4: The Lived Experience of Dementia Flashcards
Give 3 things we cannot mimic about the experience of dementia.
Memory loss, not knowing how you got in a situation and not knowing when this will end.
What is key to remember to understand the lived experience and facilitation communication?
Individual differences, likes, dislikes and preferences still exist in IWD.
What are Kitwood’s 3 domains of negative experience?
Feelings, global states and ‘burnt-out’ states.
What is Kitwood’s feelings domain? Give 2 examples.
Subjective states where emotions are associated with specific meanings: fest of abandonment and feeling useless.
What is Kitwood’s global states domain? Give 2 examples.
Raw emotions with high levels of sympathetic nervous system activation where emotional meanings are not associated with specific situations, persons or objects: Misery and chaos.
What is Kitwood’s ‘burnt-out’ states domain? Give 2 examples.
Can no longer sustain high level nervous system arousal following a long period of this and enter a vegetative state: Despair and exhaustion.
What is the focus of the biomedical model?
General progressive decline consisting of increases in cognitive inpatient and decreasing ability to complete ADLs.
What is the main goal of the biomedical approach?
Researching cures and prevention, not improving the lives of people who currently have dementia.
What is the focus of the psychosocial model?
Understand the experience of dementia rather than quantifying it.
Which model provides the theoretical basis for person-centred care?
Psychosocial model.
The biomedical model suggests that there is no role of the environment on IWD. True or false?
True: This model believes in the Hypothesis of exclusive neurological causation.
Define malignant social psychology.
The interaction between neurological impairments and the negative attitudes of those around you.
What are personal detractors?
Negative caregiver behaviours which subtract from the personhood of the IWD.
Give 3 positives of mutually shared knowledge.
May prevent conversational breakdown, facilitate access and retrieval from autobiographical memory and make it easier to support someone.
Give 1 negative of mutually shared knowledge.
May lead to guilt if the person cannot remember something that the other person expects them to or values.
