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Using the Pool Activity Level instrument to support meaningful activity for a person with dementia: A case study / Emma Dudzinski in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.65-68 Titre : Using the Pool Activity Level instrument to support meaningful activity for a person with dementia: A case study Type de document : texte imprimé Auteurs : Emma Dudzinski Année de publication : 2016 Article en page(s) : p.65-68 Langues : Anglais (eng) Mots-clés : dementia  meaningful activity  poolactivity level Résumé : Statement of context Activity participation is beneficial for the wellbeing of people with dementia; however, care staff and caregivers experience difficulties with facilitating activity for this client group. Critical reflection on practice This practice analysis outlines the therapy process conducted by an occupational therapist using the Pool Activity Level instrument, to support meaningful activity for a person with dementia, in an acute inpatient environment. Implications for practice The Pool Activity Level instrument enables people with dementia to engage in meaningful activity. Occupational therapists are well positioned to integrate this tool within daily care, to enable all staff and caregivers to engage alongside a person with dementia in activity at an appropriate level. Permalink : ./index.php?lvl=notice_display&id=42386 [article] Using the Pool Activity Level instrument to support meaningful activity for a person with dementia: A case study [texte imprimé] / Emma Dudzinski . - 2016 . - p.65-68. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.65-68 Mots-clés : dementia  meaningful activity  poolactivity level Résumé : Statement of context Activity participation is beneficial for the wellbeing of people with dementia; however, care staff and caregivers experience difficulties with facilitating activity for this client group. Critical reflection on practice This practice analysis outlines the therapy process conducted by an occupational therapist using the Pool Activity Level instrument, to support meaningful activity for a person with dementia, in an acute inpatient environment. Implications for practice The Pool Activity Level instrument enables people with dementia to engage in meaningful activity. Occupational therapists are well positioned to integrate this tool within daily care, to enable all staff and caregivers to engage alongside a person with dementia in activity at an appropriate level. Permalink : ./index.php?lvl=notice_display&id=42386

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Exploring the role of occupation for spouse-carers before and after the death of a spouse with dementia / Sarah Mattock in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.69-77 Titre : Exploring the role of occupation for spouse-carers before and after the death of a spouse with dementia Type de document : texte imprimé Auteurs : Sarah Mattock ; Anne McIntyre Année de publication : 2016 Article en page(s) : p.69-77 Langues : Anglais (eng) Mots-clés : dementia spouse-carers  engaging occupations  post-care transition Résumé : Introduction When a person with dementia dies, their former spouse-carer can find their personal resources so depleted that re-engaging in life can be difficult, leaving their mental health vulnerable. This qualitative study aimed to explore whether the occupations of spouse-carers contribute in the transition to the post-care period. Method Purposive sampling was used to recruit nine spouse-carers, who were between 1 and 5 years post-bereavement, via two branches of the Alzheimer’s Society, in the United Kingdom. In-depth interviews collected data for this interpretative phenomenological study, which were subject to template analysis. Findings Exploration of the data produced themes of continuity, roles and occupations, support and change and transition. Many of the findings supported published literature. However, a new finding emerged, where spouse-carers’ engagement in a ‘sustaining occupation’ (researcher’s term) appeared to counter the effect of role overload. Conclusion Four key ways that occupations of spouse-carers contributed to the transition to post-care were identified: ‘sustaining occupations’; occupations that maintain spouse-carers’ identity; continuing bonds with the deceased care-recipient; developing new roles. The first two of these began before bereavement and assisted in equipping spouse-carers for the transition to post-care. The second two followed bereavement and enabled spouse-carers to build confidence and re-engage with life. Permalink : ./index.php?lvl=notice_display&id=42387 [article] Exploring the role of occupation for spouse-carers before and after the death of a spouse with dementia [texte imprimé] / Sarah Mattock ; Anne McIntyre . - 2016 . - p.69-77. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.69-77 Mots-clés : dementia spouse-carers  engaging occupations  post-care transition Résumé : Introduction When a person with dementia dies, their former spouse-carer can find their personal resources so depleted that re-engaging in life can be difficult, leaving their mental health vulnerable. This qualitative study aimed to explore whether the occupations of spouse-carers contribute in the transition to the post-care period. Method Purposive sampling was used to recruit nine spouse-carers, who were between 1 and 5 years post-bereavement, via two branches of the Alzheimer’s Society, in the United Kingdom. In-depth interviews collected data for this interpretative phenomenological study, which were subject to template analysis. Findings Exploration of the data produced themes of continuity, roles and occupations, support and change and transition. Many of the findings supported published literature. However, a new finding emerged, where spouse-carers’ engagement in a ‘sustaining occupation’ (researcher’s term) appeared to counter the effect of role overload. Conclusion Four key ways that occupations of spouse-carers contributed to the transition to post-care were identified: ‘sustaining occupations’; occupations that maintain spouse-carers’ identity; continuing bonds with the deceased care-recipient; developing new roles. The first two of these began before bereavement and assisted in equipping spouse-carers for the transition to post-care. The second two followed bereavement and enabled spouse-carers to build confidence and re-engage with life. Permalink : ./index.php?lvl=notice_display&id=42387

