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The CLEAR Dementia Care© model is an effective method of assessing behaviour that challenges, through an understanding that such behaviour may be a way of communicating unmet needs. This book explains the many factors that contribute to challenging behaviour and how a greater understanding of this can enhance quality of life and lead to better care for the person with dementia in both hospital and residential settings. Discussing how people with dementia have the same needs as everyone else, the book helps to understand dementia from the perspective of the person experiencing it. It features case studies with examples of how to interpret signs of distress and develop an appropriate intervention plan. The model includes person-centred assessment of cognition, life story and personality, emotional and physical wellbeing, activity and environment, and relationships. Also included are easy-to-use photocopiable assessment tools, proven to facilitate a more accurate understanding of behaviour.
A practical introduction to the use of the arts in dementia care. Based on experience, the book provides clear guidance on how to employ a variety of innovative techniques including art, music and dance therapies, to promote the physical, psychological, emotional, social and spiritual well-being of people with dementia.
The correlation between 'disengagement' and illness in people with dementia living in long-term care settings is becoming more widely recognised, and developing and adapting front-line staff responses to the changing needs of individuals is a crucial factor in addressing this problem. This book presents a complete practical framework for whole person assessment, care planning and review of persons with dementia or signs of dementia (including those with learning disabilities) who are in need of, or already receiving, health and/or social support. The book provides photocopiable assessment forms, guidelines for carrying out the assessment, and suggestions for tailored interventions based on the profile that emerges from the assessment process. The authors also include a clear explanation of the five theoretical components of dementia that are considered in the assessment: health, biography, personality, neurological impairment and social psychology. This good practice guide will provide a step up to the challenge of providing person centred care as a minimum standard rather than just an ideal. Care workers in residential settings and social workers assessing clients for their support requirements will find this an essential resource.
The physical care of people with dementia is of vital importance, but so too is their emotional, social, mental and spiritual wellbeing. The creative arts are gaining increasing recognition not only as a tool for delivering effective person-centred dementia care, but also for attending to soul as well as body. Encouraging those who care for people with dementia to develop their own creative skills, this book provides a creative map of care with easy-to-follow examples and detailed case studies. After explaining why adopting a creative approach is central to effective dementia care, the authors go on to discuss meditation, singing, movement and storytelling, describing the therapeutic benefits of each and giving practical examples of how they can be used with individuals or groups. They also look at the importance of creative supervision in promoting creativity and creating a safe space for honest interpersonal connection: an essential foundation for effective teamwork. This book will be an invaluable resource for anyone involved in the care of a person with dementia, including professional staff in residential and nursing homes, hospitals and day centres, families and other non-professional carers.
This newest addition to the Fast Facts series is a succinct guide for nurses in adult health clinical settings on how to provide person-centered care for patients who have dementia as a concurrent condition. With an easy-access format, it offers the most up-to-date information on dementia and provides strategies for clinical management that facilitate the nurse's work while improving care for patients. The book presents specific care strategies for all stages of dementia and emphasizes relatively simple interventions that nurses can incorporate into their care plans to prevent problems or address them before they escalate. The guide distinguishes between dementia and conditions that mimic dementia, discusses issues related to specific care settings, presents person-centered strategies for families and care partners, and covers the assessment and management of pain, safety concerns, communication strategies, and ethical and legal issues. It additionally provides numerous resources that nurses can offer to caregivers. Fast Facts for Dementia Care will serve as a daily companion for all clinical nurses who work with older patients in any setting, including the emergency room, medical-surgical unit, medical office, and community mental health settings. Key Features: Easy to use and carry in all patient settings Provides communication techniques for different stages of dementia Describes numerous interventions for addressing issues such as pain, safety, behaviours, and ADLs Includes the ìFast Facts in a Nutshellî feature for quick reference Illustrates content with case vignettes
Understanding socially disruptive behavior in dementia is never easy. Most explanations offer neither solace nor solutions for families and carers, and treatment is often characterized by policies of control and containment. The result of Graham Stokes' 15 years of clinical work with people who are challenging, this book: disputes the traditional medical model of dementia and asserts that if we reach behind the barrier of cognitive devastation and decipher the cryptic messages, it can be shown that much behavior is not meaningless but meaningful. It contrasts the medical interpretation that sees anti-social behavior as mere symptoms of disease with a person-centered interpretation that resonates change and resolution. It offers a radical and innovative interpretation of challenging behavior consistent with the new culture of dementia care, focusing on needs to be met rather than problems to be managed.
Reminiscence is a vital way to stimulate communication and promote confidence and self-worth in people with dementia. This practical guide is designed to give those who care for people with dementia a clear sense of how reminiscence can be used to greatly improve their quality of life. The book explores how reminiscence can contribute to person-centred dementia care and contains detailed descriptions of activities that can be used in a group setting, for one-to-one reminiscence at home or in a variety of care settings. Based on ideas developed and tested internationally over a period of ten years, the book offers imaginative approaches to reminiscence and a wealth of resources for use in a wide range of situations. The book includes advice on organising a reminiscence project and provides a useful planning tool for group sessions. Remembering Yesterday, Caring Today highlights the value of reminiscence for those with dementia and is an essential guide to good practice for family and professional carers.
Dementia is both a personal and a societal challenge. The goal of Dementia Care: A Practical Approach is to focus on how practitioners can meet this challenge with hope and compassion, thereby enabling those with dementia to live well. The book takes a ‘strengths approach’ with an emphasis on exploring sustainable strategies. Its content is underpinned by relevant policies and strategies and explicitly links to research evidence while always valuing the voices of those living with dementia. Covering various dementia strategies, the book provides a clear vision of dementia care delivery and is mapped to the Curriculum for UK Dementia Education. For health care students, the content is also mapped to the requirements of the Health and Care Professions Council and the Nursing and Midwifery Council. The book includes experiences of people living with dementia, practical examples, self-assessment questions, and key point summaries. It is a valuable resource to practitioners, informal caregivers, families, individuals with dementia or those wanting to know more about the subject.
This book is invaluable to nurses and all health and social care practitioners working with people living with dementia in a variety of contexts. It presents a series of true-to-life case studies tackling the ethical and practical dilemmas of dementia care and how to use theoretical approaches to come to potential solutions. The reader is encouraged to explore evidence-based approaches to practice, based on the professional reasoning and experience of the practitioner and the emotional psychological and practical needs of the person living with dementia. Key themes running through case studies include: effective communication, person-centred practice, social citizenship, strengths-based approaches and relationship-focused support, as well as organisational culture. Each case study provides readers with opportunities to experience and discuss clinical dilemmas in a safe space with an annotated thinking-aloud framework that allows them to unpack the elements of each situation so as to develop a range of solution-focused perspectives in order to overcome barriers and deliver best practice.