This practical book provides a thorough look at the stages of assessment and treatment of people with dementia with behaviour that presents challenges to clients and carers, and is delivered in a clear, step-by-step and easy to follow manner. With years of valuable experience and a reputation in the area, James' work serves as an insightful illustration of how to establish and manage a service dedicated to improving dementia care... This is a thorough and practical handbook that would be thumbed through on a regular basis within any dementia care setting. It presents a person and carer centred approach, useful even with clients with severe dementia, suggesting individualised alternatives for appropriate assessment and intervention. -- International Journal of Positive Behavioural Support (...) while the themes are not easy the books are written in an engaging style which helps the reader to a greater understanding of what can be done by carers and how, through these interventions, it is possible to enhance the well-being of those with dementia. -- Dementia Newsletter Understanding Behaviour in Dementia that Challenges comes from Jessica Kingsley, a prolific publisher of mental health-related books. It contains a succinct chapter on the use of psychotropic medication to control such behaviours, but the primary focus is on non-pharmacological approaches, using examples and cases from the author's work at the Newcastle Challenging Behaviour Service. The descriptions of the ways in which care home staff, family members, and patients themselves are brought together to bring about more acceptable behaviour are sensible, and the case studies seem convincing. -- Journal of International Psychogeriatrics *Highly Commended in the Health and Social Care category of the 2012 BMA Medical Book Awards* 'This book examines the different categories and causes of challenging behaviour in people with dementia. It provides theory and practical guidance on the assessment and treatment of challenging behaviour, with a particular emphasis on non-pharmacological approaches.' -- Journal of Dementia Care Ian Andrew James has combined knowledge and extensive practice to provide a systematic first line alternative to the use of antipsychotics. For practitioners struggling to find ways of alleviating distress in people with dementia, this scholarly book, with its bio-psychosocial framework and rich tapestry of case material, is a "must". -- Esme Moniz-Cook, Consultant Clinical Psychologist and Professor of Clinical Psychology and Ageing, University of HullVom Verlag:
As people grow older, their physical and psychological needs become more complex. Unmet needs often result in challenging behaviour, particularly if the person suffers from dementia. Ian Andrew James looks beyond the behaviour itself to the causes behind it, suggesting both medical and non-pharmalogical approaches to lessening suffering and improving quality of life and wellbeing. Recognising that challenging behaviours occur at times of distress and reflect an attempt to cope with difficult situations, this book works towards understanding the nature of this distress, examining the views of the client and using the information gathered to prevent repetition of upsetting and uncomfortable circumstances. Older people frequently suffer from pain, and from a lack of stimulation, companionship and autonomy, yet positive steps can be taken to create a happier environment, particularly in care homes. Following an exploration of the nature of challenging behaviour, the book goes on to discuss psychotropic medication, psychological approaches, conceptual models for aiding assessment and treatment, and an example of the Unmet Needs Model in action. The book concludes with a series of insightful case studies, which clarify the content and will enable anyone dealing with challenging behaviour in older people to set about improving it. This book will be of great interest to everybody involved in the care of older people, including care staff and healthcare practitioners. This series constitutes a set of accessible, jargon-free, evidence-based good practice guides for all those involved in the care of people with dementia and their families. The series draws together a range of evidence including the experience of people with dementia and their families, practice wisdom, and research and scholarship to promote quality of life and quality of care.
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