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Problems and needs in helping older people with dementia with daily activities: Perspectives of Thai caregivers / Jiranan Griffiths in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.78-84 Titre : Problems and needs in helping older people with dementia with daily activities: Perspectives of Thai caregivers Type de document : texte imprimé Auteurs : Jiranan Griffiths ; Wannipa Bunrayong Année de publication : 2016 Article en page(s) : p.78-84 Langues : Anglais (eng) Mots-clés : problems  needs  activity of daily living  caregivers  dementia Résumé : Introduction Caring for people with dementia can be stressful and demanding. The purpose of this qualitative descriptive study was to investigate the problems and needs of caregivers who help older people with dementia to do activities of daily living. Method Thirty caregivers who took older people with dementia to get treatment at a memory clinic in a hospital in the north of Thailand were interviewed using a semistructured interview. Transcribed data were analysed using inductive analysis. Findings The analysis generated five themes related to problems experienced by caregivers: toileting is the hardest job, lifting causes back pain, loss of memory problems, economic hardships and psychological distress. These issues aggregated into support needs from three sources: information and rehabilitation services from health professionals, assistance with everyday tasks from family members and financial support from society. Conclusion The findings reveal that the kind of support Thai caregivers seek from various groups differs according to their perceived expertise and availability. Further studies are needed to explore how that assistance might be delivered and whether it is in fact helpful. Permalink : ./index.php?lvl=notice_display&id=42388 [article] Problems and needs in helping older people with dementia with daily activities: Perspectives of Thai caregivers [texte imprimé] / Jiranan Griffiths ; Wannipa Bunrayong . - 2016 . - p.78-84. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.78-84 Mots-clés : problems  needs  activity of daily living  caregivers  dementia Résumé : Introduction Caring for people with dementia can be stressful and demanding. The purpose of this qualitative descriptive study was to investigate the problems and needs of caregivers who help older people with dementia to do activities of daily living. Method Thirty caregivers who took older people with dementia to get treatment at a memory clinic in a hospital in the north of Thailand were interviewed using a semistructured interview. Transcribed data were analysed using inductive analysis. Findings The analysis generated five themes related to problems experienced by caregivers: toileting is the hardest job, lifting causes back pain, loss of memory problems, economic hardships and psychological distress. These issues aggregated into support needs from three sources: information and rehabilitation services from health professionals, assistance with everyday tasks from family members and financial support from society. Conclusion The findings reveal that the kind of support Thai caregivers seek from various groups differs according to their perceived expertise and availability. Further studies are needed to explore how that assistance might be delivered and whether it is in fact helpful. Permalink : ./index.php?lvl=notice_display&id=42388

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Community occupational therapy for people with dementia and their family carers: A national survey of United Kingdom occupational therapy practice / Tom Swinson in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.85-91 Titre : Community occupational therapy for people with dementia and their family carers: A national survey of United Kingdom occupational therapy practice Type de document : texte imprimé Auteurs : Tom Swinson ; Jennifer Wenborn ; Stinéad Hynes Année de publication : 2016 Article en page(s) : p.85-91 Langues : Anglais (eng) Mots-clés : dementia  community  occupational therapy Résumé : Introduction A national survey was conducted with United Kingdom (UK) occupational therapists to scope occupational therapy service provision for people with dementia and their family carers in the community. Method This was an online questionnaire with topics on occupational therapists’ roles, service provision, referral, assistive technology and assessment tools. Recruitment was through direct invitation, and promotion via occupational therapy networks, websites and newsletters. Results A total of 197 responded. Occupational therapy referrals most commonly came from the multidisciplinary team. Over half primarily undertook profession-specific work, with occupational therapy assessments the most common profession-specific task. Two-thirds of referrals for initial assessments were for people with mild-to-moderate dementia. A median of 2.5 hours for assessment/intervention was spent for each person with dementia. Almost two-thirds used the Model of Human Occupation Screening Tool. Most could prescribe personal activities of daily living equipment and Telecare, with few able to prescribe equipment for reminiscence or leisure. Conclusion This national survey increases knowledge of UK community occupational therapy practice and service provision for people with dementia and their family carers. It informs occupational therapists about national trends within this practice area, and development of the community occupational therapy intervention (COTiD-UK) as part of the Valuing Active Life in Dementia research programme. Permalink : ./index.php?lvl=notice_display&id=42389 [article] Community occupational therapy for people with dementia and their family carers: A national survey of United Kingdom occupational therapy practice [texte imprimé] / Tom Swinson ; Jennifer Wenborn ; Stinéad Hynes . - 2016 . - p.85-91. