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Dementia care. 2: Exploring how nursing staff manage challenging behaviour.
Nicola L Wheeler1, Jan R Oyebode
1Birmingham and Solihull Mental Health Foundation Trust.
Nursing Times
|August 11, 2010
Summary
Many care homes use both medical and person-centered dementia care approaches. Further training in biopsychosocial models is recommended for staff caring for individuals with dementia.
Area of Science:
- Gerontology
- Healthcare Management
- Psychology
Background:
- Dementia care is evolving from traditional medical paradigms.
- A shift towards person-centered care, grounded in biopsychosocial models, is emerging.
- This study addresses the adoption of these care approaches in residential settings.
Purpose of the Study:
- To assess the degree to which care home staff have implemented a person-centered approach to dementia care.
- To identify current practices in dementia care within residential facilities.
Main Methods:
- Qualitative study utilizing focus groups.
- Involved 36 direct care staff members from nine different care homes.
- Explored staff perspectives on dementia care methodologies.
Main Results:
- Evidence of both medical and person-centered dementia care models in practice.
- Three homes predominantly used the medical approach.
- Four homes primarily adopted the person-centered approach, with two transitioning towards it.
Conclusions:
- Care homes exhibit a mix of dementia care approaches.
- There is a clear need for enhanced training in biopsychosocial strategies for managing challenging behaviors in dementia.
- Training should encompass care home staff, families, and other healthcare professionals.
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01:30Dementia
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual.
The progression of dementia is generally gradual.
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