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The award-winning PEARL (Positively Enriching and enhancing Residents' Lives) programme was developed to enable care homes to move from providing good fundamental care to excellent person-centred dementia care. Trialled extensively by one of the UK's largest care providers, it has been proven to dramatically increase the quality of life of people with dementia living in care homes, significantly reducing the use of antipsychotics and the incidence of stress-related behaviours. This concise and accessible guide, written by the Director of Dementia Care at the care provider which trialled and developed PEARL, describes the key criteria of the programme, and provides best practice guidelines for dementia care practitioners wishing to use the approach in their own care home. With an emphasis on the practical, achievable elements of the programme, and drawing on many useful examples, the author and contributors provide guidelines on, amongst many things, getting the fundamentals of person-centred care right; enabling decision-making; reducing stress-related behaviours; psychosocial treatments; safeguarding; supporting staff; and involving relatives.

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Offering practical advice for arts therapists and health care professionals, this book emphasizes the importance of putting the individual before the illness to provide holistic, person-centred support for people with dementia. The contributors are all practising healing arts therapists who show how music, dance and the visual arts can be used in partnership with person-centred care to promote improved memory, reduced anxiety, increased self-esteem, better communication and successful group interaction. They use case studies to demonstrate the ways in which therapists can encourage engagement of those with dementia with sound, touch, movement and visual forms, making this a positive and practical book for all those working to provide person-centred dementia

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Establishing playfulness as an essential component of dementia care, this positive and uplifting book will be key in changing attitudes and providing ideas for new and valuable ways of interacting and being with individuals with the condition. John Killick explores the nature of playfulness and the many ways in which it can enrich the lives of people with dementia, including as a means of maintaining relationships and communication, supporting communication and generally lifting the spirits. Specific approaches already in existence are described, including improvised drama, clowning and laughter yoga, and a chapter on the playful approach to art and craft activities is also included. Personal accounts of playfulness by individuals with dementia, relatives and an actor with a decade's experience of using playful approaches with people with dementia offer rich first-hand insights into its transformative potential. Throughout the book, the importance of spontaneity and of being with the person with dementia in the present moment is emphasised, and the reader is encouraged to develop a playful mindset. A selection of colour photographs amply demonstrate playful approaches in action. Offering a fresh and perhaps unexpected perspective, this book is essential reading for dementia care practitioners and managers, activity coordinators, therapists, people with dementia and their relatives, and anyone else concerned with the wellbeing of those with the condition.

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Person-centred dementia care relies on leadership that supports the ongoing process of learning about and valuing individuals, their feelings, strengths and needs, and using this knowledge to enhance wellbeing and create a positive care environment. With a strong practical focus and many helpful case examples, this book will equip readers with the practical skills, knowledge and confidence necessary to lead person-centred dementia care. The areas explored are relevant across a wide range of care settings, and to all those in, or starting, either a managerial or non-managerial leadership role within a dementia care service. Topics covered include the key goals for person-centred dementia care, and the type of leadership approach most likely to bring them to fruition; common barriers to person-centred dementia care, and how leaders can identify and combat them; how to nurture, support and empower staff; how to maximise the effectiveness of verbal and written communications; and how as a leader to respond to challenging situations and risk. This accessible book is essential reading for all those with a formal or informal leadership role within a dementia care service, including managers, deputy managers, team leaders, service managers and experienced care staff involved in leading or mentoring others.

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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.

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Maintaining a connection to nature is increasingly recognised as an important component of caring for a person with dementia. Design for Nature in Dementia Care provides comprehensive examples of ways to connect to nature through indoor and outdoor activities. The author describes a wide range of activities that offer a connection to nature, such as caring for house plants and pets, gardening and cooking, practising handicrafts and domestic chores. He suggests practical ways to incorporate nature into indoor and outdoor environments and also into the design of buildings and landscapes. These suggestions are drawn from interdisciplinary research in environmental psychology, neurology, architecture, nursing and dementia care practice. This book is a practical resource for care providers and design professionals who want to use nature to improve the lives of people with dementia.

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Bradford Dementia Group Good Practice Guides There are always difficult day to day decisions to be faced when caring for a person with dementia – from knowing how to deal with wandering to end of life decisions. Many of these decisions are underpinned by value judgments about right and wrong and reflect a particular view of dementia. This book considers these ethical decisions in the context of relationships, treatment, safety and quality of life, offering practical guidance and advice. It draws on the experiences of family carers as well as on existing research and emphasizes the importance of empathy and the need to acknowledge different perspectives in order to reach the best decision for the person with dementia. In particular the authors discuss the way that decision makers are themselves changed by the decisions they make, and the impact of this on the decision-making process. This book should be read by all those who work caring for people with dementia.

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Risk is central to professional practice, assessment and decision-making in dementia care. Yet theories of risk are often complex and difficult to translate into everyday practice. This book outlines some of the key issues in risk perception, assessment and management in dementia care in a way that is both practical and accessible to a wide range of practitioners. It develops an approach to risk that promotes choice for people with dementia whilst also acknowledging the complex challenges care providers face. The authors provide an overview of the legislative framework currently in place, and of the ethical dilemmas which may emerge in practice. Frameworks for informed and balanced decision-making are offered, and the importance of including the person with dementia, their family, and care providers in decision-making is emphasised. Throughout the book, case studies are used to illustrate effective negotiation and practical solutions to risk dilemmas in practice. This book highlights principles of good practice for managing risk in dementia care, and presents a rounded approach that will help practitioners negotiate some of the complex issues this entails.

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