Showing posts with label training. Show all posts
Showing posts with label training. Show all posts

Monday, 17 September 2018

A celebration of what is possible

As another September brings World Alzheimer’s Month, there is always the temptation to write a blog that points out how much we still need to do to improve awareness, care and support for people who are living with dementia and their families and friends.

For this World Alzheimer’s Month, however, I have cause for celebration. Over 6 years ago I began D4Dementia to, “Provide support and advice to those faced with similar situations (to those we faced with my dad), inform and educate care professionals and the wider population, promote debate and create improvements in dementia care.” My inspiration was to share some of the positive aspects of my dad’s life and for others to learn from them. As I wrote more posts, I also shared aspects of my dad’s care and support that weren’t good enough, again with the intention that others may learn something. As the years have gone by I’ve diversified from blogging to do more and more training and mentoring to make that mission real, and in September 2018 my educational work has achieved the quality mark of Skills for Care Endorsement.

For many people who already have endorsement or another accreditation this may seem routine, but for me it’s something I never imagined was possible. I’m not an academic, backed by a major educational institution. I’m a former carer to my dad, and everything I’ve done since he died has been based on our experiences - a regular family turned upside down by dementia.

I wanted to create a legacy for my dad that wasn’t about mourning his loss however keenly I still feel it, or about beating a drum of hate for the people who let him down so badly when he was at his most vulnerable. I wanted to create positive change - I felt passionately then, as I do now, that if I could help just one person living with dementia, or one family supporting a loved one with dementia, or one professional working in dementia care and support, to find the information and advice that they needed then I’d done something amazing.

I’ve since read and heard similar aspirations from so many other people affected by dementia, most notably recently from reading Wendy Mitchell’s phenomenal book, ‘Somebody I used to know’. The desire to help just one person, to scatter crumbs of hope and positivity, however small those crumbs might be and however uncertain you are of how far they might travel, gives those of us who’ve had any sort of experience of dementia a feeling that there is something good that can come out of a diagnosis and a reality that changes life forever, and in my dad’s case robbed us of him far earlier than we might otherwise have been.

Reflecting on my endorsement as a training provider, it isn’t just for me. It’s not just for my dad either, although I hope and believe that he would be very proud. It’s for every person who’s ever felt a passion to use their experiences of dementia, or any other health condition, to help others but have wondered if A) anyone would be interested in their experiences, and B) whether they have the courage or confidence to share them.

I think we are conditioned from an early age - thanks to the school system - to view education as something delivered by people with far more qualifications than us in institutions with a track record of producing learning that is intended to equip students for whatever life holds for them. Little value is placed on lived experience, which is why I always dismissed applying for any quality mark for my training as something unattainable. It's only thanks to the encouragement of my family that I made that first tentative enquiry.

I hope my experience of endorsement shows that lived experience is now being recognised for the value I’ve always believed it has. Since I began my training and mentoring work I've known from feedback - and most importantly results -  that what I was doing had immense merit and quality, but going through a rigorous process of proving that to an organisation like Skills for Care means that it isn’t just me saying what I do is good, or my lovely clients or colleagues writing me testimonials (which I’m extremely grateful for) - it’s an independent and highly-regarded organisation saying it.

More than me proving a point, however, I hope it encourages others to realise that personal experiences have the power to educate to a level that is worthy of accreditation. Earlier this year I read with immense interest about the training offered by York Minds and Voices with a course entitled: ‘A good life with dementia.’ This is a course, delivered by people living with dementia for people living with dementia. A simple but groundbreaking concept.

This course embodies the peer support element that I believe is absolutely vital in good post-diagnostic support, and I was fascinated to follow its progress. I very much hope that inspired by what York Minds and Voices did earlier this year, training courses like this will become the norm – created and delivered by people living with dementia, financially supported by health and social care organisations and commissioners, and ultimately with the chance to become accredited to show the world their true merit. There can be no greater educators about dementia, or any other health condition, than those living with it.

