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Denise Scruggs
Beard Center on Aging at Lynchburg College
Virginia Governor’s Conference on Aging
Richmond, Virginia
May 2, 2016
Ageism & Person-Centered Care: Putting
the PERSON in Person-Centered Care
Six Dimensions
of Person-
Centered Care
PERS
ONH
OOD Knowi
ng the
Person
Auton
omy/
Choice
Comfo
rt Care
Nurtur
ing
Relatio
nship
Suppo
rtive
Enviro
nment
(White, DL, Newton-Curtis, & Lyons, K.S. (2008) Development & Initial Testing of
A Measure of Person-Directed Care. Gerontologist, 48, 114-123)
Personhood Defined:
per·son·hood
[ˈpərs(ə)nˌho͝od]
NOUN
the quality or condition of
being an individual person.
(Oxford University Press)
“A standing or status that
is bestowed upon one
human being, by others,
in the context of
relationship & social
being. It implies
“recognition, respect, &
trust,…”
Tom Kitwood 1997
Personhood Defined:
(Tom Kitwood (1997) Dementia Reconsidered: the Person Comes First, Buckingham
and Philadelphia: Open University Press, p. 8-9)
What makes us
unique &
individual? 



PERSONHOOD
Challenges
Family
Desires
Feelings
Goals
Values
Emotions
HistorySkills/Abilities
Interests
Thoughts
NeedsSelf Esteem
Social Roles
Life Experiences
Relationships
Identity PersonalityResources
Confidence
Fears
Likes/Dislikes
Thinking
Physical
Characteristics
person with
with dementia
DEMENTIA
PERSON
Personhood & Dementia:
What Do YOU See?
What can we do to
promote
“personhood” &
recognize the
uniqueness of
individuals?
• Make eye contact
• Acknowledge & include
vs. ignore
• Listen actively when
they are speaking
• Share your personal
stories to increase
equality in relationship
• Share humor
• Ask their opinion
• Use a respectful tone of
voice
• Engage & take time to
converse with
• Touch to show
affection/comfort
• Empower
• Give & respect their
choices & preferences
Strategies for Promoting Personhood
• Show approval- express
gratitude
• Give personal space
• Adjust to their pace/
don’t rush through care
or conversation
• Collaborate with & do
activities together-
don’t treat as a task
• Put yourself in their
shoes
• Smile
• Know the person’s
history, preferences &
needs- use it to guide
your interactions &
interventions
• Sincerely compliment &
praise
Strategies for Promoting Personhood
• Don’t try to change
them- accept them for
who & how they are at
the time
• Acknowledge &
validate feelings
• Be empathetic
• Treat with respect
• Don’t herd like cattle
Strategies for Promoting Personhood
Person-Centered Care
Value
Individualized
Perspective
Social environment
Brooker, D . (2004) What is person-centered care in dementia? Reviews in
Clinical Gerontology , 13, 215-222.
Personhood
Fosters:
• Personal worth
• Uniqueness
• Social confidence
• Respect
• Independence
• Engagement
• Hope
Denise Scruggs, Director
Beard Center on Aging at
Lynchburg College
Scruggs.dr@lynchburg.edu
434-544-8456

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Person centered care

  • 1. Denise Scruggs Beard Center on Aging at Lynchburg College Virginia Governor’s Conference on Aging Richmond, Virginia May 2, 2016 Ageism & Person-Centered Care: Putting the PERSON in Person-Centered Care
  • 2. Six Dimensions of Person- Centered Care PERS ONH OOD Knowi ng the Person Auton omy/ Choice Comfo rt Care Nurtur ing Relatio nship Suppo rtive Enviro nment (White, DL, Newton-Curtis, & Lyons, K.S. (2008) Development & Initial Testing of A Measure of Person-Directed Care. Gerontologist, 48, 114-123)
  • 3. Personhood Defined: per·son·hood [ˈpərs(ə)nˌho͝od] NOUN the quality or condition of being an individual person. (Oxford University Press)
  • 4. “A standing or status that is bestowed upon one human being, by others, in the context of relationship & social being. It implies “recognition, respect, & trust,…” Tom Kitwood 1997 Personhood Defined: (Tom Kitwood (1997) Dementia Reconsidered: the Person Comes First, Buckingham and Philadelphia: Open University Press, p. 8-9)
  • 5. What makes us unique & individual? 
 

  • 6. PERSONHOOD Challenges Family Desires Feelings Goals Values Emotions HistorySkills/Abilities Interests Thoughts NeedsSelf Esteem Social Roles Life Experiences Relationships Identity PersonalityResources Confidence Fears Likes/Dislikes Thinking Physical Characteristics
  • 8. What can we do to promote “personhood” & recognize the uniqueness of individuals?
  • 9. • Make eye contact • Acknowledge & include vs. ignore • Listen actively when they are speaking • Share your personal stories to increase equality in relationship • Share humor • Ask their opinion • Use a respectful tone of voice • Engage & take time to converse with • Touch to show affection/comfort • Empower • Give & respect their choices & preferences Strategies for Promoting Personhood
  • 10. • Show approval- express gratitude • Give personal space • Adjust to their pace/ don’t rush through care or conversation • Collaborate with & do activities together- don’t treat as a task • Put yourself in their shoes • Smile • Know the person’s history, preferences & needs- use it to guide your interactions & interventions • Sincerely compliment & praise Strategies for Promoting Personhood
  • 11. • Don’t try to change them- accept them for who & how they are at the time • Acknowledge & validate feelings • Be empathetic • Treat with respect • Don’t herd like cattle Strategies for Promoting Personhood
  • 12. Person-Centered Care Value Individualized Perspective Social environment Brooker, D . (2004) What is person-centered care in dementia? Reviews in Clinical Gerontology , 13, 215-222. Personhood Fosters: • Personal worth • Uniqueness • Social confidence • Respect • Independence • Engagement • Hope
  • 13. Denise Scruggs, Director Beard Center on Aging at Lynchburg College Scruggs.dr@lynchburg.edu 434-544-8456