The Best Friends Approach to Dementia Care

The Best Friends Approach to Dementia Care

by Virginia Bell, David Troxel

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Successfully implement this relationship-centered approach to dementia care that builds on the essential elements of friendship—respect, empathy, support, trust, and humor. For decades the acclaimed Best Friends™ approach has been widely recognized for helping people with Alzheimer’s and other dementias experience meaningful engagement and dignity in all aspects of their lives. In this completely revised and expanded second edition, care partners learn how to apply the core principles of the approach through practical tips and instructive examples of Best Friends in action. An all-new section also provides a roadmap for creating and sustaining a Best Friends program. Become familiar with: The building blocks of the approach, including the Dementia Bill of Rights and the concept of relationship-centered care The core tenets of Best Friends: the Life Story, skilled communication, and caregiving Knack New approaches to minimizing challenging behaviors and to creating activities that produce true engagement How to use Best Friends in a variety of care settings Effective ways to involve families and volunteers An approach that’s embraced around the world! Make each day reassuring, enjoyable, and secure for the people in your care with this simple, compassionate approach to dementia care.

Product Details

ISBN-13: 9781932529968
Publisher: Health Professions Press
Publication date: 10/01/2016
Edition description: New Edition
Pages: 264
Sales rank: 222,421
Product dimensions: 8.90(w) x 5.90(h) x 0.70(d)

About the Author

Virginia Bell has lectured widely on Alzheimer's disease at national and international conferences, speaking at 12 National Education Conferences of the Alzheimer's Association and lecturing at 18 conferences of Alzheimer's Disease International. Sheâ??s published journal articles and books, notably in Dementia Care: Patient, Family and Community (John Hopkins, 1989). Many of her articles have been reprinted numerous times: "The Alzheimer's Disease Bill of Rights" (1994), "The other Face of Alzheimer's Disease" (1999) and "Spirituality and the Person with Dementia" (2001), co-authored with David Troxel and published in the American Journal of Alzheimer's Disease and in the Alzheimer's Care Quarterly. She has also co-authored five books with David Troxel. Virginia is currently the Program Consultant for the Greater Kentucky and Southern Indiana Chapter of the Alzheimer's Association.

David Troxel is an internationally known expert in Alzheimerâ??s and memory care. Heâ??s best known for his work with residents and families, and is an informative and engaging speaker. David holds a Masters Degree in Public Health from Rutgers Medical School. During the 25 years that heâ??s worked in the field, heâ??s also served as an Executive Board member of the American Public Health Association and the Ethics Advisory Panel for the US National Alzheimerâ??s Association. David has co-authored four influential books (most notably, The Best Friends Approach to Alzheimerâ??s Care) on Alzheimerâ??s relating to the disease care as well as staff development and training. Davidâ??s â??Best Friends Approachâ? is built on a seemingly simple premise: that what people living with memory loss need most is a friend â?? a best friend. David teaches caregivers how to understand and fulfill this â??Best Friendsâ? role, including special caregiving techniques and tools. He lives in Sacramento as a writer, speaker and consultant.

Table of Contents

About the Authors xi

Acknowledgments xiii

Preface: Our Best Friends journey xvii

Introduction xxv

Part 1 The Best Friends™ Approach 1

Chapter 1 Starting with the Person: The Life Story and Human Rights 3

Life Story of Rebecca Matheny Riley 4

The Best Friends Dementia Bill of Rights 11

Chapter 2 Introducing the Best Friends Approach 21

Building Blocks of the Best Friends Approach 26

How Friendship Works in the Context of Dementia Care 30

Part 2 Best Friends in Your Care Setting 49

Chapter 3 The Life Story 51

Preparing the Life Story 53

Ingredients of the Life Story 53

How to Use the Life Story 64

Best Practices for Enhancing Preparation of the Life Story in Your Dementia Program 69

Chapter 4 The Best Friends Approach to Communication 75

How Best Friends Communicate 76

Communicating Skillfully 83

Chapter 5 The Knack 91

Elements of Knack 93

Knack in Dementia Care 97

Chapter 6 The Calendar Is Just the Beginning: Celebrating Activities with Engagement 109

The Purpose of Activities 110

Activities versus Engagement 113

Activities Done the Best Friends Way 115

Getting Started Putting Your Knack to Work 119

Chapter 7 Best Friends and Behavior That Is Challenging for Staff 129

Empathy Is the Key 130

Creative Problem Solving to Address Behaviors in Dementia 132

Intimacy and Sexuality in Dementia 142

Protecting Yourself from Aggression 144

Avoiding Judgmental Language 145

Bringing It All Together: Patricia Estill 146

Part 3 Creating and Sustaining a Best Friends Program 149

Chapter 8 Being a Best Friend to Family Care Partners 151

Family Caregiving and Dementia 152

Supporting Families 154

Encouraging Early Use of Services 159

Best Friends Approach to Family Interactions 160

Chapter 9 Growing a Volunteer Program 167

Effective Volunteerism 169

Steps to Starting a Successful Volunteer Program 170

Involving Student Volunteers and Interns 176

Chapter 10 Creating and Sustaining Your Best Friends Program 179

Steps for Creating a Best Friends Culture 180

Sustaining Your Best Friends Program 194

Bringing It All Together: Americare 199

Chapter 11 Conclusion 203

Informed Love 203

Looking Ahead 204

Thank You for Sharing Our Journey 205

Biographies 207

Suggested Resources 211

Index 215

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