I am committed to including the experiences and voices of people living with dementia in my training, whether it’s through quotes, showing films, or I hope one day with more personal involvement from people living with dementia. And of course my dad’s experiences are interwoven throughout everything I do - you might think that 6+ years after his death they would have become irrelevant, but in many respects so little has meaningfully changed in care and support, attitudes and beliefs, experiences and outcomes.

My thanks go to all of my clients and colleagues who have supported my application for endorsement, to Skills for Care for considering and ultimately endorsing my application, and to everyone who reads this blog, follows me on social media or has championed my work. Most of all though, I thank every person I’ve met living with dementia and their family members who have taught me something about their lived experience, and of course to my dad. Those last 19 years of his life featured some of the toughest challenges I have ever - and probably will ever – face, but I learnt more than I ever imagined possible, and the privilege of keeping my dad’s legacy alive by sharing those lessons is something I hold very dear.

Until next time...
Beth x







You can follow me on Twitter: @bethyb1886
Like D4Dementia on Facebook

Monday, 11 June 2018

The forgotten workforce

In all of the meetings I’ve attended about unpaid carers in the 6+ years since my own caring role for my dad ended, the most common themes have been: A) How do we identify carers? And B) How do we assess carer’s needs? The end result of the latter is generally to offer respite, somewhere along the line a leaflet (or a whole pack of leaflets) might be given, and possibly there'll be some signposting to a charity who are running a local carers group. Box ticked. Job done.

What a contrast to the paid care and support workforce, who in England need to complete the Care Certificate (which is comprised of 15 standards) and regularly update themselves in mandatory training topics such as health and safety, infection control and manual handling. In addition, all good care providers offering specialist support for people with dementia, learning disabilities and other complex conditions will provide in-depth and on-going training to support their staff. Only last month for Dementia Awareness Week, I blogged about the training and mentoring I provide to health and social care staff.

Two roles, one huge discrepancy

With this huge discrepancy in the levels of training and support provided, you might think that paid care and support workers and unpaid family carers (or you may prefer another term like ‘care partner’, ‘caregiver’ or ‘supporter’ I know from everything I’ve done to promote appropriate dementia language that words matter) have very different roles, but not so. Unpaid carers/care partners frequently undertake all of the elements of care and support that paid care and support workers do, but mostly in highly unsuitable domestic homes that are ill-equipped to support a person with high dependency needs, and with the additional and extremely complex element of the emotional ties that they have to the person who needs care and support.

An estimated 6.5 million people in the UK do this for a family member or friend who has a disability, illness, mental health problem or who needs additional help as they age. Imagine if we had 6.5 million paid care and support staff working for home care agencies, care homes and the like who had never been trained in any aspect of their role and were relying on guidance from a leaflet or their own internet research (for free online courses such as these). There would be uproar. As it is many professionals don’t receive education to the extent required for their role when theyve had training!

I know that my blog is read my numerous unpaid carers/care partners who have contacted me either looking for information or advice, or thanking me for what they have found within my 200+ posts. A few more may find my blog in the days ahead, as its UK Carers Week 2018, and whilst I’m very happy that I can provide help and support, it is a damming indictment that in 2018 there is no formal training programme for this 6.5 million strong forgotten workforce.

It seems that the discrepancies between paid and unpaid caring are considered ok because unpaid caring happens behind private front doors, and if you’ve no idea what you’re doing no one cares until a crisis occurs and you rock up at A&E.

Education – the key to remaining healthy and connected

The theme of this year’s Carers Week is how we enable carers/care partners to remain healthy and connected. For me, carer breakdown has always been a huge topic - I’ve lost count of the times I’ve said that a person with dementia is most likely to end up utilizing professional care services when immobility or incontinence leave their carer/care partner unable to cope. 

Thinking about immobility for a moment, I’m reminded of a story I was told about a lady who frequently visited a relative in a care home with her husband. Her husband had dementia, and was gradually losing his mobility. His wife was struggling to cope with supporting him to get in and out of the car – care staff spotted this one day and invited the lady to join their next manual handling training. Equipped with that knowledge, the wife was able to safely support her husband and protect her body from the common strains that can leave a carer/care partner unable to provide care and support.

