INTEGRITY PROMOTING CARE OF DEMENTED PATIENTS - PATTERNS OF INTERACTION DURING MORNING CARE

Video-recorded morning care sessions (n = 49) of demented nursing home patients (n = 5), were analyzed before, as well as after, training of the staff in integrity promoting care. A phenomenological-hermeneutic analysis was performed based on the Erikson theory of ''eight stages of man'' and musical notations were used for the analysis of courses o f events. The analysis revealed five main patterns of interaction; pos itive, negative, intermediate, negative/intermediate turned into posit ive by the patient, and negative/intermediate turned into positive by the caregiver. Before the training, negative and intermediate patterns dominated (58%), while positive patterns dominated (84%) after the tr aining. The positive patterns of interaction were characterized by the caregiver communicating with the patient as a competent partner, show ing humanity, respect and support. The activity was carried out in int imacy. This led to the patient displaying more and more ability.