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When improving service delivery and best practice approaches to dementia care, it is imperative that the total environment be examined rather than just enhancing staffing and programming. Achievement of an integrated approach to care involves examining all aspects that the resident andstaffexperience during theprocess ofcare. This study examined the impact of the total environment in the care and management ofresidents in two dementia units in Tasmania. The research also tested the applicability of the Total Environment Quality ofCare Model and the dementia care propositions.

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