Review of "Hearing the Person With Dementia"
By Bernie MccarthyJessica Kingsley, 2011
Review by Tony O'Brien, RN, MPhil on Sep 18th 2012
This brief book is a useful guide to communication with people with dementia. It is pitched at the right level for non-professional caregivers, although professionals will also find plenty of timely reminders about communication, valuing the personhood of patients, and understanding the person in the context of their life course. The message is that people with dementia are people first, and need person-centered communication to help manage the deficits caused by progressive cognitive decline.
Hearing the Person with Dementia is a well-chosen title, as people with dementia are often treated as 'cases'; patients whose needs are wholly determined by their diagnosis and not by their individual histories and preferences. Psychologist-author Bernie McCarthy provides a clear outline not just of the reasons for treating people with dementia as meaning-making subjects, but with a model of person-centered care, and some practical learning exercises that would be useful for agencies providing dementia services.
The first chapter provides an introduction to the functioning of the brain and how the degenerative processes of dementia cause cognitive and performance deficits. The language of this chapter is clear and straightforward with many examples that family members and caregivers will find familiar. The second chapter outlines McCarthy's model for hearing the person with dementia. The VIPS (Value, Individual, Perspective, Social) model recognises both the individuality of the person and their social context, each section with its own exercise for rehearsing specific skills. Next there is a chapter on verbal and non-verbal communication, followed by a chapter on the needs of people without speech or mobility. The following chapter on specific situations is a practical guide to implementing the principles of person-centered situation in day to day scenarios such as showering, meals and dressing. The final chapter on caring for yourself addresses the important issue of carer fatigue.
Hearing the Person with Dementia has much to commend it. The prevalence of dementia will increase in western countries in the next few decades, and models of care will need to evolve from the deficit focused models of the past. This book covers many important areas and succeeds in rendering care of the person with dementia in accessible language. The book is not just readable, but usable, so deserves to be readily applied in day to day care.
© 2012 Tony O'Brien
Tony O'Brien is a lecturer in mental health nursing at the University of Auckland, New Zealand
Resources
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Articles
- Introduction & Causes of Cognitive Disorders
- Dementia
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Alzheimer's Disease
- Alzheimer's Disease
- Prevalence and Causes of Alzheimer's Disease
- Causes of Alzheimer's Disease Continued
- Risk Factors for Alzheimer's Disease
- Symptoms of Alzheimer's Disease
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Other Cognitive Disorders
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- Prevention of Dementia and Other Cognitive Disorders
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Dementia Coping Skills & Behavior Management
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- Communication Tips for Dementia Caregivers
- Behavioral Management for Dementia Caregivers
- Behavioral Management for Dementia Caregivers Continued
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- Alzheimer's and Dementia Caregiver Training: Aggressive Language/Behavior
- Alzheimer's and Dementia Caregiver Training: Sleep Disturbances
- Alzheimer's and Dementia Caregiver Training: Repetitive Phone Calls
- Alzheimer's and Dementia Caregiver Training: Home Safety
- Best Practices & Emerging Therapies for Patients with Alzheimer’s Disease
- Recognizing the Early Signs of Dementia
- Effective Treatments and Prevention of Alzheimer’s Disease: The Time is Now - Research on Aging
- Dementia – it affects us all
- Falls Prevention in People with Dementia
- Caregiver Training Part I: Introduction
- Caregiver Training Part II: Hallucinations
- Caregiver Training Part III: Refusal to Bathe
- Caregiver Training Part IV: Refusal to Take Medication
- Caregiver Training Part V: Repetitive Behaviors
- Caregiver Training Part VI: Repetitive Questions
- Caregiver Training Part VII: Sundowning
- Caregiver Training Part VIII: Wandering
- The Benefits of Early Detection of Alzheimer's Disease
- A New Way To Look At Alzheimer's
- The Healing Power of Music
- Falls Prevention in People with Dementia
- Falls Prevention in People with Dementia
- Protecting & Caring for Patients with Dementia
- Dementia 101 in 101 Seconds
- Normal and Abnormal Aging and the Brain
- Alzheimer’s Disease and Parkinson’s Disease
- Aggressive Behavior in People with Dementia
- Diagnosing Alzheimer’s
- Signs of Alzheimer’s
- Practical Tips for Travelling with a Loved One with Alzheimer's Disease
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