A comprehensive approach to reablement in dementia

Area of Science:

• Gerontology
• Neuroscience
• Rehabilitation Medicine

Background:

• Aging populations and rising disability rates necessitate strategies for maintaining independence.
• Dementia significantly impacts functional ability and independence in older adults.
• Reablement emerges as a key strategy to mitigate these challenges.

Purpose of the Study:

• To present a comprehensive, seven-domain reablement approach for individuals with mild-to-moderate dementia.
• To guide policymakers, practitioners, families, and individuals with dementia on "living well with dementia".
• To advocate for integrating evidence-based reablement into routine dementia care.

Main Methods:

• A holistic framework encompassing seven domains: assessment/medical management, cognitive function, physical function, acute conditions, assistive technology, supportive care, and caregiver support.
• Focus on maintaining, regaining, and adapting to functional changes.
• Integration of reablement principles into service delivery across sectors.

Main Results:

• The proposed reablement model addresses multiple facets of dementia care to sustain function.
• It emphasizes a proactive approach to maximize independence and quality of life.
• The framework supports both the individual with dementia and their caregivers.

Conclusions:

• Reablement is a crucial strategy for enhancing functional ability and independence in people with dementia.
• A shift towards "living well with dementia" requires integrating reablement into all aspects of care.
• Evidence-based reablement practices should be standard in dementia care delivery.