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Respite in Dementia: An Evolutionary Concept Analysis.

Emma O' Shea1, Suzanne Timmons2, Eamon O' Shea3

  • 1School of Nursing and Human Sciences, Dublin City University, Ireland.

Dementia (London, England)
|June 30, 2017
PubMed
Summary
This summary is machine-generated.

Respite care for dementia offers both service and psychological benefits for carers. However, the current understanding may hinder person-centred dementia care, suggesting

Keywords:
caregiversdementiaperson-centred carerespiterestorative care

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Area of Science:

  • Gerontology
  • Dementia Care
  • Caregiver Support

Background:

  • The term 'respite' lacks conceptual clarity in dementia care.
  • Existing respite services are often viewed through the lens of person-centred care, but their impact on the carer's relational experience is not fully understood.

Purpose of the Study:

  • To clarify the meaning and application of 'respite' in dementia care.
  • To examine the concept of respite in relation to person-centred care paradigms.

Main Methods:

  • Employed Rodgers' (1989) evolutionary framework.
  • Conducted a systematic literature search across multiple databases (1980-2016).
  • Utilized thematic analysis with constant comparison for data interpretation.

Main Results:

  • Respite is conceptualized as both a physical service and a psychological outcome for carers.
  • A conceptual model illustrates how client and service factors interact to influence respite outcomes.
  • Mutual benefit perception by the carer is crucial for a positive respite experience.

Conclusions:

  • Respite care is understood as a service and an outcome, but primarily focuses on the carer's experience.
  • Current understanding of respite may negatively impact person-centred dementia care planning.
  • Proposed 'restorative care' as an alternative term to emphasize mutual, personalized benefits and enhanced care relationships.