Introduction: Ageing is a natural process that affects a person's physical and mental abilities and increases the risk of diseases such as dementia. Dementia is a syndrome that leads to a progressive deterioration of memory, thinking and the ability to perform everyday activities. Occupational therapy plays an important role in the treatment of dementia. It includes meaningful occupations, environmental adaptations, the use of assistive devices and training of family members to improve the quality of life of both the person with dementia and their family. The Long-Term Care Act was adopted in 2023 and the implementation of the part of the Act relating to the right to services that can be provided by an occupational therapist will come into force in July 2025. This will allow people with problems to remain in their home environment while receiving professional help with everyday tasks. Purpose: The aim of the thesis is to carry out the occupational therapy process on a person with dementia and to determine the effectiveness of the occupational therapy approaches used in the treatment. Methods: The research was conducted using a case study with a 90-year-old female user with dementia. The occupational therapy sessions took place twice a week and lasted between forty-five and sixty minutes per day. To gain insight into progress, the following assessments were used: the Canadian Occupational Performance Measure, the Activity Analysis by Skills, the Functional Independence Scale, the Mini Mental State Examination and the Clock Drawing Test. Results: The results of the reassessment showed that despite regular occupational therapy sessions and a focus on the goals set, there was no improvement. The user still requires help with certain activities, such as changing and dressing. However, there were also positive changes in her functioning, such as improved attention during tasks and greater independence in some routine activities. Discussion and Conclusion: The treatment presented in our study, based on the American Occupational Therapists Association process model, confirms the importance of occupational therapy for people with dementia in the home setting. Despite the possible progression of the disease and dementia symptoms, it was shown that targeted activities can help to maintain the remaining functional abilities. The goals set before treatment were also achieved. The main approaches in our treatment were an individualised approach, adaptation of activities and involvement of relatives.
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