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The Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's-Type Dementia / Edition 2
     

The Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's-Type Dementia / Edition 2

by Naomi Feil, Vicki de Klerk-Rubin
 

ISBN-10: 1878812815

ISBN-13: 9781878812810

Pub. Date: 02/01/2002

Publisher: Health Professions Press

This extraordinary book shows caregivers how they can interact successfully with people with dementia by avoiding reality orientation and instead focusing on underlying emotional needs. Based on the principles of Erik Erikson and on subsequent decades of work with disoriented older adults, the simple techniques of Validation are easy to learn, take just minutes a

Overview

This extraordinary book shows caregivers how they can interact successfully with people with dementia by avoiding reality orientation and instead focusing on underlying emotional needs. Based on the principles of Erik Erikson and on subsequent decades of work with disoriented older adults, the simple techniques of Validation are easy to learn, take just minutes a day, and can be used by both family and professional caregivers. Let the powerful techniques of internationally recognized expert Naomi Feil help you reach confused older adults by establishing respectful, loving relationships that break the silence of withdrawal. Discover new ways to meet the challenges of caring for people with dementia! Touching, amusing, and informative, The Validation Breakthrough shows caregivers how to dramatically enhance the quality of their relationships with people in the early to middle stages of dementing illnesses. Helpful, practical strategies will show you how to stop patronizing and arguing with people with dementia and start building trust by stepping into their world. Eighteen poignant case studies illustrate how Validation is used to handle wandering, agitation, and other challenging behaviors—and reduce the sense of anger and frustration in caregivers and clients alike. Essential reading for long-term care staff, gerontologists, social workers, and family members, The Validation Breakthrough is transforming the way caregivers communicate with people with dementia

Product Details

ISBN-13:
9781878812810
Publisher:
Health Professions Press
Publication date:
02/01/2002
Edition description:
2ND
Pages:
384
Product dimensions:
5.50(w) x 8.30(h) x 0.80(d)

Table of Contents

About the Authorxiii
Forewordxvii
Authorized Validation Organizationsxix
Introduction: Florence Trew 1872-1963: "I died"xxiii
Part IAlzheimer's-Type Dementia and the Use of Validation1
Chapter 1Aging, Development, and Alzheimer's Disease3
How I Learned: The Case of Isadore Rose: "You Castrated Me with Words"3
A Theory of Life Development and the Need for Validation8
Who Are the Old-Old and What Is Dementia?16
The Old-Old, Dementia, and Human Needs23
Chapter 2The Concept and Techniques of Validation27
What Is Validation?27
The Principles of Validation28
The Four Stages of Resolution31
The Techniques of Validation36
Chapter 3Using Validation with People Who Are Maloriented49
The Case of Frances, the Accuser49
The Case of George, the Loner52
The Case of Jenny, the Gardener55
The Case of June, the Blamer59
How to Read the Vital Signs of the Maloriented60
"Helping" Techniques that Make the Maloriented Worse66
Validation Techniques for Communicating with the Maloriented66
Chapter 4Using Validation with People Who Are Time Confused71
The Case of Martha, the Birther71
How to Read the Vital Signs of the Time Confused76
"Helping" Techniques that Make the Time Confused Worse80
Validation Techniques for Communicating with the Time Confused80
Chapter 5Using Validation with People Who Are Repetitive Movers87
The Case of Marvin, the Pounder87
How to Read the Vital Signs of the Repetitive Mover90
"Helping" Techniques that Make Repetitive Movers Worse93
Validation Techniques for Communicating with Repetitive Movers94
Chapter 6Using Validation with People Who Are in Vegetation99
The Case of Nora, the Nonmover99
How to Read the Vital Signs of People in Vegetation102
Validation Techniques for Communicating with People in Vegetation103
Chapter 7Using Validation with People with Early-Onset Alzheimer's Disease107
The Case of Richard, the Mumbler107
How to Read the Vital Signs of People with Early-Onset Alzheimer's Disease111
"Helping" Techniques that Make People with Early-Onset Alzheimer's Disease Worse113
Validation Techniques for Communicating with People with Early-Onset Alzheimer's Disease113
Chapter 8Who Benefits from Validation?115
The Benefits of Validation for Disoriented Old-Old People115
The Benefits of Validation for Professional Caregivers118
The Benefits of Validation for Families121
Chapter 9How Validation Differs from Other Therapies Used with Old-Old People123
Reminiscence124
Life Review125
Reality Orientation125
Remotivation127
Behavior Modification128
Diversion and Redirection132
Patronizing with the Therapeutic Lie133
You Can't Fool Millie134
A Reminiscing Group or a Validation Group? What Is the Difference?138
Get Her Outta' Here139
Psychotherapy142
Part IIValidation in Practice145
Chapter 10Communicating with People Who Are Maloriented147
Ellen, the Hoarder: "When You Listen, I Speak Clear"147
Lucy, the Spitter: "Bitch! Get Out of My Room!"155
Sadie, the Martyr: "One Mother Has 10 Kids. Ten Kids Can't Care for One Mother!"161
Peg, the Worrier: "There's a Man Under My Bed!"170
Stewart, the Complainer: "You're Killing Me Here!"180
Chapter 11Communicating with People Who Are Time Confused189
David, the Toucher: "I Am Not Dr. Willard: He's on an Extended Holiday!"189
Margaret, the Mother: "I'm Living in My Own Home, These People Don't Belong Here!"199
Harry, the Hitter: "Come in, You Old Battle Ax!"207
Validating at Home: Karl, the Flasher212
Chapter 12Communicating with People Who Are Repetitive Movers217
Isobel, the Poet: "I Untangle the Noodles in the Mirrors of My Mind"217
Mary, the Pacer: "I Am Not a Sheep!"221
Chapter 13Communicating with Maloriented and Time Confused People Living in the Community227
The Apartment House Manager, the Policeman, the Emergency Medical Squad, and Thomas Konig227
The Mailman, the Grocery Clerk, the Hairdresser, and Millie Stonewall231
The Doctor, the Meals on Wheels Volunteer, and Samuel Goode238
Chapter 14Validating Family Members243
Ann and Her Mother, Trudy243
Tips For Family Members Who Want to Validate Disoriented Relatives247
Ann and Trudy--with Validation248
Part IIIGroup Validation251
Chapter 15Setting Up Validation Groups253
The Value of a Validation Group253
Who Benefits from Group Validation?255
The Role of the Validation Group Worker257
The Role of the Validation Group Co-worker260
Establishing a Validation Group262
Conducting a Validation Group Meeting274
Example of a Validation Group280
Who Can Practice Validation?285
Chapter 16Frequently Asked Questions287
AppendixExperiences of Professionals in the United States and Abroad293
Implementing Validation at Country Meadows Retirement Communities293
Using Validation as a Consultant in a Richmond, Virginia, Continuing Care Retirement Community297
Using Validation in a 60-Bed Skilled Medicare Facility in the Kansas City Metropolitan Area: An Administrator's Perspective301
Using Validation at a 422-Bed Veterans' Home in Minneapolis, Minnesota305
Using Validation at a Newly Purchased Facility in Maine309
Using Validation at an Urban Nursing Home in Brooklyn, New York315
Using Validation in a 28-Bed Dementia Unit in Rural Wisconsin319
Using Validation at a Rural Nursing Home in Missouri323
Using Validation at Eldercare in South Australia327
Using Validation at the South Port Community Nursing Home in Australia331
Using Validation at a University Hospital in France335
References339
Index343

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