GP surgeries, outpatient clinics, and hospitals can be difficult for people with dementia, as physical and emotional discomfort can build up and become overwhelming. This book invites healthcare workers to examine the root causes of distress for people with dementia in clinical settings, and offers ways to resolve incidents without the need for restraint or sedation. It also suggests strategies for reflection after incidents and forward planning, to support patients and staff and reduce the frequency of difficult interactions. Each chapter includes illustrative case studies to bring key concepts and dilemmas to life, and is supported by analysis and practical advice rooted in the authors' extensive experience in dementia care. This guide helps healthcare professionals to understand why people with dementia may become distressed in a clinical setting, and gives them the tools to not only resolve incidents, but create a person-centred, supportive environment to reduce future distress.
Jo James (Author) Jo is a registered nurse with over 35 years' experience in acute hospital care and currently works as a consultant nurse for dementia and delirium at Imperial College Healthcare NHS Trust. Ruby Fitzhenry (Author) Ruby Fitzhenry is an RMN with a background working in inpatient dementia services, mental health forensic services and Parkinson's disease and dementia research. Ruby currently works as a dementia clinical nurse specialist supporting inpatients in acute hospitals. Rachel Thompson (Author) At the time of writing, Rachel was a Dementia Clinical Nurse Specialist with a background in intensive care. Prior to nursing, she worked as a dementia adviser in the community. She is passionate about reducing the stigma surrounding long-term conditions and helping people live well. Mel Tumongha (Contributor) Mel worked as a registered nurse in the Philippines for 12 years before moving to the UK where she has worked as a staff nurse on a medicine for the elderly ward and as a dementia clinical nurse specialist at Imperial College Healthcare NHS Trust.
Table of contents Foreword Introduction Part 1 Chapter 1: About dementia Chapter 2: The little history chapter. Chapter 3: Communication (otherwise known as The Beast) Chapter 4: What's so special about clinical settings? Chapter 5: Being person-centred is not always easy. Part 2 Chapter 6 - Why History Matters Chapter 7: The physical problems we can't ignore.?? Chapter 8- Pain Chapter 9: Delirium Chapter 10 - How the environment can cause distress. Chapter 11: Separation Anxiety Chapter 12: Staring at a white wall - the toxic combination of boredom and isolation. Chapter 13 - How we cause distress Chapter 14 - When 'No' does not mean 'No' Part 3 Chapter 15: Anger Chapter 16- Sexual Behaviour Chapter 17: Time Shifting Chapter 18: Refusal by Romela Tumongha Chapter 19: Sleep? Chapter 20: Discriminatory behaviour Part 4 Chapter 21 - The last one
A practical, compassionate guide to understanding why people with dementia become distressed in clinical settings, how to respond when it happens, and how to reduce problems in the future.
