![]() To date, no studies have considered those working in delivery of exercise or physical rehabilitation activity. ĭespite the evidence that exercise is beneficial for older people with dementia, and a variety of guidelines and recommendations advise health and public health professionals to engage and refer people living with dementia to activity programs, there is still a dearth of evidence on how best to work and engage with people in care settings. A Cochrane Review found promising evidence that exercise programs can significantly improve cognitive functioning of people with dementia and their ability to perform daily activities, but no significant effect on mood, including challenging behaviors and depression. Exercise is one lifestyle factor that has been identified as a potential means of reducing or delaying progression of the symptoms of dementia, maximizing function and independence. The worldwide cost of dementia care is currently over US $600 billion, or around 1% of global GDP. ![]() Half of all older people who need personal care have dementia, and 8 out of 10 older people in residential care facilities are living with dementia. However, people living with dementia can still have a good quality of life throughout the dementia journey, provided the right long-term care plan is in place and being delivered. Interested researchers may submit requests to Associate Professor Anncristine Fjellman-Wiklund, ( This work received support from The Dementia Association - The National Association for the Rights of the Demented, in Sweden,, to LLO and Umeå University,, to LLO.Ĭompeting interests: The authors have declared that no competing interests exist.ĭementia is a degenerative disease with no known cure, and symptoms get worse over time such as cognitive impairment, difficulty communicating and functional declines. ![]() This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.ĭata Availability: Data in shape of transcribed texts are available in Swedish from the Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Sweden. Received: JAccepted: NovemPublished: December 1, 2016Ĭopyright: © 2016 Fjellman-Wiklund et al. Ginsberg, Nathan S Kline Institute, UNITED STATES These findings highlight the continuous iterative process of building on existing knowledge, sharing and reflecting, being alert to any alterations needed for individuals that day, communication skills (both with residents and staff) and building a relationship and trust with residents in the effective delivery of high intensity functional exercise to older people living with dementia in care settings.Ĭitation: Fjellman-Wiklund A, Nordin E, Skelton DA, Lundin-Olsson L (2016) Reach the Person behind the Dementia - Physical Therapists' Reflections and Strategies when Composing Physical Training. The category "Build a bond with a palette of strategies" describes the importance of confirmation to build up trust and the use of group members and the room to create an interplay between exercise and social interaction. The category "Be on your toes" highlights how the PTs searched for sufficient information about each individual, before and during training, by eliciting the person's current status from staff and by interpreting the person's body language. They built on previous knowledge to communicate with residents and staff and to tailor the high intensity training in relation to each individual at that time point. The core category “Discover and act in the moment-learn over time” reflects how the PTs continuously developed their own learning in an iterative process. To increase trustworthiness the study used triangulation within investigators and member checking. The interviews were analyzed with a modified Grounded Theory method with focus on constant comparisons. The study used a qualitative design based on interviews, individually or in small groups, with seven PTs engaged as leaders in the training of older people with dementia. The purpose of this study was to explore physical therapists’ (PTs) experiences and reflections on facilitating high-intensity functional exercise with older people living with dementia, in residential care home settings. Dementia is a disease characterized by cognitive impairment and physical decline that worsens over time. ![]()
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