Counseling Strategies Flashcards
___% of people with dementia are cared for in their home by family members. ____% of caregivers are women
80%
60%
Currently _______ Canadians over 65 have AD or a related disease. By 2030 over _____ canadian are expected to have AD or a related disease.
490 000
1 million
What is the goal of counseling in dementia:
To help families cope with difficult changes and facilitate interactions between individuals who share similar knowledge and experience through:
- normalizing difficult experiences
- decreasing social isolation
- providing emotional and educational support
Education isn’t the aim but is sometimes done in conjunction
7 things to remember while you are counseling:
- attending and listening
- tone of voice
- empathy
- respect
- consistency of communication
- non-blaming language
- making unambiguous statements
What are some aspects of counseling that are within the SLP domain?
- emotional components of communication difficulties
- reaction to diagnosis
- transition and loss of communication abilities
Which aspects of counseling are not in the SLP domain? What do we do if this comes up?
Depression, suicide ideations, family dynamics, marital problems, elder abuse, legal conflicts, financial problems. Refer to the appropriate person.
T or F: There is no “one best way to counsel” every patient, family and situation is unique.
True
8 general techniques to use while couseling:
- content response vs affect response
- reframing (different perspective)
- self-sharing
- affirmation/ paraphrasing/ summarizing
- counter questions
- open-ended/ closed questions
- verbal encouragement
- silence
List the stages of grief:
1) Denial (“I feel fine”)
2) Frustration (“Why me? It’s not fair!”)
3) Depression (“I don’t care anymore”)
4) Acceptance (“I’m ready for whatever comes”)
What are the benefits of support groups?
- share feelings and experiences in a supportive non-judgemental environment
- educate caregivers about their relative’s condition and communication impairments
- Inform group members about community resources/ current research
- help use problem solving strategies to resolve concerns
- assist families in coping with challenges of changing roles and progression.
What tips for caregivers might you share while counseling?
- educate yourself about the disease
- share caregiving tasks
- put aside time for yourself
- utilize personal support networks
- be self-aware of personal health
- prepare for the future
What is important in the early stages of counseling?
- Allow care receivers’ active role in determining their care plan
- Provide opportunity for open dialogue about future plans
- Provide knowledge and understanding of services available
- Provides necessary assistance at time of diagnosis
- Implement a care plan prior to the onset of stressors
What might be issues in end stages of counseling?
- not knowing how long the end stage will last can be difficult for the caregiver
- many caregivers are torn making medical decisions
- caregivers should be able to explore mixed feelings without being made to feel guilty
- provide information on palliative care and hospice services
- Death brings many emotions
Why is it important to consider the type of dementia in counselling?
Different for different types of dementia. In the early stages caregivers of VD or FTD patients experience it more severely but in the late stages caregivers of AD patients feel the burden more severely.
T or F: You should create a homecare support system and support group, that addresses a specific type of dementia
True
