Montessori for Dementia and Ageing (MDA) is a philosophy to support person-centered care (PCC) and autonomy of older adults. This quality improvement project documented outcomes of implementation of the MDA philosophy in a long-term care memory neighborhood. After an initial training session, MDA was implemented with weekly, 2-hour on-site coaching sessions over the course of two semesters (28 weeks) with a community of 20 female persons living with dementia (PWD). Primary outcomes were negative responsive behaviors of PWD, whereas the secondary outcome included percentage of active engagement of PWD. Mean number of negative responsive behaviors was 62.21 at baseline, which decreased to 33.82 at the end of the project per the Cohen-Mansfield Agitation Inventory. At baseline, PWD were actively engaged in 18.15% of observed opportunities, according to the Engage portion of the Resident-Centered Assessment of Interactions with Staff and Engagement Tool. At the end of the project, PWD were actively engaged in 40.56% of observed opportunities. Results suggest that MDA is feasible to implement PCC in a long-term care memory neighborhood. [Journal of Gerontological Nursing, 48(8), 6–9.]

蒙台梭利痴呆和老龄化 (MDA) 是一种支持以人为本的护理 (PCC) 和老年人自主权的理念。这个质量改进项目记录了在长期护理记忆社区实施 MDA 理念的结果。在最初的培训课程之后，MDA 在两个学期（28 周）的课程中实施了每周 2 小时的现场辅导课程，该社区由 20 名患有痴呆症的女性 (PWD) 组成。主要结果是 PWD 的消极反应行为，而次要结果包括 PWD 积极参与的百分比。根据 Cohen-Mansfield 激动清单，基线时负面反应行为的平均数量为 62.21，在项目结束时降至 33.82。在基线时，PWD 积极参与了 18.15% 的观察到的机会，根据以居民为中心的与员工和参与工具互动评估的参与部分。在项目结束时，PWD 积极参与了 40.56% 的观察到的机会。结果表明，MDA 在长期护理记忆社区实施 PCC 是可行的。[老年护理杂志，48（8），6-9。]