Comparing Non-Pharmacological Approaches by Amanda Moore

Comparing Non-Pharmacological Approaches by Amanda Moore https://padlet.com/mailamandamoore/bhvrf03a28b8 Compare 3 psycho-social approaches and consider which is most beneficial for a service user with Dementia in your work context. en-us 2016-09-01 14:39:08 UTC 2017-06-04 17:00:34 UTC hello@padlet.com Reminiscense https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121164527 I have found that reminiscence is a good approach to use in a nursing home setting for residents who are withdrawn and quiet. Reminiscense can encourage people to remember things that they used to enjoy and provide an opportunity to talk and share memories and feel involved and included. ]]> 2016-09-01 17:31:12 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121164527 Animal Therapy https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121166506 Animal therapy is also positive in the nursing home setting. We have found that having a dog in the home for a short period reduces anxiety and provides a distraction of sorts. It is also a good conversation starting and can often lead to reminiscening about pets from the past.]]> 2016-09-01 17:36:56 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121166506 Cognitive  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121169637 2016-09-01 17:44:59 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121169637 Cognitive https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121169797 2016-09-01 17:45:17 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121169797 Cognitive  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121170192 2016-09-01 17:46:06 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121170192 Cognitive Stimulation Thera https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121170246 I feel thay this would be very beneficial in a nursing home. Often residents in a nursing home lack physical and mental stimulation which as a result leads to a decline in the residents cognitive abilities. This type if therapy would ensure that residents are recieving appropriate stimulation and would hopefully delay or prevent their dementia progressing]]> 2016-09-01 17:46:11 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121170246 one to one sessions in a relaxed atmosphere, doing something that that client enjoys works well in my setting which is a daycare centre https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121216610 2016-09-01 20:36:55 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121216610 group therapy also works well in daycare, reminiscence therapy gets clients talking about their younger days and to each other about same https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121216876 2016-09-01 20:38:22 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121216876 I think in my area of work on a rehab ward that occupational therapy plays a major part in improving the quality of life for the service user when they go home. It helps to maintain what capabilities they currently have and is followed up in their own home with the community team. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121507565 2016-09-04 22:48:29 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121507565 Signposting amandacorbett https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121627356 In my area, which is an outpatient department, I feel limited in psycho-social approaches that I can use. I definitely think signposting is something we could do and give info regarding memory cafes and other things like Singing For the Brain.]]> 2016-09-05 19:40:47 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121627356 Cognitive Stimulation Therapy is used in day centre setting that Service Users attend twice weekly and through group work and socialising with others physical and mental stimulation is delivered. Groups like reminiscence, quizzes, music, crafts and art for mental stimulation and sit and get fit, boccia, dance for physical stimulation. This seems to maintain cognitive functioning at a level for a longer period of time. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121945654 2016-09-06 20:29:22 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/121945654 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122563781 In my area of work as a community based social worker the counselling model of therapy would be used the most in my day to day role. This type of therapy is used with many service users to help them discuss any issues or concerns they may be experiencing at that time. Working with adults with learning disabilities sometimes I]]> 2016-09-08 18:37:06 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122563781 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122565999 This is continued
Sometimes in my area of work I have to adapt my communication to suit the needs of the service users. Quite often pictures can be used to help individuals talk through their feelings!!
Music therapy and life story work are other types of interventions that work well with the adults with learning disabilities particularly in the day care setting. Unfortunately due to the pressures of case loads and other demands on social workers I find it extremely difficult to find the time to carry out therapy work that fundamentally supports service users through perhaps very difficult times in
their lives.
Judith

]]> 2016-09-08 18:43:16 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122565999 In my area of work - mental health residential support - many residents have already availed of talking therapies and have found them very helpful, especially CBT.  I think we have to be very careful of reminiscence in this setting, as bad childhood experiences can be at the root of some mental health problems.  Social get-togethers where people can chat to others in the same position are always popular. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122684145 2016-09-09 10:37:19 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122684145 In my setting I think reminiscence would be of value to all tenants that live in the Fold, in fact tenants that are not displaying symptoms of Dementia could actually help those that are struggling.  It would be a beneficial exercise for everyone. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122885544 2016-09-09 20:49:53 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122885544 Psycho-social approaches. eileenthompson_et https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122911435 We have an activities programme which provides a selection of various activities on a daily basis, this is delivered to each resident to peruse and decide what activities they would like to attend and participate in. This in itself is exciting to receive a
personal programme that allows them to choose an activity of choice. Music, reminiscing and painting are the most popular activities in our nursing home, but for some of our quieter residents, they prefer individual psychotherapy like manicurist or massage.]]> 2016-09-10 09:46:01 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122911435 Psycho-social approaches acute setting https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122955107 I work as an OT in an acute hospital. As an OT my intervention aims to optimise patients' independence with activities of daily living. This involves largely adopting compensatory techniques such as equipment in order to facilitate discharges home after a period of acute illness. I signpost/refer also to community OT for further assessment in home environment for assistive technology among other assessments. The aim being to maximise patients' functional independence at home and also their safety. I find that families find it very reassuring also. I have also linked with social work colleagues to signpost to voluntary agencies such as Alzheimer's society. As part of my change project I hope to introduce reminiscence in some way to OT intervention within the hospital. I believe it will improve the patient experience by increasing feelings of identity and purpose for patients in the unfamiliar and often unsettling hospital environment. I feel it will be suitable for certain patients as it is more general than the life story book and hope it will be a reassuring experience for patients for times when they are feeling particularly distressed or unfulfilled by the busy ward environment.]]> 2016-09-11 12:22:04 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122955107 In my workplace I feel that any music related activitity is beneficial to someone with dementia. We would have entertainers into sing but also activities like armchair aerobics prove to be popular as you have both the music and some physical activity. We have done some life story work in the past and I think this along with reminiscence sessions would work well. The life books would also help with providing a person centred approach https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122960814 2016-09-11 14:13:09 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122960814 In my workplace i.e. dementia unit I find small groups off individuals who are roughly around the same stage in their journey in dementia work together in an activity better than a large varied group. I find that before starting any activity finding a quiet area, being well prepared myself, introducing myself and making the residents feel comfortable at ease helps the activity to start with a more positive vibe! I always end an activity thanking the residents for taking part. Pamela https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122962177 2016-09-11 14:44:37 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122962177 One-too-one.... I am privileged in my workplace to be able to provide one-too-one time to whomever requires it the most. This can be anything from painting together, having lunch or simply touch. I have found that sitting face to face works better, gets better concentration and gives a more personal touch. Pamela https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122962799 2016-09-11 14:57:09 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122962799 Within my workplace i we strive to meet the needs of the individual. The service users at the centre with dementia would get alot of 1-1 care when needed. I also provide a range of activities ie, Sonas Therapy, reminiscence and music therapy. Commnication is vital what ever you are doing and always giving the person a chat to have their voice heard. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122983058 2016-09-11 21:09:07 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/122983058 8 years ago, our team set up a Carers Support Group which has been beneficial in assisting group members to share what they find difficult and challenging about caring for a loved one with Dementia. This group has allowed its members to establish and develop friendships over time and has facilitated an exchange of views where carers can discuss and overcome daily challenges. Often just sharing a problem, or knowing that someone else has felt the same way, can make the problem feel more manageable. Group members share information they have received or talk about the support that they have had through the CMHT, day centre, etc. In relation to working directly with residents, I have found that Life Story work can be an important way of facilitating people with Dementia to remember and record past events and memories, so that a biography can be created using photographs and pictures. It is a useful reference source for staff involved with the individual and can be used as a helpful means of involving families and carers to remain engaged and involved with the person in spite of the illness. Equally, in my experience most people (including people with Dementia) enjoy being creative. Artistic expression through art or music or dance can help with emotional difficulties and can improve well-being to assist the person to live well with Dementia. esther_brimage https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/123071198 I feel that it is best to vary and combine the psychosocial approaches used in any care facility for people with Dementia for maximum effect. As the illness progresses, the person’s needs will change and staff need to be able to adapt approaches to manage this.

