010; Doyle, 2012), and formal and informal care for people with dementia (Edvardsson, Winblad, and Sandman, 2008; Kitwood, 1997; Koren, 2010).There is surprisingly little agreement on exactly what person-centered care entails (Brooker, 2007; Innes, 2009), although there has been much research and inquiry into its effectiveness, implementation strategies, worker training programs, and other initiatives the good of the with dementia in mind. Crandall and colleagues (2007) list the following as core elements of person-centered care: personhood; knowing the person; maximizing choice and autonomy; quality care; and a supportive physical and organizational environment.Brooker (2007), after reviewing a large number of articles, suggests four slightly different common elements: valuing people with dementia and those who care for them; treating people as individuals; looking at the world from the perspective of the with dementia; and recognizing that all human life . . . is grounded in relationships and that people with dementia need an enriched social environment which both compensates for their impairment and fosters opportunities for personal growth.While some values mentioned in Brooker's definition may provide the rationale for many person-centered care approaches, in practice it is commonly thought of as the application of detailed knowledge of the individual (biological, behavioral, biographical, and social) to tailor care (Talerico, O'Brien, and Swafford, 2003).But who is the in person-centered care? We argue that many residential care programs unintentionally reduce the to the sum of biographical and care details assembled from family and staff. Through the use of an example of a resident with dementia, we argue that overlooking the has implications for residential caregiving, which we discuss in this article's last section.Who is the Person? An Illustrative ExampleIn practice, person-centered care often includes biological information, obtained from medical records and healthcare professionals; behavioral details, such as caregiving preferences reported by caregiving and clinical staff; biographical details, such as work history and marital status; and social preferences obtained from friends or family to solve caregiving challenges and inform care practices and approaches.To illustrate how the can be lost in person-centered care, we use the example of RH, a ninety-two-year-old retired professor with moderate-stage Alzheimer's Disease who had lived in a residential care dementia facility for three years (de Medeiros et al., 2012; de Medeiros, 2010). The facility advocated a personcentered care approach. As such, weekly interdisciplinary team meetings were held to discuss each resident's needs. Teams were composed of social workers, activities personnel, nurses, caregiving staff, physicians, and the chaplain. The team reviewed and revised weekly care plans using information from the person profile, chart notes from clinicians, and observations from staffwho attended the meeting. The profile included biographical details, generally obtained from family members, to include work history, interests and hobbies, psycho-social description, general mood, past likes and dislikes, and other personal details.Information in RH's profile listed her interests and hobbies as current events, writing, travel, and bridge, her psycho-social description as having frequent visitors, socializing with peers, and an interested family, and her mood as happy, calm, and cooperative. …" @default.
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• W848689129 date "2013-10-01" @default.
• W848689129 modified "2023-09-23" @default.
• W848689129 title "Remembering the Person in Person-Centered Residential Dementia Care" @default.
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