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Using Retinal Imaging to Study Dementia
Published on: November 6, 2017
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Generation of a function affect model for residents with advanced dementia
Esther Chang1, Michel Edenborough2, Daniel Nicholls3
1Aged and Palliative Care, School of Nursing and Midwifery, Western Sydney University, Sydney, Australia.
International Journal of Nursing Practice
|December 20, 2018
Summary
This study developed a person-centered care model for advanced dementia, focusing on "function" and "affect." It emphasizes holistic care to improve quality of life for individuals with dementia.
Area of Science:
- Gerontology
- Palliative Care
- Nursing Science
Background:
- Advanced dementia is a progressive, terminal illness often overlooked in end-of-life care.
- Focus on comfort, suffering alleviation, and quality of life is crucial for advanced dementia patients.
- Current care models may not adequately address the holistic needs of individuals in advanced stages of dementia.
Purpose of the Study:
- To generate a novel model of care for advanced dementia, integrating concepts of "function" and "affect."
- To enhance care delivery by providing comprehensive and sustainable support.
- To promote a care approach that honors and respects the individual with advanced dementia.
Main Methods:
- A three-phase mixed-methods research design was employed.
- Data collection involved three residential aged care facilities in New South Wales, Australia.
- Thematic analysis of focus group discussions with staff, family, and carers informed the model.
Main Results:
- Identified two core dimensions for the care model: "function" (dedication, designation, deliberation) and "affect" (relaxation, stimulation, transformation).
- These themes highlight distinct aspects of care crucial for individuals with advanced dementia.
- The findings delineate key components for a holistic care approach.
Conclusions:
- Shifting nursing practice from task-oriented to person-centered and relationship-focused care is essential.
- This transformational model addresses the complete needs of individuals with advanced dementia.
- The proposed model has potential applicability in other end-of-life care settings.
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