Validation Breakthrough: Simple Techniques for Communicating with People with Alzheimer's-Type Dementia / Edition 2

by Naomi Feil

Overview

This extraordinary book shows caregivers how they can interact successfully with people with dementia by avoiding reality orientation and instead focusing on underlying emotional needs. Based on the principles of Erik Erikson and on subsequent decades of work with disoriented older adults, the simple techniques of Validation are easy to learn, take just minutes a day, and can be used by both family and professional caregivers. Let the powerful techniques of internationally recognized expert Naomi Feil help you reach confused older adults by establishing respectful, loving relationships that break the silence of withdrawal. Discover new ways to meet the challenges of caring for people with dementia! Touching, amusing, and informative, The Validation Breakthrough shows caregivers how to dramatically enhance the quality of their relationships with people in the early to middle stages of dementing illnesses. Helpful, practical strategies will show you how to stop patronizing and arguing with people with dementia and start building trust by stepping into their world. Eighteen poignant case studies illustrate how Validation is used to handle wandering, agitation, and other challenging behaviors—and reduce the sense of anger and frustration in caregivers and clients alike. Essential reading for long-term care staff, gerontologists, social workers, and family members, The Validation Breakthrough is transforming the way caregivers communicate with people with dementia

Product Details

ISBN-13:	2901878812819
Publisher:	Health Professions Press
Publication date:	02/01/2002
Edition description:	2ND
Pages:	384
Product dimensions:	6.00(w) x 1.25(h) x 9.00(d)

