Strength-Based Person-Centered Dementia Care: Activities of Daily Living

  • Sarah E. FoidelEmail author


Given the complex framework described throughout this text, it is helpful to see examples applying the outlined principles. This chapter is an extended illustration of an interdisciplinary team using strength-based and person-centered care for a person living with dementia. Completing activities of daily living (ADLs) is one of the most challenging, yet important, tasks that occurs multiple times per day for those with advanced dementia. Decreased ability to complete activities of daily living (ADLS) is a hallmark of major neurocognitive disorder (NCD).

According to the DSM-5, loss of function in daily activities is a main indicator of the transition from minor to major NCD. By completing and documenting a strength-based assessment, a person-centered care plan for ADL completion can be developed for those living with dementia. Specific strategies for feeding, hygiene, dressing, and bathing need to be matched to the skills of an individual living with dementia. This chapter will outline specific strategies, isolate impairments, and emphasize a strength-based approach to person-centered ADL completion.


Activities of daily living Apraxia Initiation Cognitive domains Dementia Person-centered care Major neurocognitive disorder Alzheimer’s Strength-based assessment 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.School of Occupational TherapyPacific UniversityHillsboroUSA

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