社会心理的
痴呆
概念化
人格
心理学
生活质量(医疗保健)
社会环境
医学
心理治疗师
临床心理学
疾病
哲学
认识论
病理
人工智能
计算机科学
政治学
法学
作者
Leona Werezak,Debra Morgan
出处
期刊:Journal of Gerontological Nursing
[SLACK, Inc.]
日期:2003-12-01
卷期号:29 (12): 18-25
被引量:34
标识
DOI:10.3928/0098-9134-20031201-06
摘要
Research in dementia care during the past few years has focused on identifying and designing therapeutic physical environments while the psychosocial environment has remained a largely unexplored domain. More recently, discussions regarding the effect of the social environment on individuals with dementia have increased in the literature. Nevertheless, the authors suggest the term "social environment" does not adequately represent the critical psychological and emotional effect social interaction has on individuals with cognitive impairment. Through an examination of the literature, three conceptual frameworks, and clinical observations of several special care units (SCUs), the authors suggest that the psychosocial environment is the most important element of institutional dementia care. A preliminary conceptualization is offered which identifies the elements necessary to facilitate a supportive psychosocial environment in long-term care. The potential benefits of implementing such a model include preservation of personhood, simple recognition of remaining abilities and a decreased focus on disabilities, and reduction of pharmacologic therapy for disruptive behavior resulting in overall improvement in quality of life.
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