]]> 2016-09-12 11:32:24 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/123071198 Psycho-social approaches. Within a Residential Care Home setting I feel that Music Therapy would be particularly beneficial.  Many of the Service Users within our Care Home love music and  particularly love to sing and reminisce by singing songs and hymns from their childhood and generally from their past.  This type of activity is particularly beneficial for individuals who normally find it difficult to engage with others or in verbal therapies.  It is a very inclusive activity and instills a sense of community within the our Care Home.  Reminiscence is also a useful approach as often singing or music prompts chats about past history.  Life Story work within our setting would not only be beneficial to service users by maintaining good mental health and well being but would also benefit and involve family members ensuring records of life history are never lost.  It is also a useful tool to assist Carers in engaging with the Individual with Dementia in a positive way. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124188279

]]> 2016-09-15 19:09:05 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124188279 In my work place i feel for clients to get out more to see places they went to when they were younger to reminisce on things they did. we had a small group of clients out on a short bus run on the way i interacted with the clients of buildings they remembered down by the sea stories they told not only did they enjoy it but it also gave me great job satisfaction  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124442199 2016-09-16 17:57:36 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124442199 Within day  I use a few I feel are beneficial. I use Reminiscence at different intervals throughout the day. It can be used on 1-1 basic to relief tension and anxiety  or in a group setting. We cover all topics and have different props to prompt conservation. We also use Life story work, which is very beneficial especially with individuals with early on set Dementia. I also feel Quizzes help keep your brain active, it helps to pitch the Quiz at the level of activity for the group. Some questions and answers may also lead to a conservation. Sonas Therapy involves your Senses this can be a group activity or 1-1 activity.  I carry this out weekly and people smile  minute they hear the music some of them start to sing or hum. I use music a lot throughout the day. All sort of music. Musical movement activity is a way to stimulate the mind and also I guide the group th https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124479304 2016-09-16 20:18:44 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124479304 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124556986 In my work place we will always aim for non-pharmacological approaches first particularly around challenging behaviour. Structured sessions based on what the person has and does enjoy such as music, old movies, etc works well. We make use of massa]]> 2016-09-18 11:12:32 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124556986 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124557046 Continued.. Make use of massage and reflexology, foot spa's etc. Focusing on private personalised space has worked well, including favourite items, old furniture, record players etc. Involvement from families has been key in making this successful. ]]> 2016-09-18 11:14:30 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124557046 within my day centre we use reminiscence and music therapy a lot. This can be done by just chatting or can be visual using old pictures and photos, smells, videos or objects brought in by staff or donated by families. Last week we looked at photos of a service users dogs. This developed into a group discussion with the service users telling us about their pets when they were children Some of men talked about how their dogs knew the sound of their footsteps at night walking home from the factory and coming to meet them. This then led to them discovering they or family members had worked in the same factory 50 yrs ago.  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124571022 2016-09-18 16:01:17 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124571022 In my work place as a speech and language therapist I feel the approach that is used most at the moment is sign posting to other services however I think life story work, peer support groups and reminiscence could be used very effectively to enhance and maintain communication skills and links with clients with dementia. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124581321 2016-09-18 18:43:41 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124581321 Within the care setting which I work I feel that music therapy has a positive influence on all residents with dementia no matter what stage of their dementia they are at. We also use life story work within our home, however I feel as a team we could use more of this therapy whilst incorporating reminiscence therapy. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124587877 2016-09-18 20:29:47 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124587877 in my work place we tend to use a lot of group activities such as relaxation/breathing exercises and reminiscence. although his can be done on 1:1 if people are distressed it usually takes the form of a structured group. we also provide weekly music groups for all the service users. this group is informal in approach and people are free to come and go as the please. we have a volunteer musician that comes and plays requests using different instruments. service users love this group as it is a sociable event and provides relaxation. something I would like to see more of in my work environment is signposting, on my ward this is limited. given that people are at times receiving a diagnosis when with us I feel that having the ability to provide additional support and potential access to other services would be beneficial to service users and families at difficult time. this  would provide comfort and support. overall all I don't think one intervention is better than the other they all provide an opportunity to relax/ have meaningful activity/ social outlet and at any given time one may provide better comfort to the individual than the other. it allows me as a health care provider to get to know the service user and enhance our communication and relationship to a more meaningful level. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124639150 2016-09-19 07:16:49 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124639150 I feel it is very important to get to know each resident to ensure we choose the right psychosocial intervention for their individual needs and preferences. In the nursing home where I work I find that reminiscence therapy is very beneficial to our residents to help improve their feeling of well being. We use a reminiscence newspaper which contains articles, old news stories, sing-alongs and quizzes geared towards stimulating the mind and improving memory. It promotes conversation and sharing of memories and some residents actively participate while others listen or just join in with the sing-along. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124643398 2016-09-19 07:40:21 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124643398 'Live music promotes positive behaviours in people with Alzheimer's disease.' https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124675149 This is the title of a research article in the British Journal of Occupational Therapy in Novemebr 2014 by Elissa Cox, Madeleine Nowark and Petra Buettner.
The short term benefits were observed for participants with both moderate and severe Alzheimers, many of the behavioural responses emerging early in the intervention and lasting 15 minutes after completing. There were apparent short term improvement to task, concentration and alertness to the surroundings throughout the musical intervention and beyond. ]]> 2016-09-19 10:25:43 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124675149 I will use my role in assessment and care planning as an opportunity to explore what possible non-pharmacological approaches can be used in care settings to connect with people. The personalized the care plan the better and using the valuable information that caregivers and families have should be communicated. Care givers, especially in the community setting, require encouragement and prompting to try new techniques in trying to connect with people with a dementia. I will endeavor to encourage our budget holders to allow sufficient time for this, particularly in the domiciliary care setting. marsha_begley8 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124692252 2016-09-19 11:55:19 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124692252 Occupational therapy lengthens a clients independence at home, ability to continue to attend work or daycare,by providing equipment, assistive technology and teaching a alternative way to doing functional skills by breaking down tasks and modifying it to suit the individual.  Cognitive rehabilitation is also used with in OT to teach new skills and said above to teach new ways to do a functional task.  stress and anxiety management is another therapy provided by OT, this can be for a specific situation or for general anxiety management.  Within OT we will offer different types of relaxation programmes such as muscle relaxation, mindfulness and chi me, depending on clients particular needs.  Our clients current benefit most from Occupational therapy as a intervention as the equipment we provide ensures their independence or time remaining at home is extended. within Occupational therapy there is signposting provided to family, carers and day care with regards to making the environment dementia friendly, meaningful activity, avoiding and managing distressing behaviour. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124883527 2016-09-19 19:21:47 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124883527 We find music therapy to be very benefical to our residents.  it can be a social activity or 1 to 1 depending on the residents preference.  It helps to improve someones communication skills, motor and sensory skills, it can address behavioural and emotional issues, builds self confidence and help people to express themselves.   We also use multisensory equipment ie sensory lights, bubble tubes, relaxation music, fibre optic lights, tactile boards themed projector lights.            sonia_lockhart https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124943708 2016-09-20 02:30:59 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/124943708 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/125637551 i work in a nursing home where the majority of residents have moderate to severe Dementiia. Everyone relates to music therapy. Residents and staff sing a long and it creates a warm, friendly environment for everyone. I also find doll therapy has been benefical in reducing distressed reactions for some residents, however it does not work for everyone.

