A Phenomenological Study of Volition in Everyday Occupations of Older People with Dementia

Raber, Christine; Teitelman, Jodi; Watts, Janet; Kielhofner, Gary

doi:10.4276/030802210x12892992239116

Cited by 29 publications

(65 citation statements)

References 9 publications

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“…An observational study explored the volition for everyday activities (termed occupations) in eight older people with dementia, in an assisted living unit (Raber et al 2010). They concluded that all types of interaction (researcher, staff, and family) had a pervasive impact on the volitional behaviour of those with dementia.…”

Section: Impact Of Positive Social Environments In Dementiamentioning

confidence: 99%

“…They concluded that all types of interaction (researcher, staff, and family) had a pervasive impact on the volitional behaviour of those with dementia. This study highlighted the importance of person-centred, staff interaction, in encouraging residents with interactive and social occupations (Raber et al 2010). However, Yates-Bolton et al (2012) proposed that implementing these findings may be more difficult in acute hospital settings, due to the fast-paced environment, with a lesser focus on social interaction, compared to longer term residential settings.…”

Section: Impact Of Positive Social Environments In Dementiamentioning

confidence: 99%

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Dementia-friendly wards

Eastham

Cox²

2017

IJHG

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Purpose: The aim of this practice based mixed methods small-scale study, was to explore the design features of a de e tia f ie dl a ute a d e i o e t and, staff views on the implications of daily activity engagement for patients with dementia.Design: Eight staff members of the multidisciplinary team ho o k full ti e o a a ute de e tia f ie dl ward completed semi-structured questionnaires. Thematic analysis explored responses to the open-ended questions, and a further environmental assessment tool rated featu es of the de e tia f ie dl a d desig , on promoting aspects of wellbeing in patients with dementia.Findings: Six overarching themes were found. These included: contrasting ward colours; clear ward signage;positive staff interaction; memorabilia, and activity rooms and items, had a positive influence on patient interaction, wellbeing and engagement in daily activities. The audit scores were rated highly for various aspects of the ward design. These included: the ward design promoting patient interaction, wellbeing, mobility, orientation, continence, eating and drinking, and calm and security. Practical implications:This study supports staff perceived views of the positi e i flue e that de e tia f ie dl desig a ha e for patients with dementia. Both the physical design modifications of the ward and staff interaction were highlighted as positively influencing patient wellbeing, and daily activity engagement.Staff members also felt that they needed to balance the clinical ward priorities, with the contextual requirements of patients with dementia, to esta lish a effe ti e de e tia f ie dl a d. Research Implications:This practice based small-scale study highlights the i po ta e that a de e tia f ie dl ward environment may have on patient engagement and wellbeing, from a daily activity perspective.Further research into the key aspects of design that enable meaningful daily activity engagement is required.

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Section: Impact Of Positive Social Environments In Dementiamentioning

confidence: 99%

Section: Impact Of Positive Social Environments In Dementiamentioning

confidence: 99%

Dementia-friendly wards

Eastham

Cox²

2017

IJHG

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“…Outras pesquisas não apresentaram uma definição sobre o conceito de cotidiano, mas afirmaram e/ou abordaram sobre a importância da vida cotidiana para uma determinada população ou em um contexto específico (ERIKSSON; THAM; FUGL-MEYER; 2005; WRIGHT-ST CLAIR; KERSE; SMY THE, 2011; HASSELKUS; MURRAY, 2007;RABER et al, 2010;PERSSON;ZINGMARK, 2006;NÄTTERLUND, 2010).…”

Section: Resultsunclassified

Estudo de revisão sistemática sobre o uso do conceito de cotidiano no campo da Terapia Ocupacional na literatura de língua inglesa

