Research Article  |   October 2018
Embracing Cultural Diversity: Meaningful Engagement for Older Adults With Advanced Dementia in a Residential Care Setting
Author Affiliations
  • Sanetta H. J. du Toit, BOccTher, MOccTher (UFS), MScOccTher, PhD, is Lecturer, Faculty of Health Sciences, Discipline of Occupational Therapy, University of Sydney, Sydney, New South Wales, Australia, and Affiliated Lecturer, Department of Occupational Therapy, University of the Free State, Bloemfontein, South Africa
  • Helen Buchanan, BSc(OT), MSc(OT), PhD, is Associate Professor, Department of Health and Rehabilitation Sciences, Division of Occupational Therapy, University of Cape Town, Cape Town, South Africa; helen.buchanan@uct.ac.za
Article Information
Alzheimer's Disease and Dementia / Geriatrics/Productive Aging / Neurologic Conditions / Research Articles
Research Article   |   October 2018
Embracing Cultural Diversity: Meaningful Engagement for Older Adults With Advanced Dementia in a Residential Care Setting
American Journal of Occupational Therapy, October 2018, Vol. 72, 7206205090p1-7206205090p8. doi:10.5014/ajot.2018.027292
American Journal of Occupational Therapy, October 2018, Vol. 72, 7206205090p1-7206205090p8. doi:10.5014/ajot.2018.027292
Abstract

Providing person-centered care (PCC) that focuses on meaningful engagement in residential care settings for older adults with moderate to advanced dementia is an internationally recognized challenge. In this study, we aimed to identify best-practice scenarios for supporting older adults with moderate to advanced dementia from culturally and linguistically diverse backgrounds who lived in care facilities. A mixed-methods study with a concurrent triangulation strategy was adopted. Data collection occurred with care partners by means of a preworkshop questionnaire, an appreciative-inquiry workshop, and an adapted Delphi technique. The findings indicate that care partners valued the care facilities’ residents’ needs for doing, being, and belonging. Collaborative data generation reflected the setting-specific PCC practices. Leadership team members agreed that enabling inclusion and celebrating cultural diversity were important but that cultural humility needed to be promoted.