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Perspectives in Rehabilitation

Towards person-centred rehabilitation in dementia – a narrative synthesis

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Pages 2673-2679 | Received 28 Feb 2019, Accepted 24 Dec 2019, Published online: 06 Jan 2020
 

Abstract

Purpose

The aim of this study was to identify and synthesize person-centred principles and components as described in rehabilitation intervention studies which target home dwelling people with mild to moderate dementia.

Materials and methods

A narrative synthesis was carried out which included 19 rehabilitation intervention studies targeting people with mild to moderate dementia. The analysis was guided by an initial program theory about person-centredness in rehabilitation, which was developed for this purpose.

Results

Person-centred principles and components were identified and synthesised. Person-centred rehabilitation practice in dementia includes: (1) a focus on the needs, preferences and cultural values of the individual and consideration of his/her life history and biography; (2) the cooperation of professionals and people with dementia, including specific tools and methods such as goal-setting, holistic assessment and methods to activate and empower the individual, and building relationships; (3) organisation and structure.

Conclusion

Compared to the principles of Kitwood, person-centredness in rehabilitation for people living with dementia also includes goal-setting and empowering principles. There is a need for developing the theoretical and philosophical foundation for person-centredness in rehabilitation in relation to people with dementia.

    IMPLICATION FOR REHABILITATION

  • Person-centredness is a key feature in rehabilitation for people living with dementia.

  • In rehabilitation, person-centredness may entail other principles and components than in dementia care in general.

  • There is a need for developing person-centredness in rehabilitation, both in theory and in practice.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This research was funded by VELUX FONDEN [Grant no. 11637].

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