Situating support for people living with rarer forms of dementia.

Atypical dementia Care Rarer dementias Situational analysis Support Young onset dementia

Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
06 10 2023
Historique:
received: 19 06 2023
accepted: 31 08 2023
medline: 1 11 2023
pubmed: 7 10 2023
entrez: 6 10 2023
Statut: epublish

Résumé

Awareness of a multitude of diseases that can cause neurodegenerative decline and their unique symptom profiles in the dementia care and support sectors remains limited. Obtaining an accurate diagnosis and post-diagnostic care and support is a challenge for many people and their families. As part of a larger study examining multi-component forms of support for people living with rarer dementias, the aim of this present study was to examine how rare dementia was situated within the complex social groupings, their organization and embedded discursive constructions that broadly form dementia care and support delivery. Adopting a situational analysis approach, we undertook an examination of public documents and organizational websites within the support sector for people living with dementia in Canada, England, and Wales. We also surveyed professionals to further explore the situation at the point of care and support delivery. Consistent with our approach, data collection and analysis occurred concurrently including the development of a series of analytic maps. Recognizing the complexities within the situation, our findings provided new insights on the situated structures for support action and the discursive representations that illuminate both the limitations of the current support landscape and possibilities for a more flexible and tailored rare dementia support. Alongside, the predominant universal versus tailored support positionings within our data reinforced the complexity from which a promising new social space for people living with rarer dementias is being cultivated. The social worlds engaged in supportive action with people living with rare dementia are less visible within the shadow of a universally constructed dementia support milieu and appear to be negotiated within this powerful arena. However, their evolving organization and discursive constructions point to an emerging new social space for people living with rarer conditions.

Sections du résumé

BACKGROUND
Awareness of a multitude of diseases that can cause neurodegenerative decline and their unique symptom profiles in the dementia care and support sectors remains limited. Obtaining an accurate diagnosis and post-diagnostic care and support is a challenge for many people and their families. As part of a larger study examining multi-component forms of support for people living with rarer dementias, the aim of this present study was to examine how rare dementia was situated within the complex social groupings, their organization and embedded discursive constructions that broadly form dementia care and support delivery.
METHODS
Adopting a situational analysis approach, we undertook an examination of public documents and organizational websites within the support sector for people living with dementia in Canada, England, and Wales. We also surveyed professionals to further explore the situation at the point of care and support delivery. Consistent with our approach, data collection and analysis occurred concurrently including the development of a series of analytic maps.
RESULTS
Recognizing the complexities within the situation, our findings provided new insights on the situated structures for support action and the discursive representations that illuminate both the limitations of the current support landscape and possibilities for a more flexible and tailored rare dementia support. Alongside, the predominant universal versus tailored support positionings within our data reinforced the complexity from which a promising new social space for people living with rarer dementias is being cultivated.
CONCLUSIONS
The social worlds engaged in supportive action with people living with rare dementia are less visible within the shadow of a universally constructed dementia support milieu and appear to be negotiated within this powerful arena. However, their evolving organization and discursive constructions point to an emerging new social space for people living with rarer conditions.

Identifiants

pubmed: 37803252
doi: 10.1186/s12877-023-04268-4
pii: 10.1186/s12877-023-04268-4
pmc: PMC10557369
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

627

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

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Auteurs

Mary Pat Sullivan (MP)

Faculty of Education and Professional Studies, School of Social Work, Nipissing University, North Bay, ON, Canada. marypat.sullivan@nipissingu.ca.

Paul M Camic (PM)

Dementia Research Centre, Queen Square Institute of Neurology, University College London (UCL), London, UK.

Emma Harding (E)

Dementia Research Centre, Queen Square Institute of Neurology, University College London (UCL), London, UK.

Joshua Stott (J)

Department of Clinical, Educational and Health Psychology, University College London (UCL), London, UK.

Gill Windle (G)

Ageing and Dementia @ Bangor, Dementia Services Development Centre (DSDC), School of Medical and Health Sciences, Bangor University, Bangor, UK.

Emilie V Brotherhood (EV)

Dementia Research Centre, Queen Square Institute of Neurology, University College London (UCL), London, UK.

Adetola Grillo (A)

Faculty of Education and Professional Studies, School of Social Work, Nipissing University, North Bay, ON, Canada.

Sebastian J Crutch (SJ)

Dementia Research Centre, Queen Square Institute of Neurology, University College London (UCL), London, UK.

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