Sanetta H. J. du Toit, Helen Buchanan; Embracing Cultural Diversity: Meaningful Engagement for Older Adults With Advanced Dementia in a Residential Care Setting. Am J Occup Ther 2018;72(6):7206205090p1-7206205090p8. doi: 10.5014/ajot.2018.027292.
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© 2019 American Occupational Therapy Association
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.
Family members were very withdrawn initially. One person busied himself by completing the workshop handout prior to initiation of the AI process. It appeared as if staff and volunteers were extra generous in encouraging the family participants during the sharing of stories. Could it be why the most votes went to family stories? (field notes)
Enjoying music and singing along creates an appreciation for different cultures.
Opportunities to gather and share memories and past experiences.
Contact with animals.
Advancing the doing, being, and belonging of residents with advanced dementia requires a collaborative approach.
Collaboration with care partners to identify positive care practices enables ownership and commitment to sustainable PCC practice changes.
AI appears to be a powerful vehicle for facilitating sustainable PCC practice changes.
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