]]> 2016-09-22 08:45:15 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/125637551 In my work setting we signpost our service users to places like day centres for non-pharmacological approaches, now that I am in the community. When I worked on the wards we used doll therapy, remminence, and snozleen room, but there are a lot more advanced therapies now which should be used in day centres. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/125655646 2016-09-22 10:21:30 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/125655646 As a community staff nurse we try to allow a person with dementia to live in the community independently for as long as possible. We work along with the memory service team to keep the person happy and safe. We try and encourage the person to go to a day centre and socialise. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/125872246 2016-09-22 20:48:55 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/125872246 in my residential  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/126052627 2016-09-23 15:38:22 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/126052627 in my  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/126052633 2016-09-23 15:38:22 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/126052633 in my https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/126052682 2016-09-23 15:38:29 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/126052682 psycho-social approaches in my work place. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/128222279 working in an acute hospital based setting makes our phycho social approaches limited as we are unable to do group work. we have recently received funding for distraction aids and aids to assist reminiscence therapy and find that this is very effective for people with dementia. This kind of therapy would be one to one with patients and sometimes staff do not have the time they would like to do this as other tasks take priority. We also find music therapy to be very helpful in patients who already have a love of music but also patients who are in an acute delirium. It can have a very soothing and calming effect. I know that group sessions can be very beneficial for patients with dementia but unfortunately it is not possible in my workplace due to its acute nature. ]]> 2016-10-04 15:42:49 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/128222279 Signposting and Occupational Therapy https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/129754389 In my line of work, it is important that we sign post individuals to professionals, websites and experts who could offer extra support and assistance in their day to day activities. We also value and recognise the importance of liaising with OTs as they help in providing equipment to promote independence and empowerment. -OWatson]]> 2016-10-11 11:37:15 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/129754389 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130115288 reminiscence is often used and a good way of distracting patients- its just hard to find the time to do this for all patients who require it.
we have introduced rummage boxes that have colouring books, magazines, books, card games, cds etc that mite be suitable and can be used for a patients]]> 2016-10-12 13:26:18 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130115288 claire https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130697373 I work in palliative care and we see may patients at the end of life. we would encourage relatives to bring in music that the patient liked and play it to try and soothe them. where possible we use reminiscence and life story work to encourage them to talk and to enable us to get a more holistic assessment of the person and there likes and dislikes]]> 2016-10-14 11:37:34 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130697373 i find music therapy to be the most beneficial. Everyone joins in and even residents who have lost a lot of their vocabulary still mange to remember the words to the songs. It improves mood and behaviour and reduces agitation https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130745774 2016-10-14 14:07:50 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130745774 In a domiciliary care setting there are limited psycho-social approaches that I feel we can use due to time limititations. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130844738 I believe signposting is an area that could be used and I will include this in my change assignment.
Day sitting services are the ideal time to spend one to one with the clients and reminiscence.]]> 2016-10-14 18:15:07 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130844738 Dorothy S https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130970910 A reflective memory of Sam, a retired consultant. He became part of a coffee group mostly made up of business colleagues who loved to reminiscence on various subjects of the day. I believe his group is an original coffee group for stimulation of memory and companionship. ]]> 2016-10-16 14:19:32 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/130970910 In my workplace we have a 'memory box' being developed- this will have old pictures of different areas in Belfast and common workplaces- such as looms, shipyards and docks. We also plan to have pictures of social activities, eg old pics of children playing, women at hairdressers, etc. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131057639 2016-10-17 08:07:25 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131057639 In my workplace reminiscence therapy could be used, and if we had a few clients referred to us with dementia we could complete some group work including: music therapy and/or cognitive stimulation therapy. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131140237 2016-10-17 13:54:12 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131140237 I work in the community. We engage with memory services to have day centre placements for dementia patients. When the patient becomes more endstage then that's when support ends but that's when the carers should get help. Often respite is arranged because the patient no longer can participate. Small clubs and cafe centres are also very useful which encourage brain training and music therapy https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131149611 2016-10-17 14:13:53 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131149611 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131173879 Therapy via animal touch is very effective. The patient gets an unconditional comfort and reassurance and is very reassuring for them.]]> 2016-10-17 15:07:51 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131173879 I have noticed reminiscence has a positive response on some dementia service users  and only if carers had enough time which is the biggest issue in the community for the domiciliary care setting!! our service users don't get what they truly deserve time to listen and time to share experiences if they can. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131265663 2016-10-17 18:24:42 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131265663 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131375191 My unit ranges from moderate to endstage dementia. It's a large unit (45 beds) to compensate for the size we have divided it into smaller groups of patients who are at the same stage of their journey. We have found with the more moderatestage of dementia patients thatgroup work e.g. Art, music, animal therapy has been beneficial. We are also including family to make it more relationship centred plus it acts as a peer support group for family too. With those who are further on in their journey, the activity nurse and staff in the evening provide 1:1 music therapy, relaxation therapy to try and alleviate sundown challenges. At present for the whole unit we are developing life story boards for their rooms, to provide a pictorial view of their life and reflect them as individuals. I'm also creating online profiles as my change area to assess what's needed to stimulate and engage on a 1:1 basis to ensure their needs are worth is addressed. Personally I feel psychosocial interventions are paramount. If we don't feel good about ourselves it reflects on our physical demeanour. Our nursing home has its "practical routine" in place but needs to be more aware of the importance of its psychosocial routine. ☺️ Kay Cooke ]]> 2016-10-18 07:07:10 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131375191 In my work place I find working in small groups of about 10 people works well. Activities such as reminiscing/life stories work well and any musical activities such as singing, dancing or musical bingo depending on abilities of group. Physical activities such as boccia bowls or balloon badminton are best carried out in the morning as people can be more tired in the afternoon. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131401894 2016-10-18 09:50:13 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131401894 Non-Pharmacological approches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131503134
Within my work place I carry out daily activities both on a one to one and group basics with dementia residents. This seems to be very beneficial. When resident's become agitated, unsettled and frustrated I find that carrying out actives to be very distraction and also it helps them to focus on something rather than their agitation.

