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Approaches Towards Dementia Care

  • Peter John Ignacio
  • Jael Wafula

Support Planning for Geriatric Health Conditions


Today, our modern culture involves increasing number of people aged sixty five and over. This is the result of the infant boomer effect in which post world warfare two children are actually in the latter stages with their lives. It really is believed that organizations which tend in supporting the elderly have to be experts in medical concerns that will go along with ageing. There may be a variety of health conditions an old person can have, these include, but not limited by, hypertension, diabetes, arthritis, osteoporosis, eyesight and hearing damage, skin changes, and mental, psychological and internal changes. The latter, being the focus of this paper, is mostly referred to as the main matter of older people not only within New Zealand but the majority of the elderly all around the globe. Topics involving this will be examined in this newspaper, such as, the differentiation of person centred methodology and non-person centred methodology in good care of the elderly, techniques in meeting the fluctuating capabilities and needs of elder people who have conditions in mentation, effects of cultural variety and impacts of health sector requirements on the person-centred model of managing individuals with cognitive problems, like dementia of older members of the community and other geriatric related health conditions.

Person-centred approach

First to be examined is the individual centred approach which is focused on older people person, individual resident, if in a rest home setting; a particular patient, if in a hospital environment; or the older persons, in society all together. It's the principle of knowing the person being cared for, comprehensively, not only the health concern or the disease that they have. People even in the progress stages of their lives have right to be treated with value and dignity. To get this done, it is paramount to know the person as who they're and how he or she wish to be treated. Above all is knowing the name of the patient, resident or any individual being looked after. This is the basic thing to learn by heart and not to be undermined. It is not hard to forget labels sometimes but it's important to ensure that you know please remember names of folks being looked after especially older people. This can be done by regularly examining the graphs or documents of clients and using their names when communicating with them on a daily basis. In turn, this can help in remembering and completely knowing the clients' brands and even furthering the nurturing relationship between your carers and folks being looked after. In addition to that, knowing clients' personality and the actions they usually do would definitely help in creating an outstanding romantic relationship. Things like, hobbies and interests, exercises and favourites of the elderly are always good to know especially if they are residing in a facility that would benefit from these personal information for the continuity of treatment and also to have harmonious customer carer relationship totally. In this way, satisfaction of elderly clients would be looked after and honoured. For seniors clients with dementia or similar health conditions, additionally it is indispensable to protect their rights. Traditional western countries, New Zealand included, and other developed nations are very strict with regards to this. Clients, whatever their age is, should be cured and cared for relating to the invoice of privileges that everyone should respect and pay attention to, especially when looking after elderly clients. Included in this costs is the right of personal privacy. Privacy is still very important when caring for seniors clients. They remain fully aware of their environment and things that make them uncomfortable should be prevented. The right of preference is also another factor that needs to be maintained in the life of the elderly. Which means that clients have right to choose of any facet of their care. They are really free to like being independent also to maintain their autonomy in each day decision making, and undoubtedly the liberty from coercion or unconsented test or study which may be performed for the growth of the geriatric medical field.

Non-person-centred approach

On the other hand, the non-person-centred approach to dementia and other advanced get older related health concerns have a new precepts or idea. A couple of two common theme considered in the said way. These are organization point of view and bio-medical point of view. The first one being focused in the welfare of the center as the name suggests. The reputation and the credibility of the institution is extreme important and also to maintain a good image to the public, and perhaps to wthhold the funding provided by the federal government, institution perspective oriented facilities ensure that the elder clients are well looked after. As the second the one that is bio-medical point of view has its attention aimed with the physical anomalies that seniors clients have. The main objective is to treat the condition and prolong life, which sometimes may ignore the most crucial factor in caring for the elderly people, the getting to know part and truly dealing with the needs of the clients not only the physical or bio-medical needs however the one that things the most for clients of the said generation, the interpersonal and mental aspect.

Techniques used to meet needs of individuals with dementia and common geriatric health conditions

To address further the needs and concerns of the senior citizens, there are a few techniques found in various healthcare fields and facilities. The first to be mentioned is the reality-orientation methodology. This is about informing the customers of the existing taking place or event in the surroundings. For instance, reorienting elderly of the time, date and place where they are at. This system is very helpful in eliminating distress and promoting clients' self-assurance in carrying out activities for your day. As well as the said situations to be reoriented, familiar people and members of the family would help in better storage for the elderly. By seeing their family members or reading their brands and testimonies about them, clients' storage area will be stimulated hence, vastly helps bring about confidence and diminish bafflement and disorientation. Furthermore, the simplest but most important way to reorient clients may also be neglected, this is using clients' brands always when connecting with them and informing them of activities they have to participate with for your day. For instance, when getting into a client's room with regards to breakfast, a carer should knock on the entranceway and politely call the client's name to wake him or her up and encourage him to eat breakfast also to do succeeding consumer activities for the day. This will make the client aware of his / her own surroundings and activities to be done. Therefore providing them with confidence and sense of self-worth.

The next technique which is gathering popularity is the validation methodology, it is willing with accepting the client, understanding and somehow putting one's self in to the shoes of the customers. Using this method, elderly clients could be more responsive to interventions, they'll be more vigorous in communication and therefore could be more happy and contented. By agreeing to them rather than contradicting their knowledge of things it will be possible for the carer to redirect and divert the interest of the elderly to the correct path or accurate thinking. Thus, frustrations that may lead to melancholy would be reduced or even taken out.

