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The Importance Of Friendship For People With Dementia. Fundamental Needs Of People With Dementia. Attachment – Security & Relationship Comfort – Feeling Of Warmth & Love Identity – Who One Is Occupation – Being Involved In Activity Inclusion – Feeling Part Of A Group. Kitwood (2001).
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Fundamental Needs Of People With Dementia • Attachment – Security & Relationship • Comfort – Feeling Of Warmth & Love • Identity – Who One Is • Occupation – Being Involved In Activity • Inclusion – Feeling Part Of A Group Kitwood (2001)
Evidence Based Research Many researchers found that having friends can act as a defensive factor against some of the negative effects of dementia, these include: • Psychologically – Boredom, Isolation & Depression • Socially – Withdrawn, Mood, Personality Change, Out Bursts. • Functional – Cooking, Personal care, Domestic Duties Harris (2011)
Case Study • Rita, 86 year old with dementia for one year. She Lives alone with private home support. Rita retired nurse. She was an active lady and valued member of her community and played bridge for over 30 years. • Since diagnosis Rita has had a slow decline in her cognitive state. Her mood is low, she is isolated and very much withdrawn into herself. • Rita attends the local day centre one day a week but doesn't interact within a group or individuals. • Rita could no longer attend her bridge club due to incontinence and confusion(7 months ago). • Rita's goal is to continue playing bridge. “Oh I love playing Bridge, I’ve played it for years”
Case Study – Aims & Goals • Education of her friends & neighbours: • Claire is friend of 53 years who she played bridge with. • The reason for Claire’s withdrawal was that she didn’t know how to communicate with Rita. • Advocating Rita’s desires to return to playing bridge. • The importance of life long friends – Reminiscence therapy & auto-biological therapy. • Re-engaging Rita's friends back into her life.
Case Study – Outcome &Results Results • Rita has now returned to bridge. • Rita’s friends are now active in her life. • Claire has resumed in taking Rita to the bridge club and this appears to be working very well (requires prompting and assistance)”Rita can still play bridge” • Rita’s other friend calls one morning a week and takes her for a walk. Outcome • Rita is more psychologically involved, her social interaction has improved and her functional ability have showed a mild improvement in a short period.