Pamela. H]]> 2016-10-18 15:05:40 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131503134 I work in the community and clients with Dementia do not get enough time for staff to do any reminiscence work in depth with them. The service is mainly task orientated unless its a sitting service. This is a great unmet need since I feel that if the service users had staff that could spend more time doing memory work, reminiscences, life stories this would enhance the service provided and enhance the satisfaction for the service user and their carers. This would also reduce the need for Pharmacological interventions. Normally in the community if the service uses violence to display their frustrations then doctors prescribe medications and this does not address why the behaviours are happening  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131634356 2016-10-18 20:34:24 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/131634356 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132018326 The medication option is often the first port of call when things go wrong. This misses out of the vast potential for quiality of life to be improved for clients in other ways.]]> 2016-10-20 10:50:10 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132018326 Comparison of 3 services jenonthemove26 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132137876 The three areas that might be most useful for me working in the hospital setting are: assistive technology, dementia advisor and cognitive rehab.
We in the hospital can access the assistive technology through fold telecare especially if it is deemed urgent for discharge. It gives family and OT peace of mind that there are some methods for monitoring safety on discharge. The cognitive rehab would be beneficial especially in the early stages when the person is more able to engage with the programme and they can be enabled to be ]]> 2016-10-20 16:32:07 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132137876 Creative Arts- This would be very useful in my work setting as there can be verbal communication difficulties-art can enable individuals to express emotions in a non verbal way and enhance quality of life.   https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132373542 Family Therapy-This would be useful for individuals as many are supported by their families. Given the potential for stress/challenge experienced by both the individual with a dementia and their families, this approach could facilitate more constructive communication approach.
Peer Support-This could be useful for both individuals and or their family/carers to increase a sense of social support/share knowledge and experiences and to increase quality of life and decrease depression. ]]> 2016-10-21 15:19:14 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132373542 This guide to psycho social inteventions is very informative. I would like to try using animal assisted therapy in my work. I will also advise families to seek guidance from Occupational therapists  on adapting service users homes as needs change. I think adavnce care planning is something that would be useful for most of our service users and their carers as it would give them both more peace of mind. Reminiscence is used a lot in day care settings. In fact in my opinion it is sometimes overused and is not really beneficial for service users who have largely lost the power of language. At weekends we have a lot of men at the day centre and we find thy of them love any type of competitive game be it darts , skittles, the parachute game, throwing hoops,sn akes and ladders etc etc. Its great to see the look of achievement on their faces when they get a high score on any of these games.  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132509857 2016-10-22 20:07:33 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132509857 In my work setting the 3 psycho-social methods we would use are the ones based on social activity. Music, Reminiscence, and Cognitive Stimulation therapy. Music is good as everyone tends to join in with the  Old time songs. Whenever we have a sing song the atmosphere in the centre is very positive and everyone benefits.. Reminiscence encourages social interaction and helps rekindle memories of times gone past. Both these approaches help stimulate the mind and maybe help to slow down the progress of Dementia.When we have this kind of activity a lot of conversations are generated between service users and staff. .Although we don't have a Cognitive Stimulation Therapist in our setting it may be a useful tool to encourage in our work setting. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132855710 2016-10-24 20:57:31 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132855710 Signposting, Cognitive Stimulation Therapy and Music Therapy https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132948188 In community care setting, signposting individuals to professionals is important because we get to address their needs and issues. Someone who is rightfully qualified
would be able to assist the organisation and the service user.
Cognitive Stimulation Therapy is useful in enabling the cognitive processes to be utilised. I consider it as a good therapy as individuals get to challenge themselves to use their cognitive abilities.
Music therapy is powerful and there has been several scientific studies proving how it works wonders in helping individuals interact, communicate and express themselves after hearing songs with meaning for them.

Olive Watson]]> 2016-10-25 10:35:43 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132948188 The 3 approaches that jump out to be most benefit in relation to my work setting are life story, advanced care planning and peer support groups.  Life story to gain as much info about the individual and therefore enhance the relationship between service user and carer. Also to aid with memory.  Advanced care planning to allow the individual to express their wishes at a time when they feel comfortable and able to do so.  This approach also takes pressure off loved ones who are required to make decisions without knowing!  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132950636 Peer support groups for people living in their own homes could prevent isolation giving opportunities to attend in the comfort knowing that they are not alone and can share experiences, resources]]> 2016-10-25 10:52:20 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/132950636 I found this guide very interesting and informative. In my work setting the 3 psycho-social methods we currently use are assistive technology, Dementia memory cafes and reminiscence. My service provides supported housing for individuals living with a dementia in a communal setting.  Assistive technology - promotes and enables individuals to maintain their independence and safety through non intrusive monitoring. The assistive technology is designed to meet each persons needs on an individuals basis, this is carried out through communication with service user, their carers and on-going monitoring and assessments. Dementia memory cafes - very beneficial to service users, improves communication and promotes feelings of well-being. Empowers individuals to voice their opinions, form, maintain and build relationships. Reduces the risk of social isolation and enables individuals to remain actively involved in the local community. Reminiscence - carried out within a group or on a one on one basis. Promotes feelings of self worth and provides an opportunity to revisit memories, share and compare their experiences with others. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/133075323 2016-10-25 16:25:27 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/133075323 Comparing Non-Pharmacological Approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/134630125 The three approaches that I feel would work well in domiciliary care are Life Story Work, Reminiscence Therapy and also Doll Therapy. Life Story Work is vitally important enabling the care staff to move with the person through their journey and also to glean glimpses of the persons past to enable them to use reminiscence therapy appropriate to the individual. I have also observed the benefits of doll therapy but this takes buy in from family members. Many women never loose the maternal instinct and the availability to help them channel their frustration and agitation into something that has meaning for them can be extremely beneficial reducing some of the behaviour that can be classed as challenging/ distressed reactions.]]> 2016-11-01 21:05:52 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/134630125 In day care we use mainly Non-Pharmacological approaches as we do not use medication.Three things we would find most helpful are reminiscence, life story books and music. Reminiscence is not always planned sessions as we all recall memories ever day. We must remember its not all about the wars and the past, we can effectively share stories and compare things such as the cinemas, dance halls and music with our young people. We work closely with our local schools on various inter generational projects. Older people generally love to see the children and by sharing stories can come to respect each other. We also have a large group of volunteers, they can provide the the one to one support to help members to complete life story books. This also helps the person to feel important respected and listened to, by providing this support we can include older people with dementia who may also have sight or hearing problems and it is person centred. We also have live music every week, as we have an age range from 60 to 96 we have different types of music from the old tyme sing a long to the music from the 60s and 70s . These activities do not require a lot of concentration but can stimulate the person increase self esteem and provide self worth. I think the most important thing we should remember especially those of us working with people in the earlier stages of dementia is they are not children they often like to try new things and enjoy "normal" things we all like to do.  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/134644491 2016-11-01 22:59:07 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/134644491 Psycho-social approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/134843623 Unfortunately working in the community and introducing such approaches is not possible in a formal matter. However on considering the different approaches I have found strong evidence of such approaches in an informal way on a daily bases.
Reminiscence-
When a home care worker has spent many hours caring for an individual they get to know them and their past, it is such stories that I find them discussing when carrying out'' LIVE'' supervision .
Life Stories-
Whilst we don't complete such books, at team meeting we build up the individuals life story and it is such info that is shared with in the team to enable everyone to provide the best possible care for the individual and create an understanding of the clients needs
-often it is the wee things that make the difference.
Music
Our staff have been known to sing with their clients, when providing their care. One of the most wonderful examples of this was when one of our clients was in her last few days on earth.]]> 2016-11-02 16:29:49 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/134843623 I find the best non pharmacological approaches that work in my setting are life stories these work well for reminiscence https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/135620220 music therapy is usually popular in my workplace as the residents will often sing along and the carers and residents connect well with everyone joining in
pet therapy has also proved beneficial within my setting as it is a good conversation starter among the residents and they generally seem to enjoy interacting with the dog/rabbit/kitten that is in the area at the time this is only an occasional occurrence but would be good to have this on a more regular basis.]]> 2016-11-06 18:08:26 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/135620220 Psycho-social approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/135731991 As I work in the community it is sometimes difficult to try out different approaches. Although I have tried reminiscence in our clinical area at work whilst the patient was waiting to see the consultant , it did seem effective as it generates conversation and helps them become more relaxed and sometimes open up more.

