The use of dolls in dementia care, effective therapy or insultingly patronising?

Gary Mitchell RN describes how he overcame his initial reluctance to see the potential benefits of using dolls as ‘an anchor in an ever-changing sea of uncertainty’ for some individuals with advanced dementia. In this blog, Gary offers some advice on how dolls might be introduced.

Read more…

Gary would be pleased to respond to any queries if you would like to email him on gary.mitchell@fshc.co.uk

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Access books, reminiscence boxes, activities and more…

[updated May 2015]

I was inspired to pull together this list of resources when attending a WhoseShoes event in Kent and heard about Kent Libraries’ wonderful list of reminiscence boxes and associated training.

A number of councils and other organisations offer a variety of dementia-appropriate books, games, activities and reminiscence or rummage boxes via libraries and other locations, for the use of care homes and individuals.

The list below just scratches the surface; if you are aware of services that we have not included please send details to feedback@carechartsuk.co.uk.

Most importantly, encourage them to list their services online! The internet is a vital source of information for people living with dementia and their families as well as care homes and organisations / individuals offering activities and events for people with dementia. If Google can’t find it, it’s going to be more difficult for people to get to hear about it.

Other sources of information

The International Federation of Library Associations and Institutions (IFLA), the international body representing the interests of library and information services and their users, have published guidelines giving practical recommendations on how to provide mental stimulate with books and other library materials. The publication also includes suggestions for library staff on how to tailor such services to the target population.

Other sources where these services may be listed are: Alzheimers Society…  Dementia Action Alliance…  Dementia Challengers…  Dementia Web

National Organisations

The Reader Organisation is a charitable organisation which runs Reader Groups in Care Homes and other locations.

Listening books is a charity providing an online and postal audiobook library service and also offers organisations their own mini library of 200 audiobooks to lend out to patients or residents or to play in communal activity areas.

Books on prescription is led by the Reading Agency  who worked with dementia healthcare experts, people with dementia and carer groups to select a list of 25 titles that provide support and advice for people with dementia and their carers. The titles can be recommended by health professionals and are available for anyone to borrow free-of-charge from their public library.

Regional organisations

Bolton offers free bulk loans of books for care and nursing homes on application to any library.

Bury has an impressive list of dementia-related titles.

Exeter Library, one of Devon’s Libraries, stocks a wide range of books offering advice and information on dementia.

Glasgow Museums has a wide range of themed kits available. They cover topics such as childhood and tenement life. Kits contain original objects, photographs and other material

Kent Libraries not only ensure they have a good stock of appropriate books, but also make available Reminiscence Boxes to care homes and people living with dementia, and provide training for staff on how best to use them as well. Contact openaccess@kent.gov.uk or call 03000412413

Leeds Care & Repair offer a free service for family members and carers to borrow fun games and activities

North East Lincolnshire Library has a dementia specific section

Liverpool Museums As part of the House of Memories programme you can borrow a ‘memory suitcase’ which contains objects, memorabilia and photographs. The suitcase contains a range of objects relating to the past including Liverpool Overhead Railway posters / Music and fashion memorabilia / Picture books and games / Ford Anglia model car  Pre-decimal coins and pound notes. The memory suitcase is a free loan service which is available from Museum of Liverpool for up to two weeks at a time. Also available: dementia awareness training to give you the skills to run a reminiscence session.

March Museum (Cambs) has loan boxes, a resource which use original, and a few reproduction, artefacts as a stimulus for learning in schools, care homes and almost any social club or discussion group.

Newcastle Library has a dementia specific section

Norfolk libraries are marking Dementia Awareness Week with free workshops and new dementia book collections and have a collection of Reminiscence Kits and Packs

Nottingham are piloting reminiscence packs or ‘Memory Lane kits’ to support people with dementia and their loved ones.

Poole Borough offer a special library card which enables people with dementia to borrow books for up to six weeks, instead of the usual three, and they stock a  complete set of Picture to Share books. People with dementia can borrow audio books, music CDs  and DVDs free of charge (2 per visit) and take advantage of the free Home Library Service for people unable to visit the library themselves, and for carers.

Somerset Library has a dementia specific section.

Wiltshire run library memory groups in Mere, Pewsey, Purton and Warminster libraries every week. The sessions are free of charge and refreshments are provided. The groups offer an enjoyable, relaxing opportunity to meet others and stimulate positive memories. In addition, Wiltshire Council is launching a new collection of dementia books, available in libraries. The aim of the collection is to provide a range of information about dementia and how to support people to live well. The books will be available in Chippenham, Devizes, Trowbridge and Salisbury libraries, and will be available to users of other libraries through the normal loan process. For more information people should contact their local library.

Please supply further resources to be added to this list or updates to feedback@carechartsuk.co.uk.

 

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When opportunities for pleasure are rare, food needs to be taken seriously.

There are increasing efforts to improve the quality of food in care homes, but if a resident cannot experience the taste or smell of what’s on offer, they are unlikely to be enthused about eating, however appetising it looks and whatever its nutritional value.

Research suggests that people living with Alzheimer’s Disease can still identify sweet and salty tastes, whereas their ability to recognise sour and bitter is impaired. Similar results were recorded in healthy people of the same age. On the other hand, unlike the healthy elderly adults in the trial, those with Alzheimer’s demonstrated a lack of ability in identifying odours, and it has long been understood that your sense of smell can have an impact on appetite.

Read the full research article by clicking here.

That inspired me to search further, and of course there’s a host of information on the importance of a good diet for those living with dementia such as Alzheimer’s Society’s Eating_and_drinking_factsheet.

Then Ode’s award-winning product caught my eye, offering a method of stimulating appetite through releasing smells: it creates the link between the power of scent and its effect on our relationship with food. There are three scents in an ode and you decide when each comes on, around preferred mealtimes and daily routines. See more on the Ode website.

What I liked most was the suggestion in The Journal of Dementia Care’s Jan/Feb issue that an alcoholic drink can stimulate appetite. Show me a care home with a decent wine list and I’m booking in!

 

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Getting to know each other

Carer's Chart

We’re always going on about the importance of needing to know about a resident’s needs and preferences, but what about your staff? Might they like to share what they like and dislike, and might they learn something from the exercise as well?

Encourage your staff to share what matters to them by completing one of these free charts. With everyone’s agreement, display them where other staff, residents and their families can see them, creating an opportunity to appreciate what is important to each other. Generate a sense of mutual respect throughout your community, and create opportunities for meaningful interaction between every member of that community.

If you are using our Care Charts for your residents you will see that we have used the same symbols* as those on the resident’s charts. This helps make the point that we are all similar in having needs and preferences, that whether we are a carer or someone being cared for, we all have things in our lives that can cause pleasure or distress.

Download as many copies of the Carers Chart A4 as you need, encourage your staff to share, and develop the relationship and mutual respect between staff and residents and their families. Indeed, it may be appropriate to invite family members to participate as well.

And if you’re not already using our Care Charts for your residents, give us a call now, on 01403 210485, or email enquiries@carechartsuk.co.uk for further information.

*If you are using Style 2 and would like a Carer’s Chart in the same style please send us a request via email to enquiries@carechartsuk.co.uk.

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