Isis E van Gennip1, H Roeline W Pasman2, Mariska G Oosterveld-Vlug2, Dick L Willems3, Bregje D Onwuteaka-Philipsen2. 1. Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. eol@vumc.nl. 2. Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands. 3. Department of General Practice, Section of Medical Ethics, Academic Medical Center, Amsterdam, The Netherlands.
Abstract
OBJECTIVE: This article examines how dementia affects personal dignity in individuals with mild to moderate dementia from their perspective. METHOD: In this qualitative cross-sectional study, in-depth interviews were carried out with 14 individuals, aged 50-94, with mild to moderate dementia who lived at home. Verbatim transcripts were analyzed making use of the principles of thematic analysis. RESULTS: Although mild to moderate dementia resulted in a diminished sense of personal dignity, in general participants still felt reasonably dignified. The decline in personal dignity was generally caused by cognitive impairments resulting in diminished autonomy and changes to the individual's former identity. However, the intensity with which the decline in personal dignity was experienced depended to a large degree on the social context of the individual, with a marked difference between the private sphere of the home and the external, social environment. The study gives recommendations how others can help to sustain personal dignity in people with mild to moderate dementia. CONCLUSION: Given the considerable impact the social environment has on the personal dignity of people with mild to moderate dementia, it is important in caregiving not to confine attention to health-related or even any individual aspects alone, but also to take interpersonal aspects into consideration.
OBJECTIVE: This article examines how dementia affects personal dignity in individuals with mild to moderate dementia from their perspective. METHOD: In this qualitative cross-sectional study, in-depth interviews were carried out with 14 individuals, aged 50-94, with mild to moderate dementia who lived at home. Verbatim transcripts were analyzed making use of the principles of thematic analysis. RESULTS: Although mild to moderate dementia resulted in a diminished sense of personal dignity, in general participants still felt reasonably dignified. The decline in personal dignity was generally caused by cognitive impairments resulting in diminished autonomy and changes to the individual's former identity. However, the intensity with which the decline in personal dignity was experienced depended to a large degree on the social context of the individual, with a marked difference between the private sphere of the home and the external, social environment. The study gives recommendations how others can help to sustain personal dignity in people with mild to moderate dementia. CONCLUSION: Given the considerable impact the social environment has on the personal dignity of people with mild to moderate dementia, it is important in caregiving not to confine attention to health-related or even any individual aspects alone, but also to take interpersonal aspects into consideration.
Authors: Sinéad M Hynes; Becky Field; Ritchard Ledgerd; Thomas Swinson; Jennifer Wenborn; Laura di Bona; Esme Moniz-Cook; Fiona Poland; Martin Orrell Journal: Aging Ment Health Date: 2015-05-01 Impact factor: 3.514