Regarding incontinence, I often find myself reflecting on the film ‘Still Alice’, when Alice goes to her holiday home with her husband and is caught short trying to find the toilet. Alice and her husband are immensely distressed. From that moment, the seed that goes on to becoming urinary incontinence and potentially double incontinence is sown. Yet with some support to create an enabling environment, Alice can continue to find the toilet independently and remain continent for longer.

These are just two examples of very small, very simple interventions that can support families to do what most of us would want to do – help our loved one live a good life with dementia or any other condition that they are diagnosed with. But it’s utterly bonkers to think that any family can do that without any education or knowledge - lifelong learning, rooted in the personal experiences of former carers/care partners, for the duration of a carer/care partner’s life is essential. Even when a family member comes from a professional health or care background they often struggle, simply because care and support in a domestic home, when your shifts are 24/7, is about navigating numerous relentless difficulties without anyone to support you.

Knowledge is permanent respite from inexperience

The idea that a family carer/care partner just needs some ‘respite’ to get back on track is, I think, very insulting. Many families don’t want their loved one to go into a care home, or any other respite ‘solution’ temporarily. It’s not a ‘holiday’ for either person – just an upheaval fraught with worry, and a fear that one day the person will go into residential care and not be able to return home. I know that feeling all too well – when my dad went into hospital after we found him collapsed on the floor at home he never entered his front door again.

I’m sure that with the Carers Week theme of keeping carers/care partners healthy and connected there will be a lot of focus on areas like carer health checks, drop in clinics, social support groups and the like. But I know from my experiences with my dad that there is no substitute for knowledge. If there was, we wouldn’t set so much store by sending our children to school for the best part of 13 years of their young lives (and often far longer in higher education). And if the knowledge I’d gained as a carer/care partner was superfluous and insignificant, I wouldn’t have started this blog to share our experiences to help other families (and D4Dementia wouldn’t be so widely read).

Until next time...
Beth x







You can follow me on Twitter: @bethyb1886
Like D4Dementia on Facebook

Friday, 25 May 2018

Action for dementia care and support - Changes associated with dementia

Welcome to the last of my five blog posts for UK Dementia Action Week 2018 (DAW2018)

This year Dementia Awareness Week is renamed Dementia Action Week to reflect the need for action for people affected by dementia rather than only focusing on awareness.

In this spirit, I’m sharing the ‘Key Messages’ from my dementia care and support training modules. The training, devised entirely by me and heavily based on personal experiences from my dad's life with dementia and the many other people I've met who are living with dementia, is something I've delivered to numerous frontline social care staff as a standalone learning experience or to supplement the bespoke training and mentoring that I provide to individual services and organisations.

I've never shared these materials online before, and I'm hoping by doing so now I will inspire positive action amongst health and social care providers who are supporting people living with dementia and their families.

Day 5: Changes associated with dementia

My fifth module is called ‘Changes associated with dementia' and covers: 
  • Looking beyond ‘Challenging behaviour’ 
  • Unmet needs
  • Mental, physical and emotional feelings and experiences and relating these to the person’s needs
  • Reacting and responding through positive support
  • Non-pharmacological interventions
  • Pharmacological interventions
  • The national policy on antipsychotics
  • Being a detective
  • Working on your approach
  • Seeing the person
It concludes with:
Key Messages for 'Changes associated with dementia'
For me these key messages, whilst very basic to many of us, are something every person providing care and support for anyone affected by dementia should live and breathe by.
Of course, there is so much more to what is in a 3-hour training session than I could convey in a short blog, but to give you a flavour of what this is like in 'real life' the module is the start of opening up conversations about viewing the changes associated with dementia (not 'challenging behaviour') through the lens of unmet needs, how to support the person's emotions and experiences, and different approaches to alleviate the person's symptoms.

