Abstract

As an estimated 10 million new cases of dementia occur globally each year, caregiving strategies must be adapted to better address the unmet emotional and instrumental needs of older adults living with dementia. In August 2022, we visited nursing homes and care facilities in Japan to understand the lived experience of older adults with dementia. Conversations about daily living revealed the detrimental impact of societal stigmatization on the quality of life of older adults living with dementia, an issue overlooked within the current field. We observed tangible approaches to tackling this issue in three Japanese care homes, which implemented destigmatizing strategies such as dementia-friendly spaces, human-centered care, and intentional meal preparation. Applying these person-directed care strategies in our interactions and gaining insight into caregiver experiences highlighted the potential for global implementation of destigmatizing practices. By addressing various social barriers faced by older adults living with dementia, these practices serve as a framework to systemically destigmatize dementia and improve the lived experience of older adults living with dementia worldwide.

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