Abstract
Expressions in Advanced Neurocognitive Disorders (ANCD) viewed as mode of communication and ascribing meaning to them a key next step. Existing dementia care philosophies (PIECES™, GPA™) offer general directions but fail to assist in ascribing meaning to, individual or clustering of the constellation of, varied phenotypic presentation. The first step to ascribing meaning was to posit a biopsychosocial model for the generation of expressions: existing models dichotomized along biological and psychosocial lines. The next step was classification of various phenotypic manifestations of expressions. This involved collecting ‘alike’ symptoms into individual categories and each represented by a title, adequately represented the symptoms therein. Five psychological theories used to justify existence of and ascribe meaning to each behavioral category: Information Processing Theories, Motivational Theories, Emotional Regulation Theories, Developmental Theories and Theories on Compliance and Aggression. This framework, titled, LuBAIR™ Paradigm was structured in the form of an evaluative framework, both quantitative and qualitative, and presented as full day workshops, between 2017 to 2019, to frontline staff trained in existing dementia care philosophies. 92% of the attendees affirmed this paradigm’s ability to offer better assistance in “Behavior care planning”. Qualitative thematic analysis, an innovative, simplified, enhanced, and comprehensive approach to understanding the reasons for the occurrence and recognition and labeling of behaviors in PwNCD is used. This approach offers increased insight into the understanding of “meaning” of behaviors in PwNCD. Meaning ascribed to individual behavioral category, and derived from their personhood, offers a framework for developing an individualized behavioral care plan.
Presenters
Atul Sunny LuthraPsychiatrist, Medical Coordinator, Program for Older Adults, Homewood Health Centre, Ontario, Canada
Details
Presentation Type
Paper Presentation in a Themed Session
Theme
2025 Special Focus—Aging, Intergenerational Solidarity and the Polycrisis
KEYWORDS
Behavioral care plans in advanced neurocognitive disorders, LuBAIR™ Paradigm