Third technique is called assistive technologies. That is all about creativity and creative imagination being applied for not only useful but most importantly, for humanitarian cause. In this system, modern equipment you can use in everyday living are made to promote independence, reduce dangers and increase the quality of life of not only seniors clients but young people with disabilities as well. Cases of these technologies applied for the good thing about older people are clocks and calendars which have particular properties to avoid disorientation to time and night out. Another are locator devices, these can be in a form of key engagement ring or Velcro belts and bracelets that clients can wear and can be activated in instances of wandering and being lost. There exists a different type of elderly friendly technology that is very helpful in ensuring safety and security for clients who are living by their own. This is called "Telecare". It utilizes detectors that are installed around the client's home and connected to a telecommunication device. This phenomenal technology picks up environmental changes inside the house, such as, extreme heat, floods and even gas leaks. It also senses the client's actions. For instance, if the client is often getting up at night to visit the toilet or if there are risk of falls, this are detected by the sensors and appropriate communication will be posted to the nominated person. These various forms of technologies prove to be very helpful in keeping the elderly people safe and sound while preserving their have to be independent and completely functional on their own (Alzheimer's Culture, 2015).

Forth to be evaluated is the reminiscence techniques. The idea of experiencing psychotherapeutic methods that concerns the life story of the elderly and how they resided their lives, concentrating on the good and minimizing the regrets and resentments from earlier situations in the old persons' lives. This process is which can improve clients' ambiance. Cognitive potential and over-all well-being for clients with light to average dementia. In some way it is willing and just like reality orientation strategy in areas of involving family members and members of the family who are very close to the client and even those who played out enormous jobs in the life span of the elderly in the past. This will likely lighten their days and nights understanding that they still know please remember such important incidents and people. Therefore, will give empowerment, independence and autonomy in accomplishing everyday tasks, as directed by other techniques of achieving senior client's needs especially ones with dementia and similar cognitive complications (The Institute of Research and Technology in Community Services, 2015).

Lastly among the list of techniques utilized for older clients, you have the holistic approach. That is mainly involved with simple things that includes the totality of any client's life. Included in this approach is the surroundings of the client. Basic things such as how furniture are arranged, proper light at home, reduced amount of clutters and other potential hazards to older people would vastly increase the way they live and can decrease or even eliminate incidents that almost all of the older people dreaded. Sometimes this fear of mishaps could cause lack of self-confidence in doing activities independently, hence, leading to sedentary life style. This then could have a negative impact on clients' over-all health insurance and may add in further deterioration of physical and psychosocial well-being. To ease this and complement the environmental changes, it is invaluable for the carers to obtain effective communication with the elderly so that techniques of good care will deliver favourable results. Communication can maintain a verbal or non-verbal form. It ought to be reassured that both settings of communication are comforting and not threatening to the elderly. The clients could be more compliant and will be more participative in care and activities if carers use proper, polite and effective communication. In addition to environment and communication, you have the aspect of diet and proposal to activities for the elderly clients. With old clients, nutrition and hydration is vital to maintain good health insurance and avoid discomforts. For instance, discomforts induced by difficulty in removal or constipation. By providing clients with high fibre diet and motivating those to increase fluid consumption, the said distress can be significantly reduced. Finally, it is also a must to activate older clients in regular activities. Each morning exercises, brisk travelling the center and simple video games with balls and hoops can be of great help for the seniors in stretching out their muscles and moving their joint parts. This gives clients time to invest to socialize with other clients, carers and their family, avoid boredom and minimise development of challenging behaviours.

Impacts of equality, culture and variety on provision of person-centred approach

The most observable impact of culture, diversity and equality on person-centred strategy of care appears to be positive in mother nature. Mainly positive in the sense that person-centred procedure is all about caring for a person. Having specific plan of treatment and care for a certain consumer. Applying individualize procedures that would meet the specific needs of a certain specific based on culture is a very good example. While doing this, variety and equality is being respected and identified.

Impacts of health sector standards and code of practice and other publicized specifications on person-centred practice approach

The health sector has established standards, guidelines and procedures that have made a huge impact on methods and methods in managing health concerns of older people. The main code that influences person-centred procedure is the well-known and broadly accepted, Code of Health and Disability Services Consumers' Privileges. That is very good to advertise person-centred care since it emphasises on privileges of clients not simply the elderly but individuals with disabilities and the ones who are vulnerable in the world. The code means the value in clients' privateness, autonomy, dignity, to reasonable treatment and appropriate criteria of care, to complete and exact information and communication, right to support, protection under the law during coaching and research and the right to complain. All the said privileges pertain to the individual and emphasises on respecting the average person as anyone wish to be respected. It is believed that this is the same idea of person-centred methodology in a single way or another (Health insurance and Impairment Commissioner, 2009).


After analysing various techniques and techniques in controlling the elderly with dementia and other geriatric-related health conditions, such as, person-centred and non-person-centred strategy, reality orientation, validation procedure, assistive technology, reminiscence techniques, all natural approach and influences of equality, culture, variety and ramifications of standards and rules of practice in the health sector, it is therefore concluded that folks with advance time and you live with symptoms of dementia or get older related health issues gain the most in treatment that is inclined in a person-centred type of health management. It is proven that seniors clients live better, maintain or even enhance their confidence, maintain autonomy or independence, protect their dignity and also have vast advancements in their over-all standard of living by making use of the said techniques and methods to worry which is centred to the seniors themselves.


Alzheimer's Culture. (2015). Assistive technology - devices to assistance with everyday living - Alzheimer's Society. Retrieved from http://www. alzheimers. org. uk/site/scripts/documents_info. php?documentID=109

Health and Impairment Commissioner. (2009). Health and Impairment Commissioner Code of Rights. Retrieved from http://www. hdc. org. nz

The Institute of Research and Technology in Community Services. (2015). Assisting those with dementia: Reminiscence therapy and life history work IRISS Insights, no. 4 | IRISS - The Institute for Research and Invention in Social Services. Retrieved from http://www. iriss. org. uk/resources/supporting-those-dementia-reminiscence-therapy-and-life-story-work

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