Skip to main content

Table 4 Framework of person-centred care and support for dementia

From: How to implement person-centred care and support for dementia in outpatient and home/community settings: Scoping review

Domain Elements From this study
Foster a healing relationship • Discuss roles and responsibilities
• Communicate with honesty and openness
• Foster trust in healthcare worker competence
• Express caring and empathy
• Build rapport
• Emphasize partnership
• Ensure dignity and respect
Exchange information • Explore needs and preferences
• All parties share information
• Provide/refer to additional information
• Assess and facilitate understanding
• Recognize the person’s life and current abilities through discussion, and verbal and behavioural cues
• Allow time for questions
Address emotions • Explore and identify emotions
• Assess anxiety or depression
• Validate emotions
• Express empathy or reassurance
• Provide help to deal with emotions
• Reframe dementia as cognitive decline upon initial diagnosis to lessen impact
• Address psychosocial issues in addition to biomedical
Manage uncertainty • Raise and discuss uncertainties in prognosis, management or outcomes
• Explore and assess other uncertainties
• Use problem-focused (behavioural) management strategies
• Use emotion-focused (affective) management strategies
• Create stability through routines and continuity
Share decisions • Raise and discuss care or support options
• Discuss decision process, and needs/support
• Prepare persons/carers for deliberation and decisions
• Jointly make and implement decisions and action plan
• Assess decision quality and choices
• Tailor care and support to individual needs and preferences
• Address or mitigate family conflict
Enable self-management • Describe the follow-up process
• Provide information and training on self-care and self-monitoring
• Share guidance on how to prioritize and plan self-care
• Offer practical advice and support to implement self-care
• Assess skills, self-care and progress
• Optimize independence
• Engage persons in meaningful activity
• Support carers
• Provide information about available home or community support/services