Meaningful engagement and person-centered residential dementia care: A critical interpretive synthesis

Scandinavian Journal of Occupational Therapy
Sanetta H J Du ToitMargaret McGrath

Abstract

People with moderate to advanced dementia living in residential care are at risk of occupational deprivation. Person-centered care has been adopted as a guiding principle in the provision of residential care for older adults with dementia. In this context, there has been shift in occupational therapy practice from addressing occupational performance towards focusing on meaningful engagement. While both meaningful engagement and person-centered care have been well researched the relationship between the two concepts is poorly understood. A critical interpretative synthesis was conducted to determine how principles of person-centered care inform occupational therapy practice in relation to promotion of meaningful engagement among residents with moderate to advanced dementia. A systematic search of research addressing meaningful engagement of people with moderate to advanced dementia identified 26 papers. Papers were classified as theoretical papers and empirical research. Two overarching constructs emerged, namely promoting a culture of collaborative care and understanding the resident as a person with a past, present and future. Occupational deprivation prevails and person-centered care is not fully addressed if opportunities fo...Continue Reading

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Citations

Feb 6, 2020·International Journal of Older People Nursing·Laura Tierney, Elizabeth Beattie
Aug 11, 2020·Scandinavian Journal of Occupational Therapy·Kamilla KielsgaardHanne Kaae Kristensen
Mar 28, 2020·International Journal of Qualitative Studies on Health and Well-being·Anna SwallÅsa Gransjön Craftman
Dec 1, 2020·International Journal of Nursing Studies·Charlotte T M van CorvenDebby L Gerritsen
Jun 9, 2021·Clinical Gerontologist·Candice D ReelDaniel C Potts
Aug 11, 2021·Wellcome Open Research·L L Daniel LaiPaul M Camic
Aug 30, 2021·Journal of the American Medical Directors Association·Rachel E BrimelowNadeeka N Dissanayaka

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