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4 results on '"Rowles, Graham D."'

3. Being in Place: Toward a Situational Perspective on Care.

Author

Rhodus, Elizabeth K and Rowles, Graham D

Subjects
*HOME environment, *SOCIAL support, *MATHEMATICAL models, *PHYSICIAN-patient relations, *THEORY, *PATIENT care, *ELDER care
Abstract

An optimum focus in any care situation is creating and sustaining environments that facilitate an ongoing sense of "being in place" for all involved. Using this rationale, we propose a Situational Model of Care for exploring dynamic relationships among aging persons receiving care, the convoy of persons offering this care and support, and the place where this occurs, as evolving situations throughout the course of a disease. The model is grounded in extant literature and illustrated through a case study derived from in-home observations and interviews. Emphasizing an underlying goal of fostering a sense of being in place as a desirable outcome facilitates situationally nuanced directions in research and clinical care. [ABSTRACT FROM AUTHOR]

Published
2023
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4. Sensory Processing Abnormalities in Community-Dwelling Older Adults with Cognitive Impairment: A Mixed Methods Study

Author

Rhodus, Elizabeth K., Hunter, Elizabeth G., Rowles, Graham D., Bardach, Shoshana H., Parsons, Kelly, Barber, Justin, Thompson, MaryEllen, and Jicha, Gregory A.

Abstract

Mild cognitive impairment (MCI) or dementia often leads to behavioral and psychiatric symptoms of dementia (BPSD). Sensory processing abnormalities may be associated with BPSD. The purpose of this study was to explore relationships among sensory processing, behavior, and environmental features within the homes of people with MCI or dementia. This project used mixed methods to assess participants’ sensory processing, care partner perspectives on behaviors, and in situobservations of the home environment. Nine participants with cognitive impairment (MCI n= 8, early dementia = 1) and their care partners were included. Seven participants with cognitive impairment were reported to have abnormal sensory processing. Findings suggest that unique environmental adaptations, tailored to personal and sensory preferences for each participant, were associated with a decreased level of behavioral disruption during the observation periods. Implementing sensory-based approaches to maximize environment adaptation may be beneficial in reducing disruptive behaviors for adults with cognitive impairment.

Published
2022
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