Reframing person-centered nursing care for persons with dementia.
Alzheimer's dementia manifests in a complex clinical presentation that has been addressed from both biomedical and phenomenological perspectives. Although each of these paradigmatic perspectives has contributed to advancement of the science, neither is adequate for theoretically framing a person-centered approach to nursing care. The need-driven dementia-compromised behavior (NDB) model is discussed as an exemplar of midrange nursing theory that promotes the integration of these paradigmatic views to promote a new level of excellence in person-centered dementia care. Clinical application of the NDB promotes a new level of praxis, or thoughtful action, in the care of persons with dementia.
Penrod
Janice
J
The Pennsylvania State University, University Park, PA 16802, USA. jlp198@psu.edu
Yu
Fang
F
Kolanowski
Ann
A
Fick
Donna M
DM
Loeb
Susan J
SJ
Hupcey
Judith E
JE
D000368:Aged; D003704:Dementia / Q000451:nursing*; D018450:Disease Progression; D006301:Health Services Needs and Demand; D006694:Holistic Health; D006801:Humans; D019359:Knowledge; D016294:Models, Nursing; D024802:Nurse's Role; D015399:Nursing Research / Q000458:organization & administration*; D009742:Nursing Theory; D010344:Patient Advocacy; D018802:Patient-Centered Care / Q000458:organization & administration*; D028723:Personhood; D010687:Philosophy, Nursing