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90218
Unit 1, Block 1.
Descrição
k235 - Dementia Care Mapa Mental sobre Unit 1, Block 1., criado por Nicky24 em 14-05-2013.
Sem etiquetas
k235 - dementia care
k235 - dementia care
Mapa Mental por
Nicky24
, atualizado more than 1 year ago
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Criado por
Nicky24
aproximadamente 11 anos atrás
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Resumo de Recurso
Unit 1, Block 1.
Phyllis Harris, Friendship
In order to maintain the friendship both must ...
People first, dementia second
Willingness to disclose diagnosis
Trust
Friendship still rewarding
Recognise strengths, while acknowledging limitations
Recognise the core values of the person with dementia are still the same
Friendships for someone with early-stage dementia can provide ...
Comfort
Support
Meaning
Although difficult to maintain friendship
Sense of self
Goffman
Public self - displayed to others Private self - director of performance
People perform roles, interactions with others enables us to construct a 'sense of self'
Social order depends of people's competency to play their roles. The slow loss of ability to retain identity, has heavy impact on family life / roles.
Stigma - people with 'undesirable charactistics' are often stigmatised
Memory important to regain 'sense of self'
Loss of memory, has profound impact of ones identity
Unable to perform roles, can leave you marginalised by social networks, resulting in social exclusion
Charmaz
Sense of self comes from social interactions.
Chronic illness can mean the loss of positive self image, replaced by one less valued (by individual and others)
Sabat and Harre
Sense of self created through language
Self 1 - person identity, persists throughout dementia progression
Selves 2 - roles a person plays, is lost with dementia, due to the way person is treated by others
Person-centred care
Kitwood
Came up with person centred care, arguing being totally dependant, depersonalised people, leaving then disempowered and disabled.
Says people with dementia need, comfort, attachment, inclusion, occupation and identity
Considers needs of the whole person - psychological, spirtual, physical, and social needs
Makes person a 'partner' in their own care
Stigma
Links and phelan, five components of stigma
Identification and labelling of differences
Stereotyping
Separation of stigmatised from non stigmatised
Experiences of discrimination
Exercise of power - charities campaign
Relationships
Family members may struggle to maintain personhood, as they try to cope with changes in loved on
People caring need to know - personal history, social world, and build picture of person to understand care needs
Nolan et al. Suggest quality of care is determined by the quality of the relationship
In early diagnosis, other people's attitudes often disable person, before dementia does. Being treated as a person is a fundamental human right!
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