Abstract

BARBOSA, Maria Miguel; PAUL, Constança; YANGUAS, Javier  and  AFONSO, Rosa Marina. Person-centered care for older people: meanings and practical applications in nursing homes. Psic., Saúde & Doenças [online]. 2021, vol.22, n.2, pp.674-687.  Epub June 31, 2021. ISSN 1645-0086.  https://doi.org/10.15309/21psd220229.

Population aging has generated an increasing need for formal care to older people in a dependency situation. This study aims to explore the evolution and trends in care within residential institutions for older people and to describe different meanings and applications of Person-Centered Care in this context. From the research carried out in English, Spanish and Portuguese, in the databases EBSCO-PSY/ASC, Pubmed, Scielo, B-on and CINAHL, 39 references were included and thematically organized. The evolution of residential institutions for older people has resulted in a diversity of structures that promote the care that tends to be assistentialist, standardized and efficiency-oriented. These uniformed care shows signs of exhaustion and negative impacts on the older people, namely in their physical and mental health and in the violation of their rights and their self-determination. In this sense, there were movements to improve the quality of care, making them increasingly centered on person. Person-Centered Attention has multiple meanings: 1. philosophy of care (covering principles and values that lead to good practices); 2. models (integrating conceptualizations, components and modes of assessment) and 3. practical interventions (considering processes for changing organizational culture, creating accommodation alternatives and strategies/techniques). Person-Centered Attention is a current trend, representing an adaptive multidimensional approach and promoting the quality of care provided to older people.

Keywords : Older adults; human rights; geriatrics; patient-centered care; person-centered attention; nursing homes; care quality.

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