]]> 2016-11-07 12:16:24 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/135731991 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/135933590 working in a busy medical ward unfortunately I continuously see pharmacological approaches 'over used' by staff. while as much as our intentions are just to keep the person safe barriers like time, poor staff levels and critically ill patients make it extremely difficult to manage on a busy ward :(

]]> 2016-11-07 20:26:02 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/135933590 As I have used a variety off different approaches, I do think everyone having a life story completed so that it enable us as staff to get a feeling of who the person is this is like the foundation to build on to implement a tailored person centred approach, Doll therapy I have tried with many individuals it has not worked with everyone but when it does it does, Music Therapy can trigger a thought/memory and can also relax individuals https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136061396 2016-11-08 12:30:15 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136061396 The most beneficial approaches for service users in my work would be doll therapy and life story. I do find though that these are more suited to specific residents. I think the introduction of tailored interventions. After trial and error each person would have a few different therapies that could be used depending on the situation instead of reaching for medication. I have also found that using validation therapy residents would be a lot more calm around me or I can seem to distract them from behaviours that challenge quite quickly in comparison to other staff who  I think don't have a great understanding about behaviours that challenge and why they present. In our work place I just find that due to understaffing time is a major factor in being able to try alternate therapies instead of medication which is the quick fix. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136351161 2016-11-09 11:29:41 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136351161 I think that music therapy helps to promote a sense of calm and relaxation. It also helps to bring people together as it can be enjoyed in a group. I have seen how doll therapy helps resolve agitation in nursing home residents. The use of memory boxes is also helpful in stimulating memories and aiding conversation https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136592010 2016-11-09 22:39:31 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136592010 life story I think is vitally important as it ensures that as much information as possible about the person  is gathered and as result everyone who would then come in contact with the information may benefit. possibly coinciding with this is reminiscence. it  is an excellent as it can generate conversation and make the individual feel that you are interested in them and give them a sense of value and meaning. doll therapy is also very good particularly for those that following assessment it has been identified as something that would benefit them.  https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136793906 2016-11-10 16:39:11 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136793906 Non pharmacogical approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136811254 Its quiet hard to see which is beneficial
Cognitive behaviour therapy for anxiety and depression in regards to talking to your patients helping them deal with stress and anxiety in a hospital environment, they are out of their comfort zone and make them feel better and comfortable.
Cognitive rehabilitation can link in with family / systemic therapy in terms of encouraging families and carers mange the impact that dementia has such a problem with thinking and meanings in everyday life this is mainly for people with early stages of dementia
Cognitive training this again leads with families in terms of pictures/music if they like reading and doing puzzles etc.]]> 2016-11-10 17:20:57 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136811254 Non Pharmacological Approaches. t3rd15 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136995975 In the domiciliary care field the opportunity to provide structured psych-social interventions such as music therapy,cognitive stimulation therapy is unable to take place in a formalised way.
In working and providing a domiciliary service we get to gain a sense of the persons life journey through our daily interactions with the individuals this enables us to use the information and visual clues to connect with the individual .
We have found the use of photographs on display around the individuals homes an invaluable prompt for engaging with the client whilst they fondly recall their past and significant people in their lives.
In my experience this has built a positive rapport with the individual whereby the individual feels valued and gains a sense of self and identity.

