Erkes Jérôme, Bayard Sophie
AG&D, Paris, France, Université Paul-Valéry Montpellier3, EPSYLON EA 4556, Montpellier, France.
Université Paul-Valéry Montpellier3, EPSYLON EA 4556, Montpellier, France.
Geriatr Psychol Neuropsychiatr Vieil. 2023 Mar 1;21(1):97-106. doi: 10.1684/pnv.2023.1079.
While dementia care is going through a major crisis, a strong call for the development of person-centered care for persons with a diagnosis of dementia has recently emerged. Person-centered care (PCC) is a philosophical and theorical intervention framework acknowledging that the individual is still a person who can live positive life experiences and relationships, despite a progressive disease, even at severe stages. It has arisen as a response to a medical model, focused on pathology and deficits. The benefits of PCC have been well documented. However, questions remain about how to concretely provide it. In this context, the Montessori method applied to dementia represents one way to apply person-centered care to person with dementia. Based on the philosophy and principles of the scientific pedagogy developed by Maria Montessori, it integrates PCC principles, associated with rehabilitation techniques, to promote constructive engagement in meaningful activities, to give back sense of control to the person with dementia, and to allow the person to have a role in the community. In this article, we will first present the person-centered care philosophy, its main principles, and effects. Secondly, we will describe a brief historical perspective of the Montessori method for person with dementia. Then, we will present Montessori principles in a detailed and structured way.
尽管痴呆症护理正面临重大危机,但最近出现了强烈呼吁,要求为被诊断患有痴呆症的人发展以个人为中心的护理。以个人为中心的护理(PCC)是一种哲学和理论干预框架,它承认即使患有进行性疾病,即使处于严重阶段,个体仍然是一个能够拥有积极生活经历和人际关系的人。它是作为对专注于病理学和缺陷的医学模式的回应而出现的。PCC的益处已有充分记录。然而,关于如何具体提供这种护理仍存在问题。在这种背景下,应用于痴呆症的蒙台梭利方法是将以个人为中心的护理应用于痴呆症患者的一种方式。基于玛丽亚·蒙台梭利发展的科学教育学的理念和原则,它将与康复技术相关的PCC原则整合起来,以促进对有意义活动的建设性参与,让痴呆症患者重新获得控制感,并使患者在社区中发挥作用。在本文中,我们将首先介绍以个人为中心的护理理念、其主要原则和效果。其次,我们将描述针对痴呆症患者的蒙台梭利方法的简要历史背景。然后,我们将详细且有条理地介绍蒙台梭利原则。