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"The Sun Came Up Because You Got Here…": A Qualitative Exploration of Person-Centered Care Strategies Used by Adult Day Care Centers to Manage Behavioral and Psychological Symptoms of Dementia.

Publication ,  Journal Article
Boafo, J; David, D; Wu, B; Brody, AA; Sadarangani, T
Published in: Journal of applied gerontology : the official journal of the Southern Gerontological Society
February 2023

In order to reduce care partner strain and support aging in place for people living with Alzheimer's Disease and Alzheimer's Disease Related Dementias (AD/ADRD), adult day centers (ADCs) must manage behavioral and psychological symptoms of dementia (BPSD). The purpose of this paper is to identify person-centered care strategies used by center staff to manage BPSD. Six focus groups with center staff (n = 31) were conducted. Data were analyzed using directed content analysis guided by Kitwood's conceptual approach to cultivating personhood in dementia care. Themes were identified and organized within Kitwood's framework. The results demonstrate that staff incorporate evidence-based person-centered approaches to AD/ADRD care that align with Kitwood's principles of comfort, attachment, inclusion, and identity. Staff individualize their approach to people with AD/ADRD within a group setting. They monitor, engage, socially stimulate, and, when needed, de-stimulate them. Centers are flexible social environments with underrecognized expertise managing BPSD using person-centered approaches.

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Published In

Journal of applied gerontology : the official journal of the Southern Gerontological Society

DOI

EISSN

1552-4523

ISSN

0733-4648

Publication Date

February 2023

Volume

42

Issue

2

Start / End Page

147 / 159

Related Subject Headings

  • Patient-Centered Care
  • Independent Living
  • Humans
  • Gerontology
  • Dementia
  • Alzheimer Disease
  • Aged
  • Adult Day Care Centers
  • 52 Psychology
  • 42 Health sciences
 

Citation

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Boafo, J., David, D., Wu, B., Brody, A. A., & Sadarangani, T. (2023). "The Sun Came Up Because You Got Here…": A Qualitative Exploration of Person-Centered Care Strategies Used by Adult Day Care Centers to Manage Behavioral and Psychological Symptoms of Dementia. Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, 42(2), 147–159. https://doi.org/10.1177/07334648221128283
Boafo, Jonelle, Daniel David, Bei Wu, Abraham A. Brody, and Tina Sadarangani. “"The Sun Came Up Because You Got Here…": A Qualitative Exploration of Person-Centered Care Strategies Used by Adult Day Care Centers to Manage Behavioral and Psychological Symptoms of Dementia.Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society 42, no. 2 (February 2023): 147–59. https://doi.org/10.1177/07334648221128283.
Boafo J, David D, Wu B, Brody AA, Sadarangani T. "The Sun Came Up Because You Got Here…": A Qualitative Exploration of Person-Centered Care Strategies Used by Adult Day Care Centers to Manage Behavioral and Psychological Symptoms of Dementia. Journal of applied gerontology : the official journal of the Southern Gerontological Society. 2023 Feb;42(2):147–59.
Boafo, Jonelle, et al. “"The Sun Came Up Because You Got Here…": A Qualitative Exploration of Person-Centered Care Strategies Used by Adult Day Care Centers to Manage Behavioral and Psychological Symptoms of Dementia.Journal of Applied Gerontology : The Official Journal of the Southern Gerontological Society, vol. 42, no. 2, Feb. 2023, pp. 147–59. Epmc, doi:10.1177/07334648221128283.
Boafo J, David D, Wu B, Brody AA, Sadarangani T. "The Sun Came Up Because You Got Here…": A Qualitative Exploration of Person-Centered Care Strategies Used by Adult Day Care Centers to Manage Behavioral and Psychological Symptoms of Dementia. Journal of applied gerontology : the official journal of the Southern Gerontological Society. 2023 Feb;42(2):147–159.
Journal cover image

Published In

Journal of applied gerontology : the official journal of the Southern Gerontological Society

DOI

EISSN

1552-4523

ISSN

0733-4648

Publication Date

February 2023

Volume

42

Issue

2

Start / End Page

147 / 159

Related Subject Headings

  • Patient-Centered Care
  • Independent Living
  • Humans
  • Gerontology
  • Dementia
  • Alzheimer Disease
  • Aged
  • Adult Day Care Centers
  • 52 Psychology
  • 42 Health sciences