The innovative Newcastle Challenging Behaviour Model for dementia care has recently been updated, leading to new advances in the field. This revised second edition guide to assessment and treatment of behaviours that challenge associated with dementia includes these latest developments along with new sections on what have traditionally been considered controversial topics. The new chapters cover issues including: - End of life care - Use of therapeutic dolls - Lies and deception - Physical restraint during personal care - Racism towards care staff With a particular emphasis on non-pharmacological approaches, this book details the range of behaviours common in individuals with dementia, along with the most effective assessment and treatment techniques for health care professionals.

Recent revisions of the Newcastle Challenging Behaviour Model have prompted the second edition of this guide to assessing and treating a range of behaviours when caring for older people with dementia. New material includes the use of physical restraint during personal care, lies and deception, end of life issues, and racism towards care staff.

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.

What is person-centred dementia care, and how can it be used to improve care for people from diagnosis to end of life? How can we improve services in people's own homes, in care homes, in supported housing and in hospitals? This substantially updated second edition considers recent developments in person-centred care, presenting refreshed guidelines for practice. Dawn Brooker and Isabelle Latham explain the evolution of the key principles of person-centred care that comprise the VIPS model. They describe how it has been applied in diverse service settings, and show how to put the model into practice. A new chapter dedicated to culture of care will help service managers to get to grips with this slippery concept, and includes important information on how to guard against neglectful practice. Case studies from the CHOICE programme, a research project on culture of care, demonstrate the key factors that are important for people living with advanced dementia and complex needs to live well.

The way in which dementia is understood and treated is changing, with a growing focus on the individual's experience and person-centred approaches to care. Introducing a new model of dementia care that reflects on the role of a person with dementia within a community and their relationships, this guide for professional and family caregivers demonstrates how to facilitate positive relationships for peaceful living. By understanding the cognitive and physical challenges that older adults with dementia face, caregivers can practice empathic care that affords people with dementia increased freedom of expression and independence. Included here are techniques for conflict resolution that enable people with dementia to be active and self-initiating in times of distress and disruption. Looking at the basics of respect, empathy, and mindfulness, this book also provides hands-on training for employing these virtues in practice with a number of exercises to help achieve the goal of peaceful independent living.

Clinical dilemmas in dementia contexts are often not because the clinical facts are in doubt, but because the ethical and legal underpinnings are uncertain - which can cause worry and confusion. This practical book will help nurses, healthcare assistants and other practitioners to think through their responses clearly in the midst of these difficult situations. The chapters all stand alone, allowing the reader to dip quickly in and out of the book as required. They address complex issues such as abuse, behaviour that challenges, forced care, treatment withdrawal, and contain clinical case vignettes throughout. This is essential reading to give practitioners the confidence that good legal and ethical decisions can be made in the same way as good clinical decisions.

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.