Table of Contents

	About the Author	xiii
	Foreword	xvii
	Authorized Validation Organizations	xix
	Introduction: Florence Trew 1872-1963: "I died"	xxiii
Part I	Alzheimer's-Type Dementia and the Use of Validation	1
Chapter 1	Aging, Development, and Alzheimer's Disease	3
	How I Learned: The Case of Isadore Rose: "You Castrated Me with Words"	3
	A Theory of Life Development and the Need for Validation	8
	Who Are the Old-Old and What Is Dementia?	16
	The Old-Old, Dementia, and Human Needs	23
Chapter 2	The Concept and Techniques of Validation	27
	What Is Validation?	27
	The Principles of Validation	28
	The Four Stages of Resolution	31
	The Techniques of Validation	36
Chapter 3	Using Validation with People Who Are Maloriented	49
	The Case of Frances, the Accuser	49
	The Case of George, the Loner	52
	The Case of Jenny, the Gardener	55
	The Case of June, the Blamer	59
	How to Read the Vital Signs of the Maloriented	60
	"Helping" Techniques that Make the Maloriented Worse	66
	Validation Techniques for Communicating with the Maloriented	66
Chapter 4	Using Validation with People Who Are Time Confused	71
	The Case of Martha, the Birther	71
	How to Read the Vital Signs of the Time Confused	76
	"Helping" Techniques that Make the Time Confused Worse	80
	Validation Techniques for Communicating with the Time Confused	80
Chapter 5	Using Validation with People Who Are Repetitive Movers	87
	The Case of Marvin, the Pounder	87
	How to Read the Vital Signs of the Repetitive Mover	90
	"Helping" Techniques that Make Repetitive Movers Worse	93
	Validation Techniques for Communicating with Repetitive Movers	94
Chapter 6	Using Validation with People Who Are in Vegetation	99
	The Case of Nora, the Nonmover	99
	How to Read the Vital Signs of People in Vegetation	102
	Validation Techniques for Communicating with People in Vegetation	103
Chapter 7	Using Validation with People with Early-Onset Alzheimer's Disease	107
	The Case of Richard, the Mumbler	107
	How to Read the Vital Signs of People with Early-Onset Alzheimer's Disease	111
	"Helping" Techniques that Make People with Early-Onset Alzheimer's Disease Worse	113
	Validation Techniques for Communicating with People with Early-Onset Alzheimer's Disease	113
Chapter 8	Who Benefits from Validation?	115
	The Benefits of Validation for Disoriented Old-Old People	115
	The Benefits of Validation for Professional Caregivers	118
	The Benefits of Validation for Families	121
Chapter 9	How Validation Differs from Other Therapies Used with Old-Old People	123
	Reminiscence	124
	Life Review	125
	Reality Orientation	125
	Remotivation	127
	Behavior Modification	128
	Diversion and Redirection	132
	Patronizing with the Therapeutic Lie	133
	You Can't Fool Millie	134
	A Reminiscing Group or a Validation Group? What Is the Difference?	138
	Get Her Outta' Here	139
	Psychotherapy	142
Part II	Validation in Practice	145
Chapter 10	Communicating with People Who Are Maloriented	147
	Ellen, the Hoarder: "When You Listen, I Speak Clear"	147
	Lucy, the Spitter: "Bitch! Get Out of My Room!"	155
	Sadie, the Martyr: "One Mother Has 10 Kids. Ten Kids Can't Care for One Mother!"	161
	Peg, the Worrier: "There's a Man Under My Bed!"	170
	Stewart, the Complainer: "You're Killing Me Here!"	180
Chapter 11	Communicating with People Who Are Time Confused	189
	David, the Toucher: "I Am Not Dr. Willard: He's on an Extended Holiday!"	189
	Margaret, the Mother: "I'm Living in My Own Home, These People Don't Belong Here!"	199
	Harry, the Hitter: "Come in, You Old Battle Ax!"	207
	Validating at Home: Karl, the Flasher	212
Chapter 12	Communicating with People Who Are Repetitive Movers	217
	Isobel, the Poet: "I Untangle the Noodles in the Mirrors of My Mind"	217
	Mary, the Pacer: "I Am Not a Sheep!"	221
Chapter 13	Communicating with Maloriented and Time Confused People Living in the Community	227
	The Apartment House Manager, the Policeman, the Emergency Medical Squad, and Thomas Konig	227
	The Mailman, the Grocery Clerk, the Hairdresser, and Millie Stonewall	231
	The Doctor, the Meals on Wheels Volunteer, and Samuel Goode	238
Chapter 14	Validating Family Members	243
	Ann and Her Mother, Trudy	243
	Tips For Family Members Who Want to Validate Disoriented Relatives	247
	Ann and Trudy--with Validation	248
Part III	Group Validation	251
Chapter 15	Setting Up Validation Groups	253
	The Value of a Validation Group	253
	Who Benefits from Group Validation?	255
	The Role of the Validation Group Worker	257
	The Role of the Validation Group Co-worker	260
	Establishing a Validation Group	262
	Conducting a Validation Group Meeting	274
	Example of a Validation Group	280
	Who Can Practice Validation?	285
Chapter 16	Frequently Asked Questions	287
Appendix	Experiences of Professionals in the United States and Abroad	293
	Implementing Validation at Country Meadows Retirement Communities	293
	Using Validation as a Consultant in a Richmond, Virginia, Continuing Care Retirement Community	297
	Using Validation in a 60-Bed Skilled Medicare Facility in the Kansas City Metropolitan Area: An Administrator's Perspective	301
	Using Validation at a 422-Bed Veterans' Home in Minneapolis, Minnesota	305
	Using Validation at a Newly Purchased Facility in Maine	309
	Using Validation at an Urban Nursing Home in Brooklyn, New York	315
	Using Validation in a 28-Bed Dementia Unit in Rural Wisconsin	319
	Using Validation at a Rural Nursing Home in Missouri	323
	Using Validation at Eldercare in South Australia	327
	Using Validation at the South Port Community Nursing Home in Australia	331
	Using Validation at a University Hospital in France	335
	References	339
	Index	343

Editorial Reviews

Arguing that as the elderly lose contact with the outside world, they turn inward and to the past to work through unresolved emotional issues from their lives, Feil (Validation Training Institute, Cleveland, Ohio) presents her method for therapeutically dealing with patients with Alzheimer's and other dementias. Validation is based in the notion that painful feelings that are expressed, acknowledged, and validated by a trusted listener will diminish. Feil compares her method to other therapeutic methods, explains the theoretical basis of her work, and discusses case studies in which the method has been utilized. Included in the text are brief descriptions of the application of the method written by other professionals. Annotation c. Book News, Inc., Portland, OR (booknews.com)