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Dementia01:30

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Related Experiment Video

Updated: May 28, 2025

Using a Real-Time Locating System to Measure Walking Activity Associated with Wandering Behaviors Among Institutionalized Older Adults
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Differing Realities Among Assisted Living Residents With Dementia: Understanding Care Partner Responses.

Candace L Kemp1,2, Emerald Anglin1, Jennifer Craft Morgan1,2

  • 1The Gerontology Institute, Georgia State University, Atlanta, Georgiav, USA.

The Gerontologist
|February 12, 2025
PubMed
Summary
This summary is machine-generated.

Care partners manage dementia-related confusion through "reality management," validating or invalidating resident experiences. Person- and situation-specific responses are crucial for quality care in assisted living.

Keywords:
Grounded theory methodQuality of careQuality of life

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Area of Science:

  • Gerontology
  • Dementia Care Research
  • Qualitative Health Research

Background:

  • Dementia often causes confusion regarding time, place, and situation.
  • Care partner responses significantly impact the quality of life and care experiences for individuals with dementia.
  • Assisted living (AL) residents with dementia present unique challenges in managing their disorientation.

Purpose of the Study:

  • To examine the diverse realities experienced by AL residents with dementia and the corresponding care partner responses.
  • To identify factors influencing these interactions, including resident and care partner characteristics, contextual conditions, and outcomes.

Main Methods:

  • Grounded theory (GT) qualitative study across 8 diverse AL communities (2019-2023).
  • Involved 73 residents with dementia and 103 care partners (family, staff, volunteers).
  • Data collection included 236 interviews, 980 observation visits (2,676 hours), and review of resident records.

Main Results:

  • Most residents experienced dementia-related confusion.
  • Care partners employed "reality management" strategies, including ignoring, dismissing, correcting, redirecting, and joining.
  • Confusion characteristics, resident/care partner factors, and capacities influenced responses and outcomes.

Conclusions:

  • Reinforces the importance of personalized, situation-specific responses in dementia care.
  • Highlights implications for clinical practice and the need for further research in assisted living settings.