Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-20T13:38:52.279Z Has data issue: false hasContentIssue false
  • English
  • Français

Improving the social health of community-dwelling older people living with dementia through a reablement program

Published online by Cambridge University Press:  14 August 2017

Yun-Hee Jeon ,
Lindy Clemson ,
Sharon L. Naismith ,
Loren Mowszowski ,
Niki McDonagh ,
Margaret Mackenzie ,
Caitlin Dawes ,
Luisa Krein  and
Sarah L. Szanton
Yun-Hee Jeon*
Affiliation:
Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia
Lindy Clemson
Affiliation:
Ageing, Health & Work Research Unit, Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia
Sharon L. Naismith
Affiliation:
Healthy Brain Ageing Program, Faculty of Science, Charles Perkins Centre and Brain & Mind Centre, The University of Sydney, Sydney, New South Wales, Australia
Loren Mowszowski
Affiliation:
Healthy Brain Ageing Program, Faculty of Science, Charles Perkins Centre and Brain & Mind Centre, The University of Sydney, Sydney, New South Wales, Australia
Niki McDonagh
Affiliation:
Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia
Margaret Mackenzie
Affiliation:
Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia
Caitlin Dawes
Affiliation:
Brain & Mind Centre, The University of Sydney, Sydney, New South Wales, Australia
Luisa Krein
Affiliation:
Faculty of Nursing and Midwifery, The University of Sydney, Sydney, New South Wales, Australia
Sarah L. Szanton
Affiliation:
School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA
*
Correspondence should be addressed to: Yun-Hee Jeon, Professor, Faculty of Nursing and Midwifery, The University of Sydney, 88 Mallett Street, Building M02, Camperdown, Sydney, New South Wales, Australia. Phone: +61-2-93510674; Fax: +61-2-9351 0679. Email: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Psychological, neurological, and social impairments caused by dementia may limit the person's everyday living and experiences, but their capacity to enjoy a meaningful life is still retained. Increasingly, evidence has been shown the importance of reablement approaches to care in maximizing the older person's independence, health, and well-being through increased engagement in their daily, physical, social, and community activities. However, there is a major knowledge gap in providing reablement for people living with dementia. We describe one case of a client with moderate dementia and her daughter carer who participated as a dyad in a person centered, interdisciplinary, and reablement program called I-HARP (Interdisciplinary home-based reablement program). I-HARP is designed to improve functional capacity of those community dwelling, older people living with dementia, and other health conditions. In this paper, we discussed key contributions that such a reablement approach to care can make to optimizing the social health of people living with dementia.

Keywords

dementiainterdisciplinary teamworkcommunity carereablementsocial healthperson-centered careshared decision making
Type
Case Report
Information
International Psychogeriatrics , Volume 30 , Special Issue 6: Social Health , June 2018 , pp. 915 - 920
Copyright
Copyright © International Psychogeriatric Association 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alzheimer's Disease International (ADI) (2016). World Alzheimer Report 2016: Improving Healthcare for People Living with Dementia. London: ADI.Google Scholar
Australian Institute of Health and Welfare (AIHW) (2014). Australia's Health 2014. Australia's health series no. 14. Cat. no. AUS 178. Canberra: AIHW.Google Scholar
Gitlin, L. N., Winter, L., Burke, J., Chernett, N., Dennis, M. P. and Hauck, W.W. (2008). Tailored activities to manage neuropsychiatric behaviors in persons with dementia and reduce caregiver burden: a randomized pilot study. The American Journal of Geriatric Psychiatry, 16, 229–239.CrossRefGoogle ScholarPubMed
Gitlin, L. N., Winter, L., Dennis, M. P., Hodgson, N. and Hauck, W. W. (2010). A biobehavioral home-based intervention and the well-being of patients with dementia and their caregivers: the COPE randomized trial. Journal of the American Medical Association, 304, 983–991.CrossRefGoogle ScholarPubMed
Graff, M. J., Vernooij-Dassen, M. J., Thijssen, M., Dekker, J., Hoefnagels, W. H. and Rikkert, M. G. (2006). Community based occupational therapy for patients with dementia and their care givers: randomized controlled trial. British Medical Journal, 333, 1196. doi:10.1136/bmj.39001.688843.BE.CrossRefGoogle Scholar
Huber, M. et al. (2011). How should we define health?. British Medical Journal, 343, d4163.CrossRefGoogle ScholarPubMed
Kurrle, S., Brodaty, H. and Hogarth, R. (2012). Physical Comorbidities of Dementia. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Mittler, P. (2016). Nothing about us without all of us. Paper presented at the 31st International Conference of Alzheimer's Disease International. 21–24 April 2016, Budapest, Hungary.Google Scholar
O'Connor, C. M., Clemson, L., Brodaty, H., Gitlin, L. N., Piguet, O. and Mioshi, E. (2015). Enhancing caregivers understanding of dementia and tailoring activities in frontotemporal dementia: two case studies. Disability and Rehabilitation, Early online 1–11. doi:10.3109/09638288.2015.1055375Google ScholarPubMed
Reisberg, B., Ferris, S., de Leon, M. and Crook, T. (1982). The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry, 139, 1136–1139.Google ScholarPubMed
Shah, S., Vanclay, F. and Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42, 703–709.CrossRefGoogle ScholarPubMed
Szanton, S. L. et al. (2014). CAPABLE trial: a randomized controlled trial of nurse, occupational therapist and handyman to reduce disability among older adults: rationale and design. Contemporary Clinical Trials, 38, 102–112.CrossRefGoogle Scholar
Vernooij-Dassen, M. and Jeon, Y.H. (2016). Social health and dementia: the power of human capabilities (Guest editorial). International Psychogeriatrics, 28, 701–703.CrossRefGoogle Scholar