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WANT Model: The Need-Centered Care and Management Model for Behavioral and Psychological Symptoms of Dementia

Jing Jy Wang , Chi Jane Wang, Ling Hui Chang and Yueh Ying Yang

Aims: A discussion of a newly developed need-centered care and management model for Behavioral and Psychological Symptoms of Dementia (BPSD) and its practice protocol.

Background: A simple and memorable care and management model for BPSD is needed to guide careproviders especially those working in long-term care facilities.

Design: The model named “WANT” model is the abbreviation of Watch-Assess-Need intervention-Think. Watch- to pay attention to the frequency and status of behaviors of resident with dementia; Assess- to assess relevant background and proximal factors for such behaviors and deduce the needs behind; Need interventionto implement care measures according to residents’ needs; Think- to reflect on and share mutual experiences with peers. The expert validity of final version of the WANT model reached .99.

Data sources: The development of the WANT model was through three phases: Literature review, content formulation and expert panel evaluation.

Implications for nursing: Care-providers may integrate the model with daily care process. An education and training protocol based on the WANT model can be widely applied to staff working in long-term care facilities worldwide.

Conclusion: This model can be easily remembered by careproviders and trigger care-providers’ reflection on the causes behind the problems behaviors.