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Staff have increasingly found the need to support and assist Bill with his personal care; however, in recent months Bill’s language and behavior towards them have become overtly _____________________.
Bill has dementia and has lived in a care home for three years. Staff have increasingly found the need to support and assist Bill with his personal care, such as washing and dressing. However, in recent months Bill’s language and behavior towards them have become overtly sexual and explicit. Such to the point he was reaching out and trying to grab hold of female staff when they tried to assist him.
The dementia specialist key contact was keen to understand what was behind Bill's changed behavior. She did not just want to assume that:
The care manager was concerned that members of staff were becoming reluctant to support Bill and often scared to enter his room. There was not always a male member of staff available to support Bill. The care manager asked the dementia specialist key contact for help. She did not just want to assume that the home could no longer support Bill and was keen to understand what was behind his changed behavior.
The dementia specialist spent time with _______ and held discussion groups to help identify possible reasons for Bill’s responses and behavior.
The dementia specialist spent time with staff and held discussion groups to help staff to identify possible reasons for Bill’s responses and behavior towards them. Staff spent time looking into Bill’s life story and talking to his family to understand more about his background. They focused on their own approach to Bill and considered strategies that could help them support Bill without aggravating his feelings and responses towards them. They also looked at ways to support Bill to feel occupied, and involved him socially with other residents.
What did the staff do to try to understand Bill?
The dementia specialist spent time with staff and held discussion groups to help staff to identify possible reasons for Bill’s responses and behavior towards them. Staff spent time looking into Bill’s life story and talking to his family to understand more about his background. They focused on their own approach to Bill and considered strategies that could help them support Bill without aggravating his feelings and responses towards them. They also looked at ways to support Bill to feel occupied, and involved him socially with other residents.
What was the result of the care home's intervention with Bill?
Bill is still living in the care home. With ongoing support from the dementia specialist and the care manager, staff are feeling more confident and better able to support Bill. Bill appears more content and is engaging with staff and residents. The dementia specialist continues to support the staff.
Paula and David had been looking forward to enjoying their retirement together. Then Paula was diagnosed with ____________________.
Paula and David had been looking forward to enjoying their retirement together. Then Paula was diagnosed with Alzheimer’s disease. As her dementia progressed, she was admitted to a hospital ward before going to live in a care home. At first David visited her every day, then once a week, and then less often. It was clear that he found the changes in his wife difficult to cope with, despite support from staff. He said he had lost the woman he fell in love with. Paula found verbal communication very difficult and would approach all men in a sexual manner.
Because of Paula's dementia, she found verbal communication very difficult and would approach _________ in a sexual manner.
Paula and David had been looking forward to enjoying their retirement together. Then Paula was diagnosed with Alzheimer’s disease. As her dementia progressed, she was admitted to a hospital ward before going to live in a care home. At first David visited her every day, then once a week, and then less often. It was clear that he found the changes in his wife difficult to cope with, despite support from staff. He said he had lost the woman he fell in love with. Paula found verbal communication very difficult and would approach all men in a sexual manner.
Which was a technique or activity used to promote appropriate physical contact for Paula?
Staff were encouraged to promote appropriate physical contact for Paula. An aromatherapist was booked to give Paula regular gentle hand and foot massages every week. Paula was also supported to become involved in a full program of activity that was meaningful and pleasurable for her. For life story work, it was identified that Paula enjoyed clay modeling, as she had been interested in pottery. She also enjoyed looking at fashion magazines and trying out make-up, as she had a keen fashion sense. She also enjoyed going out for long walks.
True or False:
All these activities alleviated the situation. Paula was much happier and no longer seemed to need explicitly sexual contact when she was meaningfully occupied and receiving the regular massage.
All these activities alleviated the situation. Paula was much happier and no longer seemed to need explicitly sexual contact when she was meaningfully occupied and receiving the regular massage. The massage provided an alternative, appropriate, and pleasurable means of touch. But for David the situation remained difficult as he no longer found his wife desirable. He found it helpful to have the support of staff on his visits, and following support from the home he asked his GP to be referred for bereavement counseling to help him come to terms with the personal loss he felt.
True or False:
The situation improved greatly for Paula, but this didn't change things for David. He still felt great personal loss and asked for bereavement counseling to deal with it.
All these activities alleviated the situation. Paula was much happier and no longer seemed to need explicitly sexual contact when she was meaningfully occupied and receiving the regular massage. The massage provided an alternative, appropriate, and pleasurable means of touch. But for David the situation remained difficult as he no longer found his wife desirable. He found it helpful to have the support of staff on his visits, and following support from the home he asked his GP to be referred for bereavement counseling to help him come to terms with the personal loss he felt.
