Enabling People with Dementia: Understanding and Implementing Person-Centred Care

ISBN-13: 9783030204785 / Angielski / Miękka / 2019 / 92 str.

Pat Hobson

Spis treści

About the author
Acknowledgements
Dedications

Introduction

CHAPTER 1. Background to Person-Centered Care theory

D: Dementia
P: Personality
B: Biography
H: Health status
N: Neurological impairment
S: Social psychology
Conclusion

CHAPTER 2. Malignant Social Psychology (MSP) – Behaviours that threaten dignity and respect

Kitwood’s Malignant Social Psychology
Examples of Kitwood’s MSP that threaten dignity in care homes
Treachery
Disempowerment
Infantilisation
Labelling
Banishment
Objectification
Withholding
Accusation
Invalidation
Outpacing
Imposition
Disparagement
Disruption
Mockery
Stigmatisation
Ignoring

CHAPTER 3. Positive Person Work (PPW) – Behaviours that promote dignity

Celebration
Collaboration
Creation
Facilitation
Holding
Negotiation
Play
Recognition
Relaxation
Timelation
Validation

CHAPTER 4. Person-Centered models in dementia

The VIPS framework in dementia care
Key elements of the VIPS framework
V: Valuing People
I: Individualised Care
P: Personal Perspectives
S: Social Environment
The “Feelings Matter Most” Model
The Eight Key Attributes
Behavioural Stages Model of Care
Unique Life-World-Environment: Model of Dementia Care
The person’s unique life
The person’s unique world
The person’s unique environment
Summary

CHAPTER 5. Experiences of the person with dementia and how it affects them

The temporal lobes
Frontal lobes
Parietal lobes
Occipital lobes
The brain stem
The cerebellum              
Summary of how dementia affects the person

CHAPTER 6. Different stages and types of dementia

Mild dementia
Moderate dementia
Advanced dementia
Different types of dementia
Alzheimer’s type dementia
Experiences of people with Alzheimer’s type dementia
Vascular dementia
Dementia of Lewy bodies (DLB)
Frontal-temporal lobe dementia
Aids related dementia
Creutzfeldt Jacob Disease (CJD)
Types of CJD
Alcohol related dementia

CHAPTER 7. Implementing person-centered communication

Behaviour as a form of communication
Meeting the emotional needs of people with dementia
The importance of focusing on emotional needs
Emotional needs and significant memories
The response of health and social care staff
Communication that focuses on feelings and emotions
Summary on communication

CHAPTER 8. Managing behaviours that challenge

Definition of behaviors that challenge
Five main categories of causes of behaviors that challenge
Different types of behaviors that challenge
‘See the person first, not the behaviour’ approach
Using person-centred strategies to deal with behaviours that challenge
Example: Managing behaviour within an acute ward
Example: Managing behaviour within a care home
Example: Managing behaviours within person’s own home
Summary on managing behaviours that challenge

CHAPTER 9. Designing environments that enable

Experiences of people with dementia and the environment
Key issues to consider when designing a dementia care environment
The environment needs fewer restrictions
Provide a sense of belonging
Provide the need for inclusion
Provide a sense of purpose
Provide the need for a unique identity
Designing the environment - the initial phase
Physical environment and social interaction
What does a home-like environment involve
Physical environments that disable
Examples of colour schemes and textures to avoid
Environments that enable with good colour contrast
Examples of good colour contrast in significant areas
Environments that meet emotional and social needs
Summary on designing environments that enable

CHAPTER 10. Maintaining meaningful activities

The purpose of activities
The activity coordinator: myths surrounding this role
Structured versus unstructured activities
Impact of dementia on activities
The environment and activities
The power of human interaction
Activities should meet the emotional needs of people with dementia
Activities led by the person with dementia
The importance of everyday activities
Example: How activities can meet emotional needs
Example: How activities can be unstructured
Example: How activities can be individualised
Example: How activities can be meaningful
Summary on maintaining activities

CHAPTER 11. Conclusion

O autorze

Pat Hobson is a dual qualified nurse in Mental Health and Adult Nursing. She has an MSc in Gerontology, Post Grad Certificate in Academic Practice, Post Grad Certificate in Clinical Governance, Clinical Leadership and Change Management, and a BSc (Hon) in Nursing. She has worked as a nurse, manager and lecturer in nursing with over twenty years’ experience in older people and dementia care nursing. She currently works as an Independent Nurse Consultant, Dementia Specialist and Lecturer in Nursing. She supports organizations, managers and their teams in the care sector on issues relating to nursing, adult safeguarding, workforce development, dementia care, as well as provide support in leadership and management issues and continued professional development. 

Blurb

This new updated edition challenges the perceptions, beliefs and attitudes of professionals working in dementia care settings by drawing on the theory of person-centred care. It demonstrates the importance of this theory for interacting with and caring for people with dementia. It also provides an overview of the theory in relation to two other well-known theories on dementia, and stresses the need to consider the world from the perspective of people with dementia.

Moreover, the book examines the importance of dementia care environments, positive interactions, meaningful activities and the concept of personhood, which are all essential to improving the health and wellbeing of people living with dementia. In closing, it underscores the need to remember that the focus of care should be on maximizing the person’s abilities, enabling them, and promoting person-centred care. 

Given its content and style, the book offers a resource that can be read and understood by health and social care professionals alike, as well as anyone else caring for someone with dementia, including family members and carers.