Abstract

Day care services for persons with dementia are becoming an important aspect of community services. Place, therefore, becomes vital concerning how such establishments are organized regarding both the physical and social environment and the programs that are offered. The aim of this study was to describe the influence of place on everyday life in two different organized daycare services for persons with dementia. Based on observations and informal conversations with persons with dementia and staff members at a green care farm and a regular day care, we used an inductive manifest content analysis. The analysis reveals a main category: enabling and collaboration in daily life. The results are discussed in light of Goffman’s analysis of the structures of social encounters from the perspective of the dramatic performance. The main findings in this study involve how place contributes to enabling activities and collaboration between participants and staff, as it influences participants’ ability to achieve an active or passive role in everyday life at the day care services.

Highlights

  • As the leading cause of dependency, dementia has no cure and results in declines in functional ability in everyday life amongst older people [1]

  • This study revealed a main category that mirrored the influence of place in the everyday life of persons with dementia in day care services

  • We chose to focus on how place influences everyday life in day care services in relation to how such establishments are organized

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Summary

Introduction

As the leading cause of dependency, dementia has no cure and results in declines in functional ability in everyday life amongst older people [1]. S. Myren et al 262 persons with dementia remain at home for as long as possible and to prevent health issues amongst informal caregivers, there is a trend towards increased attention to and use of day care services as an important area of community services [4] [5] [6]. Several studies have demonstrated the relationships that exist among the environment, staff, and residents in institutions such as asylums and prisons [11] [14], long-term care facilities [15] [16], and other facilities such as regular day care organizations [17] [18] [19] Most of these studies have focused on environment (including both physical and social dimensions) and quality of life in regard to persons with dementia [20] [21] [22] [23] or place identity as an important component of older people’s self-identity [24] [25] [26]. Research about day care services for persons with dementia and the influence of these places on their everyday life remains limited in Scandinavia and Norway, and especially day care for persons with dementia at green care farms

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