Everything I do asks learners to put themselves into the shoes of the person, so in this module learners think about their experiences of supporting a person with changed behaviour, and use 'real life' scenarios to explore some common changed behaviours through the eyes of the person experiencing them.
**ACTION FOR HEALTH AND SOCIAL CARE PROVIDERS**
PLEASE PRINT THE KEY MESSAGES IMAGE ABOVE AND PIN IT ONTO A NOTICEBOARD THAT ALL OF YOUR STAFF CAN SEE.
For more information on my training and mentoring consultancy work, please see my website: http://www.bethbritton.com.

Thank you for supporting my blog during Dementia Action Week 2018.

Until next month...
Beth x







You can follow me on Twitter: @bethyb1886
Like D4Dementia on Facebook

Thursday, 24 May 2018

Action for dementia care and support - Living with dementia

Welcome to the fourth of my five blog posts for UK Dementia Action Week 2018 (DAW2018)

This year Dementia Awareness Week is renamed Dementia Action Week to reflect the need for action for people affected by dementia rather than only focusing on awareness.

In this spirit, I’m sharing the ‘Key Messages’ from my dementia care and support training modules. The training, devised entirely by me and heavily based on personal experiences from my dad's life with dementia and the many other people I've met who are living with dementia, is something I've delivered to numerous frontline social care staff as a standalone learning experience or to supplement the bespoke training and mentoring that I provide to individual services and organisations.

I've never shared these materials online before, and I'm hoping by doing so now I will inspire positive action amongst health and social care providers who are supporting people living with dementia and their families.

Day 4: Living with dementia

My fourth module is called ‘Living with dementia' and covers: 
  • ‘Living with dementia’, ‘Living well’ and ‘Living better’
  • An asset-based approach
  • Working side-by-side with the person
  • Independence, choice and control
  • Risk and disagreement
  • The empowerment movement
  • Occupation, activity and lifelong learning 
  • Social connectivity and community life
  • Day-to-day living
  • Markers of living well and advice from a person living with dementia
  • Key staff skills
  • Human Rights and the Mental Capacity Act 
It concludes with:
Key Messages for 'Living with dementia'
For me these key messages, whilst very basic to many of us, are something every person providing care and support for anyone affected by dementia should live and breathe by.

Of course, there is so much more to what is in a 3-hour training session than I could convey in a short blog, but to give you a flavour of what this is like in 'real life' the module is the start of opening up conversations about everything that goes into supporting a person to live as well as possible with their dementia. 

Everything I do asks learners to put themselves into the shoes of the person, so in this module learners think about how to support a person to live as well as possible in lots of everyday situations, and use 'real life' scenarios to identify, support and work with the person to maintain their skills.
**ACTION FOR HEALTH AND SOCIAL CARE PROVIDERS**
PLEASE PRINT THE KEY MESSAGES IMAGE ABOVE AND PIN IT ONTO A NOTICEBOARD THAT ALL OF YOUR STAFF CAN SEE.

For more information on my training and mentoring consultancy work, please see my website: http://www.bethbritton.com.

Tomorrow (25 May 2018) I will look at 'Changes associated with dementia'.

Until then...
Beth x







You can follow me on Twitter: @bethyb1886

Wednesday, 23 May 2018

Action for dementia care and support - Communication and dementia

Welcome to the third of my five blog posts for UK Dementia Action Week 2018 (DAW2018)

This year Dementia Awareness Week is renamed Dementia Action Week to reflect the need for action for people affected by dementia rather than only focusing on awareness.

In this spirit, I’m sharing the ‘Key Messages’ from my dementia care and support training modules. The training, devised entirely by me and heavily based on personal experiences from my dad's life with dementia and the many other people I've met who are living with dementia, is something I've delivered to numerous frontline social care staff as a standalone learning experience or to supplement the bespoke training and mentoring that I provide to individual services and organisations.

I've never shared these materials online before, and I'm hoping by doing so now I will inspire positive action amongst health and social care providers who are supporting people living with dementia and their families.

