Ballard and Margallo-Lana reported a scale for the well-being of a patient with dementia based on the Dementia Care Mapping (DCM) Scale of Kitwood and Bredin. This can be used to monitor the patient over time.
Patient selection: dementia
The scale goes from +5 (maximum well-being) to -5 (maximum ill-being)
Measures of positive well-being:
(1) engagement
(2) self-expression
(3) interaction
(4) initiation of social contact
(5) coping
Measures of negative well-being (ill-being):
(1) bored and/or restless
(2) frustration and/or anger
(3) apathy and/or withdrawal
(4) despair or depression
(5) sadness or grief
The goal of any intervention is to maximize the patient's well-being.
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