Development of the "living well" concept for older people with dementia.

Kim, Jiyoung; Shin, Nayeon
BMC geriatrics
2023Sep ; 23 ( 1 ) :611.
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Kim, Jiyoung - Department of Nursing, Inha University, 100 Inha-ro, Michuhol-gu, Incheon, 22212, Republic of Korea. jy1223kim@inha.ac.kr.
Shin, Nayeon - Unit manager, CHA Bundang Medical Center, CHA University, Seongnam, Republic of
ABSTRACT
BACKGROUND: An important goal in dementia care is how people with dementia can be supported in living well. To this end, we need a conceptualization of "living well" that is suitable for older people with dementia and then develop this conceptualization from the perspectives of both older people and caregivers. This study analyzed the concept of "living well" among older people with dementia.

METHODS: Following Schwartz-Barcott and Kim's hybrid model, this study comprised theoretical, fieldwork, and final analytic phases. In the theoretical phase, we reviewed the extant literature. In the fieldwork phase, we conducted in-depth interviews with 12 participants (five older people with dementia, two family members, and five nurses), followed by qualitative content analysis. In the final analytic phase, we defined the concept of "living well" by comprehensively analyzing the data from the theoretical phase and results from the fieldwork phase.

RESULTS: We derived physical, mental, and social relationship dimensions of the conceptualization of "living well" for older people with dementia. The physical dimensions were "ability for daily living" and "symptom management." The mental dimensions were "psychological health," "psychological stability," "maintaining identity and growth," and "human dignity." Finally, the social relationship dimensions were "maintaining social relations and community connectivity" and "government support."

CONCLUSIONS: Our analysis of the concept of "living well" can be used for developing tools and interventions to improve the ability of older people with dementia to live well. CI - ¨Ï 2023. BioMed Central Ltd., part of Springer Nature.
keyword
Concept analysis; Dementia; Living well; Older people
MESH
Humans, Aged, *Dementia/diagnosis/therapy, Caregivers/psychology, Interpersonal Relations, Family, Mental Health
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For older people with dementia, living well refers to good physical and mental health that responds to changes in daily lifeand positive relationships with people and society.
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DOI
10.1186/s12877-023-04304-3
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ICD 03
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