In talking with individuals with dementia it is clear that independence , self worth and autonomy are valued most.
Assisted technology can enable individuals to maintain positive living and continue to function independently whilst at the same providing reassurance to the family.
Music is known as the universal communicator and embraces all ages , it invokes memories,unites people and is a great talking point and a prelude to starting up conversations in establishing a preferred taste in music.
Pet therapy has dual benefits in respect of promoting socialisation as the individual has the opportunity to engage with another person and enjoy the comfort that pets can create.
I feel that all psycho-social interventions have a positive benefits to the recipient and this is dependent on the person needs,preferences , wishes and aspirations.
]]> 2016-11-11 13:36:46 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/136995975 In the ospital se https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137197309 2016-11-13 15:45:29 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137197309 In the hospital setting the Life Story can be very useful to gain valuable background information which can be used to initiate conversation, tailor treatment to the individual's needs and gain trust. Reminiscence therapy can also be used with individuals or a small group of patients. Provision of the Occupational Therapy programme to maximise their abilities and independence is essential. It can be hard to use many of the other therapies in an in-patient setting due to time constraints https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137197310 2016-11-13 15:45:29 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137197310 doll therapy works very well in my work but as previously mentioned this is only suited to specific residents. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137228438 2016-11-13 21:26:59 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137228438 Within the hospital setting life story can be of great benefit to allow a change in staff the materials to provide individualindividindividualindindividualindividindividualiindivlindividindividualindindividualindividindividuaindividualindividindividualindindividualindividindividualiindividualindividindividualindindividualindividindividualiind https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137230106 2016-11-13 21:49:16 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137230106 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137316365 I work in the community in floating support so my aim is to help service users to be as independent as possible. Already as part of support plans we incorporate a section for assistive technology to help service users identify what tecnology may be most useful for them and support them to purchase this and use this in their home. As part of my role, I also signpost service users to other relevant services and continue to work alongside these other services for as long as required to ensure the service user is fully supported. Another area that we could consider incorporating into our support plans would be reminiscence as this may help service users to remember important events in their life and improve their cognitive functioning, overall
impacting on their ability to manage independently at home]]> 2016-11-14 11:15:59 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137316365 I work in a hospital setting. Stroke / Rehab patients. It is very busy so like many others time and staff levels are an issue. We work within a MDT so when we are planning discharge I feel assistive technology is helpful. It is usually implemented via our Ot and helps monitor pts safety at home. Also reassures the family. Two other therapies which I feel could be commenced are music therapy and reminiscence therapy. But probably on a 1-1basis. I have already seen music therapy work well for one of our recent patients with dementia. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137338296 2016-11-14 12:58:01 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137338296 I work within 2 different settings. In our outpatients clinics unfortunately we may not be able to carry any of these approaches out as such but in the nursing home settings I have seen and joined in when the residents have had animal assisted therapy, creative arts therapy and also music therapy. Although dear love them listening to me sing too. The residents are definitely more relaxed https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137382251 2016-11-14 14:45:27 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137382251 I work in the community and would tend to sign post individuals and their families towards more specialised services although in order to ensure its the right service I would reminiss with about their lives to find out what they wish to achieve. I have also started the process of future planning and make referrals to O/T and telecare for assistive technology. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137676260 2016-11-15 12:05:32 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137676260 Psycho-social approaches. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137931064 Within my team I find that reminiscence, doll therapy and music therapy are very successful and enjoyable therapeutic activities. Doll therapy is only suited for certain clients however when used correctly it's amazing!!

]]> 2016-11-15 22:22:18 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/137931064 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138271860 I believe that music therapy is beneficial to those with dementia providing a calming environment and also giving the resident the opportunity to remenise. I have seen in other settings where the doll therapy has made a huge difference to certain behaviours and would apply this to my practice in the future if needed ]]> 2016-11-16 22:31:51 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138271860 In my post I mainly signpost individuals to available services and supports. I also refer all transition service users to psychology for baseline assessment so we have something for comparison in the future. During the course of any of my regular visits I would try and engage the service user through music, dance or reminiscing therapies, this is on a very informal basis and not structured in any way. Our service does not lend itself well to organised group non pharmalogical approaches. I feel the best I can offer at times is some predicable advice and support regardingg https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138272689 2016-11-16 22:38:18 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138272689 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138273642 In my post I find we mostly signpost toward available services in our area. Our service does not lend itself well to group or specific individual therapies. We do offer individual support in the form of practical advice and support for both the service user and the carer. On a professional basis we would engage in some reminiscing or music while on visits to the persons home, however we are time limited and do not get to spend as much time as we would like doing these things. I feel there is scope to provide more non pharmalogical approaches in the community within our service.]]> 2016-11-16 22:45:33 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138273642 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138649475 I work in a hospital setting, in my area we use This is Me, doll therapy, games, books etc and this seems to work very well but each patient has to be treated individually as to their own interests]]> 2016-11-18 10:29:54 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/138649475 I work in Supported Living for Dementia and have found that Doll Therapy, Music Therapy, Pet Therapy and visits from children works well with in our setting. It goes with out saying that tenants are assessed for which Therapy would be of benefit to them. We have found that these Non- Pharmacological approaches have been very beneficial in the past. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/139173486 2016-11-21 18:04:17 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/139173486 I feel that music therapy is very beneficial to people with dementia. I have found reminiscence to work really well also. In my setting we have also used the life story tool and found this to work really well. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/140507068

]]> 2016-11-29 14:37:09 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/140507068 I work in a nursing home setting and have seen the benefits of music therapy both as a calming individual experience but also as a stimulating and encouraging response to music https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/148736457 2017-01-23 15:10:15 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/148736457 I work in supported housing and our tenants live in their own flat within the scheme. Our tenants are at the beginning of their dementia journey so we would use assistive technology to enable and empower them to maintain their independence and taking positive assessed risks. We have recently had discussion with a family about the use of doll therapy which we have not had experience of but feel could benefit one of our tenants. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/156198823 2017-02-25 17:28:06 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/156198823 Psycho-social approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/157282065 As a community SLT I work across a range of community settings including nursing , residential homes , day centres and the individuals own homes. I have been involved in advance care planning with regards to wishes for feeding , eating , drinking. Assistive technology can be useful at earlier stages as increasingly individuals have access to tablet and computers in the home environment. This can help with self management. Life story work can also be a useful tool for language work and to work towards developing a meaning full tool for communicating at later stages while maintaining personhood. Signposting towards services available is also important when visiting individuals at home for both themselves and families.

]]> 2017-03-02 11:27:54 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/157282065 Padlet: Comparing Non-Pharmacological Approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/158676536 I often gather information about the individual at initial assessment for our service. I chat with the individual to find out who they are, what they like and how they would like support to go forward. It is important to introduce the possibility of using new forms of assistive technology within the home, having visual entry systems installed to enable the service user to see and put a face to the person requesting entry into their homes. Also promoting Social interaction, to source groups/activities that are of interest to the individual to encourage involvement and gain a sense of belonging, reducing isolation.]]> 2017-03-08 14:57:16 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/158676536 Psycho-Social Approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159140109 Working in domiciliary care in the community I can relate to the effectiveness of Reminiscence Therapy when attending service user's in their own homes. Although a lot of my time is spent doing routine tasks as dictated in their Care Plans, I always have time to reminisce. I feel that there is nothing more rewarding than listening to someone taking great pleasure in telling their story, you can see the change immediately as they begin their story.
Another therapy that has great effect is Music Therapy. This allows them to identify with different era's of happier times as they get into full swing. I experienced this in a personal level at home and the joy it brought not just to my dad but to the family also.
The third Therapy is that of Life Stories. Nearly every home you go into has photo's of past years Grand parents, Parents, children around the walls. There will be Wedding Photo's and if you are lucky enough both are still alive supporting and loving each other. Great memories start to roll out.
The one Therapy I would love to have the opportunity to take part in is that of the Creative Arts a great therapeutic and calming therapy. ]]> 2017-03-09 21:33:01 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159140109 ADELE https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159531886 I work in outpatients, where our turnover is very fast.The approach that would suit us best, I believe is signposting.Here we only have a brief snap shot into the individual's life. We could provide appropriate documentation,a notice board and information leaflets etc.that could aid the life of the person with dementia and their carers.Simply pointing them in the right direction where they could access appropriate,life changing help.
However in other settings,life story appears an excellent tool to aid communication.Music therapy would also be great to aid relaxation. ]]> 2017-03-12 21:19:09 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159531886 In my current work I manage social work staff daily and can see the real benefit there could be to having sufficient time to do life story work with patients, however as our setting is an acute hospital, this is very rarely possible but not always. I have seen life story work commenced in hospital and shared with our community colleagues for them to continue in the community which is extremely beneficial to patients and their families https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159761328 2017-03-13 17:24:09 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159761328 I work closely day to day with OT staff in the acute sector and where time allows I can see the real benefit their professional role can bring to an individual to bring real meaning to an occupation and trying to ensure that a patients independence is maximized to the full potential. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159763084 2017-03-13 17:28:32 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159763084 From a discharge team point of view working with patients and their loved ones in an acute setting, we probably spend quite a bit of time signposting people to additional supports in the community, both in the statutory and non statutory services. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159763709 2017-03-13 17:30:07 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/159763709 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160277842 I have found that reminiscence work and music always get a great response from my patients but animals have the biggest impact by far. Patients' families are encouraged to bring the patients own pet in to visit them on the ward (which is very open and we have a garden). The only downfall is when the pet has to leave :(