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.85-91 Mots-clés : dementia  community  occupational therapy Résumé : Introduction A national survey was conducted with United Kingdom (UK) occupational therapists to scope occupational therapy service provision for people with dementia and their family carers in the community. Method This was an online questionnaire with topics on occupational therapists’ roles, service provision, referral, assistive technology and assessment tools. Recruitment was through direct invitation, and promotion via occupational therapy networks, websites and newsletters. Results A total of 197 responded. Occupational therapy referrals most commonly came from the multidisciplinary team. Over half primarily undertook profession-specific work, with occupational therapy assessments the most common profession-specific task. Two-thirds of referrals for initial assessments were for people with mild-to-moderate dementia. A median of 2.5 hours for assessment/intervention was spent for each person with dementia. Almost two-thirds used the Model of Human Occupation Screening Tool. Most could prescribe personal activities of daily living equipment and Telecare, with few able to prescribe equipment for reminiscence or leisure. Conclusion This national survey increases knowledge of UK community occupational therapy practice and service provision for people with dementia and their family carers. It informs occupational therapists about national trends within this practice area, and development of the community occupational therapy intervention (COTiD-UK) as part of the Valuing Active Life in Dementia research programme. Permalink : ./index.php?lvl=notice_display&id=42389

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Occupational therapists’ perspectives on using the remotivation process with clients experiencing dementia / Christine Raber in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.92-101 Titre : Occupational therapists’ perspectives on using the remotivation process with clients experiencing dementia Type de document : texte imprimé Auteurs : Christine Raber ; Sarah Purdin ; Ashley Hupp Année de publication : 2016 Article en page(s) : p.92-101 Langues : Anglais (eng) Mots-clés : motivation  model of human occupation  MOHO  dementia  remotivation process Résumé : Introduction This qualitative study systematically examined occupational therapists’ use of a model of human occupation intervention, the Remotivation Process, for individuals with dementia. Method An international sample of therapists participated in an on-line survey and in-depth interviews, resulting in 33 respondents and eight participants, respectively. The survey gathered general information regarding therapists’ use of the Remotivation Process with persons experiencing dementia, and was used to recruit interview participants. Interviews were conducted using SKYPE or telephone, and were audio-recorded and transcribed. Descriptive statistics were derived from the survey results, and van Manen’s phenomenological approach was used to describe therapists’ experiences using the intervention. Results Use of the Remotivation Process for this population was most common among mid-career therapists, and a majority of respondents had been using the intervention less than two years. Three themes identified from the interviews were: (1) Therapist beliefs: Commitment to the Remotivation process; (2) Does it work? Evaluating success; (3) It's more than me: External factors. Conclusion Survey and interview data revealed that use of the Remotivation Process intervention for persons experiencing dementia is fairly complex yet clinically applicable. Therapists’ experiences of using the Remotivation Process underscored the importance of therapist volition and clinical reasoning in achieving desired outcomes. Permalink : ./index.php?lvl=notice_display&id=42390 [article] Occupational therapists’ perspectives on using the remotivation process with clients experiencing dementia [texte imprimé] / Christine Raber ; Sarah Purdin ; Ashley Hupp . - 2016 . - p.92-101. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.92-101 Mots-clés : motivation  model of human occupation  MOHO  dementia  remotivation process Résumé : Introduction This qualitative study systematically examined occupational therapists’ use of a model of human occupation intervention, the Remotivation Process, for individuals with dementia. Method An international sample of therapists participated in an on-line survey and in-depth interviews, resulting in 33 respondents and eight participants, respectively. The survey gathered general information regarding therapists’ use of the Remotivation Process with persons experiencing dementia, and was used to recruit interview participants. Interviews were conducted using SKYPE or telephone, and were audio-recorded and transcribed. Descriptive statistics were derived from the survey results, and van Manen’s phenomenological approach was used to describe therapists’ experiences using the intervention. Results Use of the Remotivation Process for this population was most common among mid-career therapists, and a majority of respondents had been using the intervention less than two years. Three themes identified from the interviews were: (1) Therapist beliefs: Commitment to the Remotivation process; (2) Does it work? Evaluating success; (3) It's more than me: External factors. Conclusion Survey and interview data revealed that use of the Remotivation Process intervention for persons experiencing dementia is fairly complex yet clinically applicable. Therapists’ experiences of using the Remotivation Process underscored the importance of therapist volition and clinical reasoning in achieving desired outcomes. Permalink : ./index.php?lvl=notice_display&id=42390