Day 3: Communication and dementia

My third module is called ‘Communication' and covers: 
  • The building blocks of communication
  • Environments and sensory loss
  • What a positive interaction looks and sounds like
  • Talking and listening
  • Non-verbal communication
  • Responsiveness
  • Life stories
  • Teamwork and creativity
  • Feelings and emotions
  • Validation verses reality orientation
  • Coping with communication difficulties
It concludes with:
Key Messages for 'Communication'
For me these key messages, whilst very basic to many of us, are something every person providing care and support for anyone affected by dementia should live and breathe by.

Of course, there is so much more to what is in a 3-hour training session than I could convey in a short blog, but to give you a flavour of what this is like in 'real life' the module is the start of opening up conversations about communicating with a person who is living with dementia, and takes a step-by-step approach that looks at every element that goes into creating positive and meaningful interactions. 

Everything I do asks learners to put themselves into the shoes of the person, so in this module learners experience a demo of unpleasant communication examples, reflect on a film featuring a person living with dementia, and use 'real life' scenarios to think about how they might respond in particular communication situations.

**ACTION FOR HEALTH AND SOCIAL CARE PROVIDERS**
PLEASE PRINT THE KEY MESSAGES IMAGE ABOVE AND PIN IT ONTO A NOTICEBOARD THAT ALL OF YOUR STAFF CAN SEE.

For more information on my training and mentoring consultancy work, please see my website: http://www.bethbritton.com.

Tomorrow (24 May 2018) I will look at 'Living with dementia'.

Until then...
Beth x







You can follow me on Twitter: @bethyb1886
Like D4Dementia on Facebook

Tuesday, 22 May 2018

Action for dementia care and support - Being person and relationship centred

Welcome to the second of my five blog posts for UK Dementia Action Week 2018 (DAW2018)

This year Dementia Awareness Week is renamed Dementia Action Week to reflect the need for action for people affected by dementia rather than only focusing on awareness.

In this spirit, I’m sharing the ‘Key Messages’ from my dementia care and support training modules. The training, devised entirely by me and heavily based on personal experiences from my dad's life with dementia and the many other people I've met who are living with dementia, is something I've delivered to numerous frontline social care staff as a standalone learning experience or to supplement the bespoke training and mentoring that I provide to individual services and organisations.

I've never shared these materials online before, and I'm hoping by doing so now I will inspire positive action amongst health and social care providers who are supporting people living with dementia and their families.

Day 2: Being person and relationship centred

My second module is called ‘Person and relationship centred care and support' and covers: 
  • The foundations of person-centred care and support
  • Individuality, choice and control
  • Understanding the person and their preferences, qualities, needs, abilities, interests and aspirations
  • Individualising support
  • Wellbeing
  • The foundations of relationship-centred care and support
  • Working with families
  • Person and relationship centred care and support as a therapy to alleviate distress
  • Key staff skills
It concludes with:
Key Messages for 'Person and relationship centred care and support'
For me these key messages, whilst very basic to many of us, are something every person providing care and support for anyone affected by dementia should live and breathe by.

Of course, there is so much more to what is in a 3-hour training session than I could convey in a short blog, but to give you a flavour of what this is like in 'real life' the module is the start of opening up conversations about
 what person and relationship centred care and support is, and how staff can provide it for the people they are currently supporting. 

Everything I do asks learners to put themselves into the shoes of the person, so in this module learners think about the 
preferences, qualities, needs, abilities, interests and aspirations of a person they support, and they break down how they would provide person-centred care and support in 'real life' scenarios.

**ACTION FOR HEALTH AND SOCIAL CARE PROVIDERS**
PLEASE PRINT THE KEY MESSAGES IMAGE ABOVE AND PIN IT ONTO A NOTICEBOARD THAT ALL OF YOUR STAFF CAN SEE.

For more information on my training and mentoring consultancy work, please see my website: http://www.bethbritton.com.

Tomorrow (23 May 2018) I will look at 'Communication and dementia'.

