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Semin Speech Lang 2018; 39(03): 223-230
DOI: 10.1055/s-0038-1660781
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Person-Centered, Skilled Services Using a Montessori Approach for Persons with Dementia

Natalie Douglas
1   Communication Sciences and Disorders, Central Michigan University, Mount Pleasant, Michigan
,
Jennifer Brush
2   Brush Development
,
Michelle Bourgeois
3   Communication Sciences and Disorders, University of South Florida, Tampa, Florida
› Author Affiliations
Further Information

Publication History

Publication Date:
22 June 2018 (online)

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Abstract

The current mandate for person-centered care throughout the health care system, and especially in the nursing home industry, requires that speech–language pathologists ensure that the services they provide to elders with dementia are skilled, person centered, and relevant to positive overall health outcomes. Guidelines developed by the Association Montessori International Advisory Board for Montessori for Aging and Dementia are one avenue toward such skilled and person-centered services. The purpose of this article is to provide clinicians with practical strategies for guiding their assessment, goal writing, and intervention plans to meet the expectations of a person-centered approach to services for elders with dementia, using the Montessori approach as a philosophical guide.

Keywords

person-centered care - dementia - Montessori approach - elders

Disclosures

Natalie Douglas' financial disclosures include consultant fees from Brush Development. She is the coauthor of one Montessori workbook published by Brush Development.


Jennifer Brush's financial disclosures include ownership of Brush Development, a consulting company that provides education in Montessori for Aging and Dementia. Jennifer Brush is the primary author of two Montessori workbooks published by Brush Development.


Michelle Bourgeois' financial disclosures include consultant fees from the Clark Senior Care Foundation and Brush Development Inc.; nonfinancial disclosures include membership on the AMI Advisory Committee on Montessori for Dementia and Aged Care.


 

