TY - JOUR
T1 - Meaningful activity in advanced dementia
AU - Brown, Margaret
AU - Mitchell, Bryan
AU - Quinn, Sam
AU - Boyd, Andrea
AU - Tolson, Debbie
N1 - This is the author’s manuscript accepted to Nursing Older People and is not the version of record.
PY - 2020/9/22
Y1 - 2020/9/22
N2 - When the person with advanced dementia cannot communicate verbally and has limited movement, activities that he or she once enjoyed may no longer be possible. This limits opportunity for self-realisation and can lead to a preoccupation within advanced dementia care about the routines associated with the maintenance of comfort and nourishment, at the expense of contentment and moments of fulfilment (Smith et al., 2018). Such a narrow focus can lead to changes in behaviour indicating boredom, frustration and distress. Yet, there are opportunities for a more creative approach to activity that can be adapted to the person’s changing needs and the human desire to feel connected and engaged. Examples of these evidence informed creative interventions for people living with advanced dementia care include music, doll focussed activity, animal assisted interventions, complementary therapy approaches and multisensory experiences, such as Namaste. These activities can engage the person with advanced dementia in a close connection with another human being through individualised and sensory based care.
AB - When the person with advanced dementia cannot communicate verbally and has limited movement, activities that he or she once enjoyed may no longer be possible. This limits opportunity for self-realisation and can lead to a preoccupation within advanced dementia care about the routines associated with the maintenance of comfort and nourishment, at the expense of contentment and moments of fulfilment (Smith et al., 2018). Such a narrow focus can lead to changes in behaviour indicating boredom, frustration and distress. Yet, there are opportunities for a more creative approach to activity that can be adapted to the person’s changing needs and the human desire to feel connected and engaged. Examples of these evidence informed creative interventions for people living with advanced dementia care include music, doll focussed activity, animal assisted interventions, complementary therapy approaches and multisensory experiences, such as Namaste. These activities can engage the person with advanced dementia in a close connection with another human being through individualised and sensory based care.
KW - advanced dementia
KW - dementia
KW - frailty
KW - neurology
KW - older people
UR - https://journals.rcni.com/nursing-older-people
U2 - 10.7748/nop.2020.e1171
DO - 10.7748/nop.2020.e1171
M3 - Article
VL - 32
JO - Nursing Older People
JF - Nursing Older People
SN - 1472-0795
IS - 5
M1 - e1171
ER -