Abstract Body

1) Background and purpose:

The first time the term person-centered care was seen in the work of Carl Rogers, which focused on individual personal experience for living and therapeutic effect. Tom Kitwood first used the term in 1988 to distinguish a certain type of care approach from more medical and behavioral approaches to dementia.(personhood)

2) Methods:

Dementia Care Mapping (DCM) is one way of technique for implementing person-centred care. It involves continuously observing the behaviour of people with dementia (a few hours) and the care they receive. (during 5 minutes periods). The University of Bradford is delivering, also for GPs, training courses (3 days courses) . Dementia Care Mappers record their observations to improve the way people are supported in formal care settings, such as care homes and hospitals.

3) Results:

The coding of activities of patients with dementia includes numerous items: p.ex. A) Articulation Interacting with others verbally or otherwise B) Borderline Being engaged but passively (watching) C) Cool Being disengaged, withdrawn D) Doing for self Self care E) Expressive or creative activities F) Food Eating or drinking etc.. Mood and engagement values from -5 to +5 are coded for each of these items.

4) Conclusions:

Through these coding values for individuals with dementia we can understand the well- or ill-being of these persons and through a typical "Dementia Care Mapping Process" including the following steps: preparation and briefing; observation; analysis; feedback (written and verbal) and action planning, we as GPs with the nursing home team are able to improve agitation , falls and anxiety.