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Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline / Carolyn Unsworth in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110 Titre : Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline Type de document : texte imprimé Auteurs : Carolyn Unsworth ; Siew-Pang Chan Année de publication : 2016 Article en page(s) : p.102-110 Langues : Anglais (eng) Mots-clés : automobile driving  driver assessment  evaluation  mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery). Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail. Results A total of 63 clients were assessed, and n  =  40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome. Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment. Permalink : ./index.php?lvl=notice_display&id=42391 [article] Determining fitness to drive among drivers with Alzheimer’s disease or cognitive decline [texte imprimé] / Carolyn Unsworth ; Siew-Pang Chan . - 2016 . - p.102-110. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.102-110 Mots-clés : automobile driving  driver assessment  evaluation  mild cognitive impairment Résumé : Introduction Fitness to drive skills progressively deteriorate following a diagnosis of Alzheimer’s disease/cognitive decline. Occupational therapists require standardised assessments to help them make recommendations to clients and licensing authorities regarding client fitness to drive. This research aimed to determine whether drivers in the early stages of Alzheimer’s disease/cognitive decline can drive safely, and if this could be predicted using the occupational therapy – driver off-road assessment battery (OT-DORA Battery). Method Drivers with Alzheimer’s disease/cognitive decline were assessed by one of nine driver assessors over 18 months. Client data were collected on the OT-DORA Battery and following on-road assessment; the outcome was recorded as pass, pass with conditions, or fail. Results A total of 63 clients were assessed, and n  =  40 (63.5%) were passed as fit to drive, of whom 33(83%) had at least one condition placed on their licence. Client age and scores on four subtests of the OT-DORA Battery were predictive of outcome. Conclusion A diagnosis of Alzheimer’s disease/cognitive decline should not automatically preclude driving. Scores on four of the subtests from the OT-DORA Battery may be used to help determine whether a client is fit to drive or not fit to drive, or whether a client should be referred for specialist occupational therapy driver assessment. Permalink : ./index.php?lvl=notice_display&id=42391

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Changing everyday activities and technology use in mild cognitive impairment / Annicka Hedman in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.111-119 Titre : Changing everyday activities and technology use in mild cognitive impairment Type de document : texte imprimé Auteurs : Annicka Hedman ; Louise Nygard ; Camilla Malinowsky Année de publication : 2016 Article en page(s) : p.111-119 Langues : Anglais (eng) Mots-clés : Longitudinal studies  activities of daily living  leisure activities  occupational therapy  disease progression  dementia Résumé : Introduction Knowledge of the conditions under which older adults facing cognitive decline engage in everyday activities is of major importance for occupational therapists in designing supportive interventions. This study aimed to investigate perceived activity involvement over time and its longitudinal relationship to perceived ability to use everyday technology in older adults with mild cognitive impairment. Method Thirty-seven older adults with mild cognitive impairment at inclusion were assessed over 4 years. Overall and item-specific activity involvement were analyzed using mixed-linear-effect modeling and differential item functioning. Furthermore, overall activity involvement and ability in everyday technology use were correlated. Results Overall activity involvement decreased significantly over time. When adjusting for declining ability in the sample, actual differential item functioning indicated descending involvement in seven of 15 activities, while eight activities were stable. All leisure activities descended. The positive correlations between activity involvement and ability in everyday technology use became stronger over time. Conclusion Variations across activities and time-points suggest that occupational therapists should repeatedly monitor the increasingly associated aspects of activity involvement and ability to use everyday technology in persons with cognitive decline. Permalink : ./index.php?lvl=notice_display&id=42392 [article] Changing everyday activities and technology use in mild cognitive impairment [texte imprimé] / Annicka Hedman ; Louise Nygard ; Camilla Malinowsky . - 2016 . - p.111-119. