This is a case study of an ethical dilemma concerning the appropriateness of encouraging care-staff, working within a dementia care home, to either wear a clinical uniform or not to wear a clinical uniform in practice. It is proposed that people living with dementia may sustain higher levels of wellbeing if care-staff wear clothes that are more akin to their care home environment, for example, wearing similar clothes to the residents or even wearing pyjamas and nightwear during a night shift. The counter argument is that the practice may lead to greater levels of distress due to disorientation, increased potential for infection and inability to identify nurses when needed.
SheardD. Less doing – more being person-centred. J Dement Care2008; 16: 15–17.
2.
KitwoodT. Dementia reconsidered: the person comes first. Buckingham: Open University Press, 1997.
3.
DewingJ. Personhood and dementia: revisiting Tom Kitwood’s ideas. Int J Older People Nurs2008; 3(1): 3–13.
4.
McCormackBMcCanceT. Person-centred nursing: theory and practice. Oxford: Wiley Blackwell, 2010.
5.
EricssonIKjellstromSHellstromI. Creating relationships with persons with moderate to severe dementia. Dementia2011; 12(1): 63–79.
6.
CharrasKEynardCViatourG. The Eval’zheimer®model: fitting care practices and environmental design to institutionalized people with dementia. Neurodegener Dis Manag2011; 1(1): 29–35.
7.
CharrasKGzilF. Judging a book by its cover: uniforms and quality of life in special care units for people with dementia. Am J Alzheimer’s Dis Other Demen2013; 28(5): 450–458.
8.
Cohen-MansfieldJ. Non-pharmacological interventions for persons with dementia. Alzheimer’s Dis Quart2005; 6(2): 129–145.
