Improving the social health of community-dwelling older people living with dementia through a reablement program

Int Psychogeriatr. 2018 Jun;30(6):915-920. doi: 10.1017/S1041610217001533. Epub 2017 Aug 14.

Abstract

ABSTRACTPsychological, neurological, and social impairments caused by dementia may limit the person's everyday living and experiences, but their capacity to enjoy a meaningful life is still retained. Increasingly, evidence has been shown the importance of reablement approaches to care in maximizing the older person's independence, health, and well-being through increased engagement in their daily, physical, social, and community activities. However, there is a major knowledge gap in providing reablement for people living with dementia. We describe one case of a client with moderate dementia and her daughter carer who participated as a dyad in a person centered, interdisciplinary, and reablement program called I-HARP (Interdisciplinary home-based reablement program). I-HARP is designed to improve functional capacity of those community dwelling, older people living with dementia, and other health conditions. In this paper, we discussed key contributions that such a reablement approach to care can make to optimizing the social health of people living with dementia.

Keywords: community care; dementia; interdisciplinary teamwork; person-centered care; reablement; shared decision making; social health.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living
  • Aged, 80 and over
  • Decision Making
  • Dementia / therapy*
  • Family / psychology*
  • Female
  • Home Care Services / organization & administration*
  • Humans
  • Independent Living / psychology*
  • Interdisciplinary Communication
  • Patient Participation
  • Patient-Centered Care / organization & administration*