Until then...
Beth x







You can follow me on Twitter: @bethyb1886
Like D4Dementia on Facebook

Monday, 21 May 2018

Action for dementia care and support - The basics of dementia

Welcome to the first of my five blog posts for UK Dementia Action Week 2018 (DAW2018)

This year Dementia Awareness Week is renamed Dementia Action Week to reflect the need for action for people affected by dementia rather than only focusing on awareness.

In this spirit, I’m sharing the ‘Key Messages’ from my dementia care and support training modules. The training, devised entirely by me and heavily based on personal experiences from my dad's life with dementia and the many other people I've met who are living with dementia, is something I've delivered to numerous frontline social care staff as a standalone learning experience or to supplement the bespoke training and mentoring that I provide to individual services and organisations.

I've never shared these materials online before, and I'm hoping by doing so now I will inspire positive action amongst health and social care providers who are supporting people living with dementia and their families.

Day 1: The basics of dementia

My first module is called 'What is dementia?' and covers: 
  • Facts and fiction
  • Current statistics
  • The different types of dementia
  • The needs of minority groups - including BAME, LGBT, people with learning disabilities and younger-onset dementia
  • The symptoms of dementia
  • Other conditions with similar symptoms
  • Living with long-term conditions alongside dementia
  • Progression, ‘stages’ and the life course with dementia
  • Dementia research
It concludes with:
Key Messages for 'What is dementia?'
For me these key messages, whilst very basic to many of us, are something every person providing care and support for anyone affected by dementia should live and breathe by.

Of course, there is so much more to what is in a 3-hour training session than I could convey in a short blog, but to give you a flavour of what this is like in 'real life' the module is the start of opening up conversations about the types of dementia, symptoms and experiences of the people staff are currently supporting. 

Everything I do asks learners to put themselves into the shoes of the person, so in this module learners think about what they might experience if they themselves were living with particular symptoms of dementia.

**ACTION FOR HEALTH AND SOCIAL CARE PROVIDERS**
PLEASE PRINT THE KEY MESSAGES IMAGE ABOVE AND PIN IT ONTO A NOTICEBOARD THAT ALL OF YOUR STAFF CAN SEE.

For more information on my training and mentoring consultancy work, please see my website: http://www.bethbritton.com.

Tomorrow (22 May 2018) I will look at 'Person and relationship centred care and support'.

Until then...
Beth x







You can follow me on Twitter: @bethyb1886
Like D4Dementia on Facebook

Monday, 4 December 2017

Resolve to embrace human rights

(A note before I begin this blog post: You should not consider anything written in this blog as legal advice for you or anyone you care for).

During my dementia training for social care professionals, I ask participants:

“Do you think people with dementia have human rights?”

Most participants, keen to say the right thing, murmur, “Of course.”

Which naturally leads me onto the next question:

“So what are these human rights then? Name me some...”

And the silence that follows is usually defending.

When the silence is broken, it’s been broken by some really ‘interesting’ contributions. The right to "a cup of tea" and a "clean bum" are two notable examples.

I talk about human rights during my training on living well, or living better, with dementia. Although human rights fit into every aspect of living with dementia, I think presenting them in the context of 'living well' sends an important message that human rights are vital to the person’s quality of life.