Salles

Matsukura

2015

CTO

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Resumo: O presente estudo tem como objetivo identificar como o conceito de cotidiano é utilizado no campo da Terapia Ocupacional, na literatura de língua inglesa e tecer considerações em relação à literatura nacional sobre o assunto. Foi realizada uma revisão sistemática da literatura internacional sobre o conceito de cotidiano no campo da Terapia Ocupacional e, a partir dos resultados desta etapa, apresentam-se reflexões acerca de diferenças e similaridades observadas no uso do conceito no campo da Terapia Ocupacional no Brasil. Foram eleitos 20 artigos, selecionados a partir do Portal Periódicos Capes (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior), para análise. Encontrou-se que os autores de língua inglesa, ao tratar da ruptura do cotidiano, focalizam no auxílio necessário para ajudar o sujeito a conseguir realizar suas ocupações anteriores, de forma autônoma. Além disso, a forma das pessoas viverem a vida cotidiana é um elemento constitutivo da identidade do sujeito, as pessoas se tornam o que são a partir de suas ocupações. O cotidiano é relatado em termos ocupacionais, a vida cotidiana é compreendida pelo que as pessoas fazem de significativo em suas vidas. Aponta-se que a literatura internacional não focaliza a relação do cotidiano com o contexto sociopolítico-cultural, como a literatura nacional. Assim, discute-se que a compreensão sobre o cotidiano contextualizado é comum aos terapeutas ocupacionais brasileiros e tem o potencial de se apresentar como um constructo em torno do qual se constrói a identidade da Terapia Ocupacional brasileira contemporânea.

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“…They highlighted that it is more difficult to assess the "meaningfulness" of occupations with people with more advanced dementia and speculated that occupation might play a more important role in the early stages. Fortunately, evidence stemming from people with dementia themselves is growing, (Han, Radel, McDowd, & Sabata, 2016;Orrell et al, 2008;Raber, Teitelman, Watts, & Kielhofner, 2010), but the perspective of people in the moderate to severe phases has been neglected (Caddell & Clare, 2010). There is, however, some evidence that when occupations are perceived to be irrelevant, people with mild and moderate dementia prefer not to do anything rather than attending organised sessions (Tak, Kedia, Tongumpun, & Hong, 2015).…”

mentioning

confidence: 99%

Narratives-in-action of people with moderate to severe dementia in long-term care: Understanding the link between occupation and identity

Tatzer

2019

Journal of Occupational Science

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Meaningful occupation is a frequently stated part of person-centred care, but that need is often unmet in long-term care (LTC) settings. There is little in literature about the perspective of people with moderate and severe dementia on their identity construction and social roles. This study deals with the following question: how do men and women with moderate to severe dementia living in long-term care maintain aspects of their identities and social roles? It also gives insight into the application of a narrative-in-action approach with people with advanced dementia. Using a qualitative research design in the ethnographic tradition, observations, interviews and informal talks whilst doing occupations with people with dementia and their carers were used for data collection in two institutions. A narrative analysis based on a narrativein-action approach was applied. The findings show the efforts of people with dementia doing "identity work" in a confining environment. They used narratives, objects, and occupations to express their identities despite their cognitive or physical impairments. The narrative-in-action approach offers the potential to better understand the perspective of people with dementia who have problems expressing themselves verbally. Even though they are fragmented, repeated stories have an important function in constructing identity and should not be regarded merely as a symptom of dementia. This study allows for a better understanding of the relationship between occupation, its symbolic meaning, and identity in people with advanced dementia. ARTICLE HISTORYLittle is known about the relationship of identity and meaningful occupation in people with advanced dementia. This paper has two aims: first, to present the application of a narrativein-action approach (Alsaker, Josephsson, & Dickie, 2013) in people with advanced dementia and second, to present findings about the relationship between identity and occupation in this group. After a short literature review, the design and methods of the study are described, followed by a more in-depth discussion of the theoretical background of narrative theory. In the findings section, two case stories of older women with advanced dementia are presented and discussed. Finally, implications for occupational science and dementia care are stated. Dementia and Everyday OccupationsDementia is a syndrome involving changes in the brain that lead to disability and problems

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A Phenomenological Study of Volition in Everyday Occupations of Older People with Dementia

Cited by 29 publications

References 9 publications

Dementia-friendly wards

Dementia-friendly wards

Estudo de revisão sistemática sobre o uso do conceito de cotidiano no campo da Terapia Ocupacional na literatura de língua inglesa

Narratives-in-action of people with moderate to severe dementia in long-term care: Understanding the link between occupation and identity

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