title: Caring for people with dementia in residential aged care: successes with a composite person-centered care model featuring Montessori-based activities.
abstract: Person-centered models of dementia care commonly merge aspects of existing models with additional influences from published and unpublished evidence and existing government policy. This study reports on the development and evaluation of one such composite model of person-centered dementia care, the ABLE model. The model was based on building the capacity and ability of residents living with dementia, using environmental changes, staff education and organizational and community engagement. Montessori principles were also used. The evaluation of the model employed mixed methods. Significant behavior changes were evident among residents of the dementia care Unit after the model was introduced, as were reductions in anti-psychotic and sedative medication. Staff reported increased knowledge about meeting the needs of people with dementia, and experienced organizational culture change that supported the ABLE model of care. Families were very satisfied with the changes.
authors.affiliation: National Ageing Research Institute, P.O. Box 2127, Royal Melbourne Hospital, Victoria 3050, Australia. Electronic address: g.roberts@nari.unimelb.edu.au.
authors.forename: Gail
authors.initials: G
authors.lastname: Roberts
authors.affiliation: Rural Northwest Health, Victoria 3393, Australia.
authors.forename: Catherine
authors.initials: C
authors.lastname: Morley
authors.affiliation: Rural Northwest Health, Victoria 3393, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Walters
authors.affiliation: National Ageing Research Institute, P.O. Box 2127, Royal Melbourne Hospital, Victoria 3050, Australia; Swinburne University of Technology, John Street, Hawthorn, Victoria 3122, Australia.
authors.forename: Sue
authors.initials: S
authors.lastname: Malta
authors.affiliation: National Ageing Research Institute, P.O. Box 2127, Royal Melbourne Hospital, Victoria 3050, Australia; Australian Catholic University, School of Nursing, Midwifery & Paramedicine, 115 Victoria Pde, Fitzroy, Victoria 3065, Australia.
authors.forename: Colleen
authors.initials: C
authors.lastname: Doyle
mesh_terms: D000368:Aged; D003704:Dementia / Q000628:therapy*; D005240:Feasibility Studies; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008297:Male; D009735:Nursing Homes; D018802:Patient-Centered Care / Q000458:organization & administration*; D010865:Pilot Projects
keywords: Behavioral and psychological symptoms of dementia (BPSD); Dementia; Montessori; Person-centered care