  • References

  • 1 Centers for Disease Control and Prevention. The Healthy Brain Initiative: The Public Health Road Map for State and National Partnerships, 2013–2018, Interim Progress Report; Atlanta, GA: CDC; 2015
  • 2 Bourgeois M, Brush J, Douglas N, Khayum R, Rogalski E. Will you still need me when I'm 64, or 84, or 104? The importance of speech-language pathologists in promoting the quality of life of aging in adults in the united states into the future. Semin Speech Lang 2016; 37 (03) 185-200
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Morgan S, Yoder LH. A concept analysis of person-centered care. J Holist Nurs 2012; 30 (01) 6-15
    CrossrefPubMedGoogle Scholar
  • 4 Tinetti ME, Naik AD, Dodson JA. Moving from disease-centered to patient goals-directed care for patients with multiple chronic conditions. JAMA Cardiol 2016; 1 (01) 9-10
    CrossrefPubMedGoogle Scholar
  • 5 Kim SK, Park M. Effectiveness of person-centered care on people with dementia: a systematic review and meta-analysis. Clin Interv Aging 2017; 12: 381-397
    CrossrefPubMedGoogle Scholar
  • 6 Kitson A, Marshall A, Bassett K, Zeitz K. What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. J Adv Nurs 2013; 69 (01) 4-15
    CrossrefPubMedGoogle Scholar
  • 7 Epp TD. Person-centered dementia care: a vision to be refined. Can Alz Dis Rev 2003; 5 (03) 14-18
    PubMedGoogle Scholar
  • 8 Chapey R. , ed. Language intervention strategies in aphasia and related neurogenic communication disorders. 4th ed. Baltimore, MD: Lippincott Williams and Wilkins; 2008
    Google Scholar
  • 9 World Health Organization. International Classification of Functioning, Disability and Health (ICF) Geneva: World Health Organization; 2001
  • 10 Bourgeois M, Camp C, Antenucci V, Fox K. Voice my choice™: facilitating understanding of preferences of residents with dementia. Adv Aging Res 2016; 5: 131-141
    PubMedGoogle Scholar
  • 11 Swan K, Hopper M, Wenke R, Jackson C, Till T, Conway E. Speech-language pathologist interventions for communication in moderate-severe dementia: a systematic review. Am J Speech Lang Pathol 2018; 27 (02) 1-17 ; doi: 10.1044/2017_AJSLP-17-043
    CrossrefPubMedGoogle Scholar
  • 12 McNeilly L. Why we need to practice at the top of the license. ASHA Lead 2018; 23: 10-11
    PubMedGoogle Scholar
  • 13 Tedeschi RG, Kilmer RP. Assessing strengths, resilience, and growth to guide clinical interventions. Prof Psychol Res Pr 2005; 36: 230-237
    CrossrefPubMedGoogle Scholar
  • 14 Page CG, Marshall RC, Howell D, Rowles GD. Use of communication plans by certified nursing assistants: little things mean a lot. Aphasiology 2018; 32: 559-577
    CrossrefPubMedGoogle Scholar
  • 15 Brush JA, Sanford JA, Fleder H, Bruce C, Calkins MP. Evaluating and modifying the environment for people with dementia. Perspect on Gerontol 2011; 16: 32-40
    PubMedGoogle Scholar
  • 16 Brush JA, Norris K. Getting Started with Montessori Volume 1: Practical Life Activities for Elders. Chardon, OH: Brush Development; 2017
    Google Scholar
  • 17 Barry L. Creating a world with meaning and purpose. Australian J Dementia Care 2017; 6: 17-19
    PubMedGoogle Scholar
  • 18 Rambush NM. Freedom, order, and the child: self-control and the mastery of the world mark the dynamic Montessori method. Montessori Life 2010; 22: 38-43
    PubMedGoogle Scholar
  • 19 Elliot GM. Montessori Methods for Dementia: Focusing on the Person and the Prepared Environment. Tasmania, Australia: The Franklin Press; 2015
    Google Scholar
  • 20 Bourgeois MS, Brush J, Elliot G, Kelly A. Join the revolution: how Montessori for aging and dementia can change long-term care culture. Semin Speech Lang 2015; 36 (03) 209-214
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Roberts G, Morley C, Walters W, Malta S, Doyle C. Caring for people with dementia in residential aged care: successes with a composite person-centered care model featuring Montessori-based activities. Geriatr Nurs 2015; 36 (02) 106-110
    CrossrefPubMedGoogle Scholar
  • 22 Sheppard CL, McArthur C, Hitzig SL. A systematic review of Montessori-based activities for persons with dementia. J Am Med Dir Assoc 2016; 17 (02) 117-122
    CrossrefPubMedGoogle Scholar
  • 23 Milte R, Shulver W, Killington M, Bradley C, Ratcliffe J, Crotty M. Quality in residential care from the perspective of people living with dementia: The importance of personhood. Arch Gerontol Geriatr 2016; 63: 9-17
    CrossrefPubMedGoogle Scholar
  • 24 Day K, Carreon D, Stump C. The therapeutic design of environments for people with dementia: a review of the empirical research. Gerontologist 2000; 40 (04) 397-416
    CrossrefPubMedGoogle Scholar
  • 25 Calkins MP. From research to application: supportive and therapeutic environments for people living with dementia. Gerontologist 2018; 58 (Suppl. 01) S114-S128
    CrossrefPubMedGoogle Scholar
  • 26 Mahendra N, Scullion A, Hamerschlag C. Cognitive-linguistic interventions for persons with dementia: a practitioner's guide to 3 evidence-based approached. Top Geriatr Rehabil 2011; 27: 278-288
    CrossrefPubMedGoogle Scholar
  • 27 Assessment of cognition, communication and behavior. In: Hickey EM, Bourgeois MS. , eds. Dementia Person Centered Assessment and Intervention. New York: Taylor & Francis; 2018: 113-167
    Google Scholar
  • 28 Bourgeois MS. Memory and Communication Aids for People with Dementia. Baltimore, MD: Health Professions Press; 2014
    Google Scholar
  • 29 Hopper T, Douglas N, Khayum B. Direct and indirect interventions for cognitive-communication disorders of dementia. Perspect Neurophysiol Neurogenic Speech Lang Disord 2015; 25: 142-157
    CrossrefPubMedGoogle Scholar
  • 30 Michie S, Atkins L, West R. The Behavior Change Wheel: a Guide to Designing Interventions. Great Britain: Silverback Publishing; 2014
    Google Scholar
  • 31 Knowles MS, Holton EF, Swanson RA. The Adult Learner: The Definitive Classic in Adult Education and Human Resource Development, 6th ed. Boston, MA: Elsevier; 2005
    Google Scholar