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Wellbeing in dementia: an occupational approach for therapists and carers
- Authors:
- PERRIN Tessa, MAY Hazel
- Publisher:
- Harcourt
- Publication year:
- 2000
- Pagination:
- 176p.
- Place of publication:
- Edinburgh
Draws on developmental theory to propose a model of practice for dementia care which concentrates on the occupational potential of the person with dementia. Looks at the relationship between occupation, wellbeing and dementia and offers practical strategies to improve wellbeing.
Wellbeing and activity in dementia: a comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time
- Authors:
- BROOKER D., DUCE L.
- Journal article citation:
- Aging and Mental Health, 4(4), November 2000, pp.354-358.
- Publisher:
- Taylor and Francis
A within-subjects design was utilised to compare levels of wellbeing demonstrated by 25 individuals with mild to moderate dementia during three types of activity. The first was simple group reminiscence therapy (RT), using objects and photographs; the second was group activities (GA), involving simple goal directed crafts or games; and the third was unstructured time (UT), during which participants were left to their own devices with little staff interaction. These activities were all part of the usual programme of activities within three day hospitals where the study took place. Dementia Care Mapping was used to measure relative levels of well-being or ill-being during these three conditions. The results indicated that individuals experienced a greater level of relative wellbeing during RT than GA. The level of wellbeing in both RT and GA was significantly higher than in UT.
The effect of challenging behaviour, and staff support, on the psychological wellbeing of staff working with older adults
- Authors:
- COLE R.P., et al
- Journal article citation:
- Aging and Mental Health, 4(4), November 2000, pp.359-365.
- Publisher:
- Taylor and Francis
This study aimed to investigate the relationship between levels of challenging behaviour in older adults living in residential settings, the degree of staff support and the psychological wellbeing of staff. Fifty-one staff working in mental health and 45 staff working in nursing home settings rated residents on the frequency of 25 challenging behaviours, and completed measures of staff support and psychological wellbeing. Staff in the mental health settings had a higher level of perceived staff support than those working in the nursing home settings. Psychological wellbeing in staff was found to be positively correlated to the degree of staff support perceived by staff, and not related to levels of resident challenging behaviour. The implications of these findings, including the need to adopt a more psychological framework to care provision in nursing home settings, are discussed.
Appraisals of strain and of gain: effects on psychological wellbeing of caregivers of dementia patients
- Authors:
- RAPP S.R., CHAO D.
- Journal article citation:
- Aging and Mental Health, 4(2), May 2000, pp.142-147.
- Publisher:
- Taylor and Francis
While much attention has been given to the negative impact of providing day-to-day care to an older, dependent family member, little is known about the benefits caregivers perceive and possible positive impact it may produce. This study examines the contributions of caregivers' appraisals of role strain and of role gain in predicting both positive and negative aspects of caregiver wellbeing. Results indicated that while care recipients' memory and behaviour problems correlated with negative affect they did not predict positive affect. These results suggest one pathway by which the stresses of caregiving affect wellbeing. They further suggest that positive appraisals play an important and under-recognized role in buffering stress and that they are independent of negative appraisals. Implications for caregiver research and interventions are discussed.