Dementia: The International Journal for Research and Practice

Personhood, dementia policy and the Irish National Dementia Strategy

Hennelly, N. and O’Shea, E.
Dementia: The International Journal for Research and Practice
2017
Hennelly and O’Shea (2017) examine the extent to which personhood forms part of the policy narrative in Ireland.
It concentrates on the content of submissions made by stakeholders, individuals and organisations, as part of the consultation process for the developmentment of the Irish National Dementia Strategy and the content of the National Dementia Strategy itself. Using content analysis, the article reports on the number of direct references to personhood and personhood synonyms in the organisational submissions and in the Strategy and its priority areas of action. It categorises the organisations submissions into one of three models: biomedical, psychosocial and social and cross-references these models with regard to the explicit use of personhood or one of its synonyms. It found that the use of personhood and its synonyms correlates highly with submissions categorised as falling within a social model. It discusses the findings and whether the principle of personhood in the strategy is a sufficient condition for changing dementia care in Ireland.

Respite in dementia: An evolutionary concept analysis

O’Shea, E., Timmons, S., O’Shea, E., Fox, S. and Irving, K.
Dementia: The International Journal for Research and Practice
2017
In this article, O’Shea et al. (2017) focus on respite and how it is conceptualised. A concept analysis of the conceptual and empirical literature was adopted. A range of surrogate terms were identified, falling into two clusters, respite as a service and respite as an outcome.
The study identified two distinct, but inter-related categories previously associated with the concept of respite: client factors and services factors. The former includes five factors (dyadic relations, recognising and accepting need, carer psychological needs, restorative occupation and stigma) and the latter four factors (the service model and characteristics, care quality and staff expertise, meaningful occupation for the person with dementia, and communication and support]. For the carer, respite must be seen as mutually beneficial for both the carer and the person with dementia. The article reports that the evidence shows mixed outcomes in relation to respite. It outlines a conceptual model for respite as it relates to dementia. The article compares the parallels and dissimilarities with concept analysis of respite in the area of older people and intellectual disabilities. Respite as a term it is argued is limited because of its almost exclusive concentration on the experiences of the carer. An alternative term ‘restorative care’ is proposed instead to describe the process whereby both the carer and the person with dementia can mutually benefit from the experience.
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