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Physical therapy processes-interactions between a physical therapist and an older client with dementia.
- Source :
- Physiotherapy Theory & Practice; Dec2022, Vol. 38 Issue 12, p2149-2159, 11p, 2 Charts
- Publication Year :
- 2022
-
Abstract
- In Japan, the population aging rate highlights the need to examine various care provisions for older adults with dementia, including physical therapy. However, despite its positive effects, there are also many challenges associated with providing physical therapy for older adults with dementia. This qualitative case study examined the interactions between a physical therapist and a patient with dementia and the process by which physical therapy was provided to her. This study utilized a modified grounded theory approach to analyze the interview of one physical therapist, a woman with four years of clinical experience who specializes in physical therapy for older adults who provided a 20-minute physical therapy session to her client, a woman in her 80s with dementia who sought to maintain her ability to perform activities of daily living and preserve her independence. Data were collected in January 2017. Fifteen concepts that represent aspects of the services that the therapist provided to her client were identified. Five distinct categories were derived: 1) foundations of the relationship; 2) understanding individual factors; 3) supporting execution of functional activities; 4) assessing cognitive function; and 5) support to ensure safety in daily living. Physical therapists help older adults with dementia execute functional activities, which helps ensure their safety and independence, and fosters strong therapist–client relationships. Future studies should interview multiple physical therapists to generate additional concepts. Further, quantifying these concepts and developing tools to assess clients will improve care provision and inform physical therapists with limited experience in treating patients with dementia. [ABSTRACT FROM AUTHOR]
- Subjects :
- ANXIETY prevention
LIFESTYLES
SAFETY
CLIENT relations
PHYSICAL therapy
RESEARCH methodology
GROUNDED theory
FUNCTIONAL status
INTERVIEWING
ACTIVITIES of daily living
AGITATION (Psychology)
QUALITATIVE research
PSYCHOLOGICAL tests
SEVERITY of illness index
CASE studies
PSYCHOSOCIAL factors
QUESTIONNAIRES
RESEARCH funding
DATA analysis
STATISTICAL sampling
PARTICIPANT observation
COGNITIVE testing
SENILE dementia
WOMEN'S health
GOAL (Psychology)
Subjects
Details
- Language :
- English
- ISSN :
- 09593985
- Volume :
- 38
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Physiotherapy Theory & Practice
- Publication Type :
- Academic Journal
- Accession number :
- 160241622
- Full Text :
- https://doi.org/10.1080/09593985.2021.1913776