]]> 2017-03-15 15:10:35 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160277842 Non-pharmacological Approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160296289 In a busy surgical ward we would consider reminiscence would be the most beneficial. We find talking to a dementia patient about their working life, family, friends, etc helps. Just yesterday I managed to calm a patient down by talking about the shirt factory she worked in and remembering with her the first time she got on a bus.

Signposting we have found also beneficial on the ward - it shows patients where the shower is, toilet is, nurses station etc which promotes independence.

Stress/Anxiety Management is another method which we have only used once - on that occasion, we used stress balls and soft balls that could be thrown to relieve stress. The effects were amazing!]]> 2017-03-15 15:59:23 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160296289 Non pharmacological Approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160567832 Within our nursing home environment common approaches include music therapy, pet therapy as in relatives bringing in family pets, and life story reminiscence, i feel that all 3 approaches are very beneficial to the resident, Music especially is enjoyed by most residents and family. nce weekly on a Friday there will be a concert in one of the units within our home where residents,their family's and staff gather, i feel this is highly beneficial for all and helps strengthen relationships also. ]]> 2017-03-16 15:23:29 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160567832 Music therapy every Wednesday evening in the home I work in provides a stimulating and enjoyable, sociable part of life for our residents. They can also relax in the multi sensory room when they need some quiet time. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160679242 2017-03-16 23:36:58 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160679242 Non-pharmalogical Approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160946243 I work in a hospital setting and we would use assistive technology and reminiscence which helps to calm the patient down. I hope to also implement life story as well as another tool to help with communication. Signposting is also important and I have recently got new signs developed for the toilet and shower rooms to make them more dementia friendly]]> 2017-03-18 17:58:38 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/160946243 I am very excited by the psycho social interventions and feel we are only at the beginning of that journey. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/161303926 I would like to maybe think about having some life review therapy maybe particularly focusing on the food memories and meal time activities that were really important to my people diagnosed with Dementia.I loved the dementia cafe idea and would like to initiate one specifically within learning disability.Counselling with carers a family whio in Adult learning dsability can be devastated by the diagnosis is something that we will need to further address]]> 2017-03-20 19:02:55 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/161303926 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/161534120 In the community i have found that music therapy pr0vides stimulating]]> 2017-03-21 15:06:27 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/161534120 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/161539578 2017-03-21 15:19:05 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/161539578 I work in a surgical ward and we use signage as well as red walking frames and clocks displaying time and date. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162460204 My idea for the change assignment would be using a non pharmacological approach. I am going to have one page which will include the patients likes dislikes and something about them that we can refer to quickly in nursing notes. This will aim to help staff engage conversation with the patient and promote calm if they become agitated or confused.

]]> 2017-03-24 16:07:05 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162460204 I am Me https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162511747 Working in the community, and often being short staffed, I am looking towards an 'I am Me' information sheet in our care books, including things such as favourite meals, mealtimes, hobbies, favourite colours, etc. This will be very helpful for staff covering different runs. With the intention of the family, carer and individual filling in the simple question, and keeping this updated due to the gradual change in the client]]> 2017-03-24 19:18:42 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162511747 I work in an acute setting where the non pharmacological approach is fast becoming the only acceptable approach. berniehagan64 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162520243 It is still very early days but medical staff in particular are less likely to turn towards the pharmacological approach.
Nursing staff often find they are now having to learn and approach caring for PATIENTS with a dementia whom are often acutely ill as well in a whole new way which can only but benefit the Patient.As my change assignment l am contemplating
Setting up a wellbeing /recollection trolley with things to hopefully alleviate the patients distress during their stay with us and promote wellbeing and good memories for them and their families as well and building closer relationships with staff
Things like family board games ie snakes and ladders,playing cards,colouring books,puzzles ,reminiscing cards ,sensory distraction aids to name but a few.Sign posting is being brought to the forefront and large face clocks with day and date are widely appreciated by patients]]> 2017-03-24 20:26:50 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162520243 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162560360 As a Speech & language Therapist working with Adults with Learning disabilities we provide therapy using a variety of different programmes & approaches - reminiscence , memory boxes , life books , communication books , talking mats to aid discussion , alongside communication / music groups , tac pac , intensive interaction - all approaches are of benefit . ]]> 2017-03-25 13:05:55 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162560360 In my role as a community SW I feel that sharing my learning through these resources with other staff and carers both family and agency carer will be most beneficial. Developing person centred plans and keeping the person at the heart of the intervention is most appropriate and looking at how other services may promote physical and emotional well-being not only for the person but their carer is important. Use of assistive technology is something I readily promote. I feel providing individuals with info on environment and meal times would be beneficial in maintaining people in their own homes and also helping them to access support groups and social opportunities. Reminiscence and life story work is something I want to further promote in how my team work with people with dementia. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162618186 2017-03-26 12:52:04 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162618186 In my role as a dementia support worker I use Life Story and Reminisience Therapy as a way of engaging and connecting with my clients. They usually love recalling their life and the important people in their past....looking at old photos.....it makes them feel valued and gives them a feeling of self worth. I also use CST with my clients e.g. Puzzles, games, crosswords. One of my clients loved to knit so we do that together! https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162932103 2017-03-27 18:58:26 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/162932103 Non-pharmacological approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163129103 The most useful approach is asistive technologies as they can be used to support patients in taking their medication e.g. monitors/alarms or electronic dosage systems. Although I do not use them directly I have seen life story work and music therapy used in practice. I have witnessed how remembering and recording past memories have enhanced the mental health and well being of PWD. In addition I have seen how music therapy can be used to increase communication and interaction and in turn improve the QoL of PWD  ]]> 2017-03-28 13:55:47 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163129103 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163217176 Life story work is invaluable for me in all aspects of my work. Life story information helps me gain access into the person's world and improves the quality of interaction. I can tell when I am leaving that they have enjoyed our interaction too. I have also used cognitive type therapy helping a gentleman retain his family's names for longer and also to retain important place names. I now feel better equipped from a sign posting for help point of view. I have always struggled to know where to sign post people to. On a personallevel I have helped my dad overcomesome distress caused by his memory problems by simply writing down key inf. and putting it where he could see it.]]> 2017-03-28 17:51:29 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163217176 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163822866 As an occupational therapist working in a cute setting and in an outpatient clinic we provide a combination of approaches. The approaches I would use mostly are assistive technology, cognitive rehab and signposting. ]]> 2017-03-30 20:06:00 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163822866 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163903521 We would use alot of doll therapy in our work place it tends to settle slot of the ladies and gives them a feeling of being needed to look after their doll just like looking after a child

]]> 2017-03-31 08:35:18 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/163903521 reminiscence https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164059236 I think the service user would benefit more from this . As it takes them back to memories of the things they liked and enjoyed. This also makes it easy for the service provider to be involved in conversation and listening. This would also make the service user feel calm and able to open up more.