Human rights and people with dementia

There has been a very powerful movement towards thinking about the support of people with dementia in a human rights context, led by many important voices including Dementia Alliance International. The disability sector really pioneered human rights work in relation to people with various disabilities, and leading advocates for people living with dementia do, quite correctly, feel that the same rights should be afforded to people with dementia. Legally that is certainly true, but in practice it happens sporadically at best.
Human Rights law encompasses many different aspects of life. To pick out some of the Rights that are particularly relevant in the context of health, social care and dementia, I often think about:
    The Right to life
    The Right to freedom from torture and inhuman or degrading treatment
    The Right to liberty and security
    The Right to respect for your private and family life, home and correspondence
    The Right to freedom of thought, belief and religion
    The Right to freedom of expression
    The Right to protection from discrimination in respect of these rights and freedoms
    The Right to peaceful enjoyment of your property
Historically, the most common barrier to the application of a person’s human rights has been the assumption that all people with dementia are incapable of self-determination (autonomy) simply because they have dementia. Of course, with the introduction in the UK of the Mental Capacity Act (My blog post on MCA is here), that assumption could no longer, legally, be made.
Yet, such is the lack of understanding about MCA, and the often poor practical application of its 5 main principles, the MCA is frequently as misunderstood as human rights legislation. Even more alarmingly, whilst most social care staff when questioned will say they’ve had some basic training in the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS), the majority of staff I see have never even been asked to consider their care and support practices in the context of the person’s human rights.
Simplifying legal complexities
Human rights is a huge topic that I do not profess to be an expert in. But even for a lay person such as myself, there are important aspects that I feel anyone can and should grasp to augment their understanding.
Firstly, the framework for making decisions is an approach based on asking yourself:
    Is it lawful?
    Is it a legitimate aim?
    Is it necessary in a democratic society?
Three fairly simple questions. And of course the ‘it’ could be anything, from a daily care and support issue around personal care or medication right through to locking doors.
Secondly, the principles of a human rights based approach are:
    Proportionality
    Least restrictive option
    Balancing rights and risks
    Proactive strategies
All of those 4 principles draw me in, much like the principle in the Mental Capacity Act that allows for a person to make an ‘unwise’ decision. The concepts of balancing rights and risks, being proportional, and taking the least restrictive option always spark interesting conversations. 
Practicing a human rights based approach
In one recent example, I asked a group of care workers what they would do if the person they supported wanted to take a walk outside:
Care staff: “Our residents often go outside onto the patio in the summer.”
Me: “Ok, I was thinking a bit further than your patio area. And I’m talking about right now. Late November, 4pm.”
Care staff: “Ah well that would be dangerous so we’d keep them in.”
Me: “But what about the person’s right to liberty and security? If we say we are respecting the person’s rights, are we only doing that between May and September?”
Care staff: “But we have to keep them safe - it’s getting dark.”
Me: “It is, so if we are taking a human right’s approach, respecting the person’s right to LIBERTY and SECURITY, let’s ensure the person is wrapped up in warm clothes and non-slip shoes, dress ourselves similarly, take a torch (and we have lighting around the building) and go for a walk outside with the person. That way we are supporting the person’s right to liberty, doing our best to keep the person safe by keeping them warm and going with them, and being proportional by supporting what the person wants but keeping to areas that are well-lit and won’t involve us getting lost. We have balanced the person’s rights with the risks and found a less restrictive option (than keeping the person locked up inside). We could also add being proactive in our approach if the person wants to regularly go for a walk at this time and we anticipate and support that. And as a plus point, can anyone think of any other benefits?
(Silence)
Me: “The person will hopefully get a bit of an appetite for their supper, enjoy some exercise, and potentially stave off any sundowning symptoms by being occupied and engaged. Best of all, we will have empowered that person.”
Empowerment - the very best example of living well
That, for me, is ultimately what a human rights based approach is all about - empowerment. Losing rights and freedoms is very disempowering. Being told "no" constantly. Being locked up like a prisoner. Feeling your needs and wants don’t matter. Anyone in that position might just give up.
But when we find a way by being proactive, even if logistically we have to make some compromises, we transform the person’s experience. Being told "yes" is a positive feeling. When the doors open, the sense of freedom is exhilarating. Having our needs and wants met validates those needs and wants. You are living, not just existing, because you feel like a worthwhile and empowered human being.
My challenge to you
Many individuals and organisations would benefit from enhancing their understanding and revolutionising their approach to human rights to protect people living with dementia from, at best, misguided care and support and at worst, abuse. So, as 2017 draws to a close (this post marks my last D4Dementia blog of the year), my challenge to everyone involved in the care and support of people with dementia is to make 2018 the year you resolve to embrace a human rights based approach. And to support you, this won’t be my last blog on the topic.

Thank you for all your support in 2017. Until 2018...
Beth x







You can follow me on Twitter: @bethyb1886