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.111-119 Mots-clés : Longitudinal studies  activities of daily living  leisure activities  occupational therapy  disease progression  dementia Résumé : Introduction Knowledge of the conditions under which older adults facing cognitive decline engage in everyday activities is of major importance for occupational therapists in designing supportive interventions. This study aimed to investigate perceived activity involvement over time and its longitudinal relationship to perceived ability to use everyday technology in older adults with mild cognitive impairment. Method Thirty-seven older adults with mild cognitive impairment at inclusion were assessed over 4 years. Overall and item-specific activity involvement were analyzed using mixed-linear-effect modeling and differential item functioning. Furthermore, overall activity involvement and ability in everyday technology use were correlated. Results Overall activity involvement decreased significantly over time. When adjusting for declining ability in the sample, actual differential item functioning indicated descending involvement in seven of 15 activities, while eight activities were stable. All leisure activities descended. The positive correlations between activity involvement and ability in everyday technology use became stronger over time. Conclusion Variations across activities and time-points suggest that occupational therapists should repeatedly monitor the increasingly associated aspects of activity involvement and ability to use everyday technology in persons with cognitive decline. Permalink : ./index.php?lvl=notice_display&id=42392

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Sensory interventions to support the wellbeing of people with dementia: A critical review / Judith Haigh in The British Journal of Occupational Therapy, Vol.79 N°2 (February 2016)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.120-126 Titre : Sensory interventions to support the wellbeing of people with dementia: A critical review Type de document : texte imprimé Auteurs : Judith Haigh ; Carol Mytton Année de publication : 2016 Article en page(s) : p.120-126 Langues : Anglais (eng) Mots-clés : Dementia  sensory  wellbeing Résumé : Introduction Promoting the wellbeing of people with dementia is central to current social policies. To address the psychological impact of dementia, sensory stimulation is one approach practised by occupational therapists. This article will critically review the primary research that tests the link between sensory interventions and wellbeing for people with dementia. This research is inspired by theory relating to person-centred care and sensory processing. Method A literature search was conducted using electronic databases for health and social care. Nine papers were identified that met the inclusion criteria. These were critically appraised to identify the quality of the evidence available, and to collate emerging themes from their results. Results Although the studies appraised varied widely in the quality of their methodologies, some significant results and themes were found that do link sensory stimulation with emotional wellbeing and occupational engagement. Two distinctly different methods of intervention were documented in the evidence base. Most studies tested the impact of session based interventions in specific environments. One large scale randomised controlled trial implemented sensory care plans that were embedded in the lived environment of participants. This approach is more congruent with sensory processing theory and occupational science theories than time-bound sessions of sensory stimulation. Conclusion Attending to the sensory needs of people with dementia can positively affect their emotional wellbeing and their ability to engage in occupations. This can be incorporated into the reasoning and interventions of occupational therapists when supporting this client group. Permalink : ./index.php?lvl=notice_display&id=42393 [article] Sensory interventions to support the wellbeing of people with dementia: A critical review [texte imprimé] / Judith Haigh ; Carol Mytton . - 2016 . - p.120-126. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.79 N°2 (February 2016) . - p.120-126 Mots-clés : Dementia  sensory  wellbeing Résumé : Introduction Promoting the wellbeing of people with dementia is central to current social policies. To address the psychological impact of dementia, sensory stimulation is one approach practised by occupational therapists. This article will critically review the primary research that tests the link between sensory interventions and wellbeing for people with dementia. This research is inspired by theory relating to person-centred care and sensory processing. Method A literature search was conducted using electronic databases for health and social care. Nine papers were identified that met the inclusion criteria. These were critically appraised to identify the quality of the evidence available, and to collate emerging themes from their results. Results Although the studies appraised varied widely in the quality of their methodologies, some significant results and themes were found that do link sensory stimulation with emotional wellbeing and occupational engagement. Two distinctly different methods of intervention were documented in the evidence base. Most studies tested the impact of session based interventions in specific environments. One large scale randomised controlled trial implemented sensory care plans that were embedded in the lived environment of participants. This approach is more congruent with sensory processing theory and occupational science theories than time-bound sessions of sensory stimulation. Conclusion Attending to the sensory needs of people with dementia can positively affect their emotional wellbeing and their ability to engage in occupations. This can be incorporated into the reasoning and interventions of occupational therapists when supporting this client group. Permalink : ./index.php?lvl=notice_display&id=42393

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