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Tom Kitwood: twelve approaches for a positive relationship formation

Tom Kitwood has described twelve different approaches for a positive relationship formation.

These serve the purpose of an appreciative basic attitude to avoid humiliations and to help the people with dementia to maintain the integrity of his person as upright as possible or always new produce. What does this mean for you in practice?

Encounter Culture

With regard to the Dementia Care has managed Tom Kitwood to bring us (care) people again the true meaning of being human in a dependency relationship closer. Not only performance and autonomy are there particular qualities. Rather, each person is granted regardless of its (cognitive) capabilities and its benefits to society, a value addition accounts far is actually human of our social coexistence. The unconditional acceptance of each person and the recognition of his personhood are the focus. Whether we others, d. H. Thus also to be maintained, with dementia, recognize the status as a person, it really depends on how we meet him.

Therefore, the DCM (Dementia Care Mapping) plays an essential role in the person-centered approach. In this method, the kind of match are systematically counted and counted. From the results, conclusions can be drawn as regards an improved "meeting culture".

Experience in the here and now

If we can not cure the dementia, it's even more important to do research on how we can make relationship, in such a way that all can win it. And therein lies the core of the person-centered approach. Recognition and appreciation of the experience and the person in the here and now without patronizing attitude is required. We know that we can not cure the disease, but only the person, as it is here and now, accept and try to make the relationship care professional so that not yet produced more suffering.

Better deal with challenging behavior

It is equally important to pay attention to himself and his own feelings - like that of people with dementia to perceive and serious. Kitwood believed, moreover, that an appropriate design of the relationship activities, even an improvement (cognitive) services is possible.
surely we can deal Nourishing by Kitwoods methods significantly better with challenging behavior and contribute to improved well-being in people with dementia.

In the context of nursing work and providing care activities Kitwood recommends the following 12 activities, which are particularly suitable for designing relationship positive.

1. Recognize the person::

Decisive here is the intentional attention, listen actively by friendly eye contact or sincerely and efforts.

2. Negotiate:

I can negotiate only with someone I recognize as having equal rights. The match takes place on an equal footing and different perspectives are on equal footing and, if necessary, the result of the negotiation process applies. The decisive factor is the negotiation process, the optionally repeatedly must be restarted when the people with dementia may have forgotten the result again.

3. Working together:

This means that no action is carried out on him without his consent or signaled willingness to participate. Rather, it is to ask for his needs and make him share necessary maintenance actions.

4. Play:

The common games is to build an excellent opportunity relationships and familiarity to give the spontaneity and joy of life and expression as authentically as possible to experience the other.

5. Timalation:

In advanced stages of dementia communicative understanding is becoming increasingly difficult. Here on sensory access routes appreciating stimulating the relationship are designed for. Example by basic stimulation, Snoezelen or through encounters with animals. On this point, nurses actively offers and watch the reactions on the basis of which they plan further interventions.

6. Celebrate:

In this activity, the use nurses often intuitively, the separation between employees and people with dementia is repealed. The result is a feeling of closeness and equality between assisted and carers and it can be combined biographical and structured approaches.

7. Relax:

To solve emotional tension and thus sometimes to win better, communicative access, z. B. can deliberate physical contact by arm and hand massage, therapeutic touch or basic stimulation improvement of well-being can be achieved.

8. Validation:

The unqualified acceptance of the "subjective reality" of dementia on the part of nurses stems from a basic attitude that can apply, even if the statements differ from normal and an understanding difficult to access. In the joint reflection and the recourse to biographical knowledge is a great opportunity for understanding.

9. Hold:

If people feel that another person needs consolation, one sees often that they hugged and held for a while. So maintenance can be found in and after emotionally stressful, difficult situations, making them easier to (he) is carrying.

10. Facilitate:

Targeted questions or certain answers nurses can be offered to people with dementia polyphonic meanings or new context (reframing), facilitate enduring and processing negatively perceived experiences.

11. Be creative:

Spontaneous expressions or responses to prompts such. As to dance or to the biography-oriented activities such as painting, making music and much more can be the expression of vitality.

12. Type:

The person with dementia allow that they can bring concern, affection, gratitude or help express. A small gift provokes gratitude that can be expressed like and the experience enriching.

In everyday nursing, there is almost always an opportunity to select from this pool activities and apply them. Try it! It will also give you a lot (back).

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