Person-Centred Rehabilitation Approaches for Dementia Care

Summary

Person-centred rehabilitation for individuals with dementia emphasises tailoring assessment and intervention to the person’s life history, preferences and cognitive capacities. Rather than applying standard biomedical protocols, this approach recognises the interplay of memory, perception and motivation in shaping engagement and learning. Key elements include establishing a therapeutic relationship built on respect and trust; adapting communication to support comprehension and choice; designing meaningful, goal-directed activities that connect with the person’s routine; and modifying the physical and social environment to reduce confusion and promote safety. By focusing on preserved abilities and strengths, person-centred rehabilitation aims to enhance mobility, independence in activities of daily living and quality of life, while alleviating carer burden. Global research highlights the importance of interdisciplinary teams, education of non-specialist staff and the use of flexible, evidence-based frameworks that respond to the progressive nature of cognitive impairment.

Research from Nature Portfolio

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Person-Centred Rehabilitation Approaches for Dementia Care publication trend

The graph below shows the total number of articles in person-centred rehabilitation approaches for dementia care across all publications each year (not limited to Nature Index journals).

Technical terms

Person-centred care: Collaborative approach that respects and responds to the individual’s preferences, needs and values in rehabilitation.

Motor learning: Process of acquiring or refining movement skills through practice, feedback and adaptation.

Rehabilitation potential: Clinician’s appraisal of an individual’s capacity to benefit from rehabilitation interventions based on cognitive, physical and social factors.

Cognitive impairment: Deficits in mental processes such as memory, attention and problem-solving that affect engagement and function in daily activities.

References

  1. Physical Therapist and Physical Therapist Student Knowledge, Confidence, Attitudes, and Beliefs About Providing Care for People With Dementia: A Mixed-Methods Systematic Review. Physical Therapy (2022).
  2. A framework for rehabilitation for older adults living with dementia. Archives of Physiotherapy (2022).
  3. Qualitative research concerning physiotherapy approaches to encourage physical activity in older adults with dementia. PLOS ONE (2023).
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