How can occupational therapy improve the daily performance and communication of an older patient with dementia and his primary caregiver?
Maud J. L.Graff, Myrra J.F.J.Vernoonij-Dassen, Janja Zajec, Marcel G.M. Olde Rikkert, Willibrord H.L.Hoefnagels, Joost Dekker
Bok Engelsk 2006 Maud Graff
| Utgitt | 2006
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| Omfang | 29 s.
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| Opplysninger | Examined the effect of occupational therapy (OT) on the daily performance and communication of an older patient with dementia and his primary caregiver in the Netherlands. This case study involved 71-year-old Richard, who had a diagnosis of mild dementia, Parkinson's disease, and hip problems, and his wife and primary caregiver, Anne (age 68). The intervention was system-based OT at home using a guideline focusing on client empowerment rather than professional control. The OT focused on both patient's performance in daily activities and caregiver's cognition on patient behavior and caregiver role, as well as adaptation of the physical environment. Triangulation of results of qualitative content analysis and quantitative description used such measures as the Brief Cognitive Rating Scale, Assessment of Motor and Process Skills, Interview of Deteriortion in Daily Activities in Dementia, Canadian Occupational Performance Measurement, and Dementia Quality of Life Instrument to reveal 2 global categories: daily performance and communication. Important themes included the patient's capacity for pleasure, autonomy in performing daily activities, and caregiver's competence. Both qualitative and quantitative results showed an improved daily performance and quality of life in the patient and improved sense of competence, quality of life, and mastery of the situation in the caregiver after the OT intervention.
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