Embracing Touch In Dementia Care

Meaningful touch is an essential part of truly person-centred dementia care, yet its value is often viewed as secondary to its perceived risks. This book restores trust in the power of touch, demonstrating the vital role it plays in supporting personhood, relationships and wellbeing, and challenging the barriers preventing staff from using touch in meaningful ways. Using many examples from practice, Luke Tanner demonstrates that touch and other forms of non-verbal communication are essential for 'being with' and not just 'doing to' people living with a dementia, and explains how and when to use touch effectively in everyday interactions, and in all stages of dementia. He places touch in the context of consent and safeguarding, whilst emphasising the need for positive attitudes to touch to be at the heart of care cultures. Offering perspectives, ideas, training exercises and culture change actions to maximise the benefits of touch in dementia care settings, this practical guide will enable practitioners to reflect on their own use of touch and develop the knowledge, skills and confidence to place meaningful touch at the heart of their work.

Namaste Care is a therapeutic approach to caring for those living with advanced dementia, focused on improving their quality of life through a simple, soothing and rewarding process. This step-by-step guide is for anyone looking to translate the principles of the Namaste Care approach successfully and professionally into a home or care setting, with an emphasis on the value of volunteers in the community in implementing this. The Namaste Care approach is focussed on giving comfort and pleasure to people with advanced dementia through sensory stimulation, especially the use of touch, and this book provides extensive guidance on every stage of the process, including harnessing community interest, recruiting and training volunteers, and managing pain and discomfort. In a time of ever-growing strain on healthcare resources, this practical guide is a timely reminder of the power and value of informal care and compassionate communities in helping to care better for people with dementia, and is essential reading for carers, professionals and family members.

Effective communication is critical for everyone, and this insightful book teaches the skills needed by healthcare staff in their day-to-day interactions with people with dementia and their families. Often when people with dementia exhibit behaviour that challenges, it is an indication that their needs are not being met. The authors illustrate the key aspects of communication for the development of a skilled and confident workforce, capable of providing thoroughly effective care that reduces levels of agitation in people with dementia. The first six chapters describe the CAIT (Communication and Interaction Training) framework established by the authors. This is followed by chapters contributed by experts on the Positive Care ApproachTM, appropriate touch and communication with people in the late stages of dementia. Accessible and practical, it will help caregivers develop and articulate existing skills as well as gain new ones, allowing them to overcome the challenges faced when caring for people with dementia.

Sharing and evaluating a series of relationship-centred approaches to dementia care, this book enables practitioners to have hands-on involvement in improving the quality of this care. Fostering a critical approach to our understanding of how we do relationship-centred dementia care, Reid shows how experiences of living with dementia, family awareness of dementia, professional knowledge of providing dementia care, and the health, social care and housing system are linked, and how good dementia care arises from the relationships between these groups. The book encourages thinking about the stigma attached to dementia, and how a focus on living well with dementia helps shape policies about people with dementia, with their voices included. Practical steps for carrying out relationship-centred dementia care are also explained, with examples of common obstacles and how to overcome them.

This book presents the latest research that shows how design thinking, making, and acting contribute to the co-designing and development of products, spaces, and services with people living with dementia. We know that there is currently no cure for the 130+ kinds of dementia that millions of people live with all over the world, but the designed interventions such as the products, spaces, and services described in this book can address stigma, isolation, loss of confidence, and raise awareness and greater understanding of dementia. This book showcases a range of innovative and creative design interventions that have been developed to break the cycle of well-established opinions, strategies, mindsets, and ways of doing that tend to remain unchallenged in the health and social care of people living with dementia. The book will be of interest to scholars working in product design, service design, experience design, architecture, design research, information design, user-centred design, and design for health.

*Highly Commended in the Popular Medicine category at the 2012 British Medical Association Book Awards* The simple sensation of touching someone's hand can have a powerful therapeutic effect. Hand massage is a positive and meaningful way of reaching out and providing comfort to those who are elderly, ill or nearing the end of life, and it can be particularly effective for people with dementia who may respond well to positive non-verbal interaction. This book offers inspiration for all caregivers looking for an alternative way to support and connect with a family member, friend or patient in their care. It teaches an easy 30 minute hand massage sequence and offers clear instructions and detailed illustrations to guide the reader through each step. Combining light massage strokes with focused awareness, and paying close attention to points on energy pathways, this book introduces a structured way of sharing touch that is grounded in Western and Eastern massage traditions. Gentle touch therapy is ideal for healthcare professionals and family members alike, and has been shown to have physical and emotional benefits for both the giver and the receiver.

Despite being integral parts of all our identities, sexuality, sex and intimacy are what many would call the Last Taboo in dementia care, usually seen as 'problem behaviours' to be stopped and dealt with. Informed by a combination of accessible neuroscience and person-centred compassion, Danuta Lipinska's new book shows that the human need for intimacy, attachment and sexual expression is as important for supporting the wellbeing and personhood of people with dementia as communication and care. Considering the brain as the body's biggest sex organ, it examines the cognitive changes that occur in dementia and what these changes mean in the context of sexual behaviour and consent. Taking Carl Rogers' Core Conditions and Tom Kitwood's psychological needs of persons living with dementia as a starting point, Lipinska offers a unique model for person-centred conversations about sex and sexuality that we have not seen before.

This interdisciplinary book offers a relational perspective to dementia care drawing on attachment theory and practice. Relevant to professionals and the general public alike, it brings together innovative research and practice in psychotherapy and the creative arts with the lived experience of being a carer. Indeed, the book includes insights from professional and personal experience throughout. It also provides exclusive access to Josh Appignanesi’s short film, Ex Memoria, about his grandmother’s experience of dementia, poignantly portrayed by Sara Kestelman. Chapters include the experience of caring for a sister with dementia; the importance of an attachment perspective in theory and practice; a new approach to understanding the possible origins of dementia in trauma; contemporary understandings from clinical and research arenas; the description of a leading-edge project providing psychotherapeutic work; and an innovative creative arts and reminiscence European-wide family intervention for those living with dementia. Written in accessible language, Dementia: An Attachment Approach will be of great interest to people living with dementia, as well as those working with, and caring for, people with dementia in a variety of contexts including nurses, doctors and psychiatrists, clinical and counselling psychologists, social workers, health and social care workers, family carers and psychotherapists, as well as creative arts practitioners and policymakers.