The Activity Life of persons with a dementia disease : Doctoral dissertation
Lena Borell
Bok Engelsk 1992
| Utgitt | Stockholm : Karolinska Institutet , 1992
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| Omfang | 28 s.
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| Utgave | Doktoravhandling
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| Opplysninger | Har bibliografi. - ABSTRACT: Research and clinical practice demonstrate that dementia diseases limit a person's capacity to perform and engage in activities. When an occupational dysfunction is present it is possible that factors not directly related to the disease also may limit the persons activity. The aim of the present doctoral thesis is to expand and increase the understanding about the nature and meaning of task performance, occupation, and activity for persons with a dementia disease.In a population of 312 persons in 12-day-hospital units, 78%of the patients were dependent upon some kind of help from a caregiver in the performance of ADL activities. Physical activities and entertainment were common in these programs, often undertaken as large group activities including ten or more people. A key to understanding patients' activities in one day-hospital setting was nderstanding how the patients looked uppon their own role in the institution, the person's interests and previous experience of doing the activities and how the patients attributed meaning to the activity. A study of 24 persons with Alzheimer's disease provided statistical support for the notion that the most impaired ability to use common objects included in ADL.However, independently of degree of dementia, 23 of 24 patients were able to use a spoon or a fork in feeding themselves.To support a person with denmentia in order to maximaze functioning in daily laife a framework for clinical decision making in occupational therapywas developed based on "The model of Human Occupation".The use of these framework was illustrated through a case. An evaluation of the efficacy of an intervention, also based on concepts from MOHO to support performance in ADL, showed that three out of four patients exhibited gains related to teh intervention. In conclusion the studies have shown that the dementia disease, though influencing a person's activity, does not determeine all of it. It is possible to clarify and conceptualize the activity of a person with a dementia...
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| ISBN | 91-628-0719-6
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