]]> 2017-03-31 19:35:51 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164059236 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164071000 i work as a domically carer, I would advise clients and family towards specialised services e.g. assistive technology e.g. a hoist being installed or being serviced.   ]]> 2017-03-31 21:31:22 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164071000 Non-pharmacological approaches in Nursing Home Setting https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164101919 I work in a nursing home setting where a number of non-pharmacological approaches are used in order to promote the well-being of all our residents. The use of Life Story has proven to be a simple yet highly effective way of knowing and gaining some understanding of the person behind the dementia. Reminiscence therapy encourages social interaction and engages staff, carers/families and residents. These sessions are found to be enjoyable and sometimes prompts much debate. Such therapy can be carried out in group sessions or in daily one-one interactions with residents. The sensory room within the home provides a safe and quiet space for residents with limited communication. It provides gentle stimulation of sight, sound and touch enhancing the person's feeling of comfort and well-being, exploring other means of communication. ]]> 2017-04-01 12:44:22 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164101919 As a community social worker I use and promote various psychosocial interventions when working with my clients with dementia. On most visits I will reminisce with my clients which is quite similar to life story work only it is not being recorded in a book for future reference. I encourage family members/carers to complete a life story book as early as possible so the client is able to contribute to this and which helps he/she to think about their care in the future when it may be more difficult to communicate. Life story work helps promote holistic and person centred care. Life story books are beneficial should a person need to move to a care home as it aids in helping care staff develop a better understanding of the individual, triggers meaningful conversations and promotes positive relationships. Recently a post diagnostic group (Eden Group) was set up locally. I promote this group to all my clients who have been diagnosed with dementia (early stages). The group helps people understand their memory problems and dementia, helps them learn memory techniques and strategies, cope with real life situations, adjust to a diagnosis and on how to live well with dementia. We also have the dementia cafe for those who are interested in dementia or have been affected by dementia, promotes social interaction and stimulation thus a very beneficial therapy. All the approaches set out in the guide to psychosocial interventions are beneficial and can be promoted in various different settings. The aforementioned are those which are more beneficial to my clients with dementia within my work context. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164166297 2017-04-02 14:33:17 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164166297 As a carer i feel that life stories reminiscene works best in the community.As carers are only in for a limited time but it gives the individuals chance to share their experiences and show photographs of their lives. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164171789 2017-04-02 15:48:17 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164171789 Non Pharmacological approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164195067 In the area i work in we care for patients with dementia who are having surgery and their hospital stay is short. The most beneficial approach would be reminiscence. It allows staff to talk with the patient about familiar subjects , their family or work. It gives us a back ground to the patient and and how to make them feel comfortable in a strange environment.
I think that the memory cafes would be a good idea as the PWD could feel that his opinion is valued and there would be opportunities to meet others with the condition and prevent isolation.
I think Cognitive Stimulation therapy would be an excellent way to maintain and improve communication skills and helps to maintain physical and mental activity]]> 2017-04-02 20:49:46 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164195067 NON PHARMACOLOGICAL APPROAC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164668966 In the residential home were i work i find our clients really enjoy music therapy with singing and dancing they also partake in flower arranging and arts and crafts this helps to relax them.]]> 2017-04-04 16:40:49 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164668966 In our residential home we have found reminiscence, art work and music therapy very beneficial. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164677504 2017-04-04 17:07:13 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/164677504 https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/165188199
I have been working closely with an older group who meet up every wednesday for a lunch, music & song. There is only one person that i know of that has a dementia on the group, however the highlight of her week is the siging and music session on a Wednesday luncheon club. Reminisiencing is also a great way to encourage conversation, whilst feeling in a safe and freindly way.]]> 2017-04-06 16:04:20 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/165188199 Non-pharmacological approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/167524880 I work within the learning disability sector and intend to use this approach. Structure and routine is important for the client and staff. This will prevent confusion for all. A daily routine using a timetable containing pictures of activities which then trigger a memory or knowledge of what is going to happen. ]]> 2017-04-21 15:53:13 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/167524880 Non Pharmacological Approaches used within Occupational Therapy https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/168747672 Within my role as an OT I have found reminiscence and life story work beneficial with my Dementia clientele as it facilitates and encourages a client-centred approach. Within my groups in an acute setting, I often use music as a therapeutic medium. Assistive technology and signposted are also pertinent within my role. ]]> 2017-04-27 19:53:54 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/168747672 Non Pharmacological Approaches. https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/169416737 I work with a group setting in the community where some service users have dementia while others do not. I feel that music therapy is very beneficial, it means everyone is involved and makes everyone feel included. We also have reminiscence days, everyone within the group has something to say about their past, it also jogs some of their memories. This also gives us more background on the service user and gives us a subject to speak to them about on a one to one basis.]]> 2017-05-02 13:38:32 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/169416737 Non pharmacological approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/172599552 Within my work setting, I feel the most beneficial non pharmalogical approaches are music therapy, reminiscence and life story work.
Reminiscence is a good approach because it can bring a group together by picking a subject and exploring deeper into it, giving each of their views. It can help to bring a positive atmosphere within the room.
Life story work is another good approach which can be used to help get to know an individual. Life story work is usually one to one with the individual or with a family member present as well: it's a confidential type of approach. It's a very good way for staff to get to know the individual once their information has been collated and presented in the form of a life map or a book.
Reminiscence and life story work can help staff to build a rapport with the individual and also help to make the environment more comfortable and suited to the individual.
Music therapy is a good way for individuals to talk about what music they like, talk about memories that come to them when they hear a certain song. Within our work place we have a singer comes in once every two weeks or so, the tenants love someone singing, they like the social aspect of it and also like to get up and dance with one an other or dance with the staff. Music therapy can help to bring a relaxed positive atmosphere. Music therapy can help an individual with dementia to have a bonding relationship with staff. ]]> 2017-05-18 14:44:37 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/172599552 Non pharmacologicàl approaches https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/175119827 I work in a care home setting and i feel that our residents enjoy music and singing. They also enjoy reminscience and on to one therapy. ]]> 2017-06-04 16:57:33 UTC https://padlet.com/mailamandamoore/bhvrf03a28b8/wish/175119827