June 11, 2019

Journal of Dementia care - Vol 27 No 3 May June 2019

Resources  including  eResoures and articles are available to members of Dementia Australia Library.
*You can request items by emailing Library@dementia.org.au

The future of technology in dementia detection and care
Smart technologies will one day transform the detection, care and treatment of dementia, says Thomas Sawyer. He looks at what the future holds as artificial intelligence replaces pen and paper pg 12

Good morning Alexa: what can you do for me today?
If you believe Amazon, the company’s voice-activated assistant Alexa will run your life for you if you let it. But is it true? We asked some people living with young onset dementia to tell us how they use Alexa and whether she is good value pg 14

*(what is Alexa –“Amazon Alexa, is a virtual assistant developed by Amazon, first used in the Amazon Echo and the Amazon Echo Dot smart speakers developed by Amazon Lab126. It is capable of voice interaction, music playback, making to-do lists, setting alarms, streaming podcasts, playing audiobooks, and providing weather, traffic, sports, and other real-time information, such as news. Alexa can also control several smart devices using itself as a home automation system. Users are able to extend the Alexa capabilities by installing "skills" (additional functionality developed by third-party vendors, in other settings more commonly called apps such as weather programs and audio features “- Wikipedia).

LGBT awareness training: learning from Australia
Allison O’Kelly travelled the length and breadth of Australia to research awareness and care for LGBT people who develop dementia. She found widespread good practice, initiatives and training materials, and much for the UK to emulate pg 16

‘Dear Alzheimer’s’: a diary of living with dementia
Then a primary school head teacher in Kent, Keith Oliver was just 54 when he was diagnosed with young onset Alzheimer’s. In his new book, a diary of living with dementia, he talks about the experience and all that has happened since.  pg 18

Placing faith in relationships
Is evidence-based practice always desirable? Luke Tanner argues for a different approach based on emotionally fulfilling relationships… pg 20


Young dementia: the specialist keyworker role
Young onset dementia (YOD) too often goes unrecognised and services are frequently sparse and uncoordinated. Jacqueline Hussey and Hilda Hayo make the case for specialist keyworkers who can help people with YOD find the right support 

…pg 25

A different understanding: a conversation about art
Art enables us to see dementia as much more than a biomedical condition. Hannah Zeilig and Julian Hughes engage in conversation about how artistic collaboration can help people with dementia connect with the world around them … 28

Good design for people with dementia in hospital

Hospital environments can have a big influence on the wellbeing of patients with dementia. In the third article of our series on hospital dementia care, Sarah Waller sets out principles of good design

… pg32
Communication training: creating videos together
A study of everyday interactions between people with dementia and their supporters gave valuable insights into the principles of good communication. Joseph Webb and colleagues report on their findings pg 36

Book reviews

Reducing the symptoms of Alzheimer's Disease and other dementias : a personal guide to cognitive rehabilitation techniques

Practical and innovative, this book provides guidance for people with dementia, their families and carers. Comprehensive myth-busting information on nutrition, stress, communication, sleep and cognitive rehabilitation techniques will allow readers to build a personalised self-care plan to reduce dementia symptoms and improve quality of life.

This book is hopeful in tone, showing people with dementia how they might go about regaining skills and maximising their brain’s capacity to function. It is written in accessible language, making the science intelligible to the lay person.

Will I still be me? : finding a continuing sense of self in the lived experience of dementia

*Also available in our eLibrary

“I wake up each day and still feel like Christine, even if I do not know what day it is or what happened yesterday!” (p56) These are the words of Christine Bryden, who has lived with dementia since 1995 and in her latest book argues persuasively that the loss of cognitive abilities in dementia should not be equated with the loss of a sense of self.
Encouraging a deeper understanding of how individuals live meaningfully with dementia, the book challenges the dominant story of people with dementia 'fading away' to eventually become an 'empty shell'. It explores what it means to be an embodied self with feelings and emotions, how individuals can relate to others despite cognitive changes and challenges to communications, and what this means for the inclusion of people with dementia in society.

May 23, 2019

New books for the healthcare professionals

Resources  including  eResoures and articles are available to members of Dementia Australia Library.

The dementia manifesto : putting values-based practice to work
by Julian Hughes ad Toby Willianson
In this book we want to pause to reflect on other aspects of dementia because, as we shall argue, despite everything else about it, dementia is also a way of seeing more clearly the human condition. In the face of a threat to our lives and to our standing as persons with relationships and a sense of dignity and worth, we would argue that it's quite natural to ponder on some of the deeper aspects of our being in, or engagement with, the world. These ponderings are pertinent to us all, not just to those of us who will get or are already living with dementia.

How we think about dementia: personhood, rights, ethics, the arts and what they mean for care
by Julian Hughes
Exploring concepts of ageing, personhood, capacity, liberty, best interests and the nature and ethics of palliative care, this book will help those in the caring professions to understand and engage with the thoughts and arguments underpinning the experience of dementia and dementia care.
Dementia is associated with ageing: what is the significance of this? People speak about person-centred care, but what is personhood and how can it be maintained? What is capacity, and how is it linked with the way a person with dementia is cared for as a human being? How should we think about the law in relation to the care of older people? Is palliative care the right approach to dementia, and if so what are the consequences of this view? What role can the arts play in ensuring quality of life for people with dementia? also on eBook - How we think about dementia 

Dementia as social experience : valuing life and care

This innovative volume brings together an interdisciplinary group of researchers and practitioners to focus on dementia as lived experience. It foregrounds dementia’s social, moral, political and economic dimensions, investigating the challenges of reframing the dementia experience for all involved. Part I critiques the stigmas, the negativity, language and fears often associated with a dementia diagnosis, challenging debilitating representations and examining ways to tackle these. Part II examines proactive practices that can support better long-term outcomes for those living with dementia. Part III looks at the relational aspects of dementia care, acknowledging and going beyond the notion of person-centred care. Collectively, these contributions highlight the social and relational change required to enhance life for those with dementia and those who care for them.

The Perspectives of People with Dementia
People with dementia have often played a passive role in the investigation of their condition. The contributors to this book look at ways of redressing the balance and involving them in the research process. They describe the skills that researchers and care staff need, and the methods they can use, when seeking to draw out and validate the views of people with dementia successfully, and discuss the ways in which such views can be included in debates about dementia methodology and policy.

The book focuses on a number of projects which have taken different approaches to working with people with dementia in research, including a chapter examining the difficult process of interviewing people with dementia whose first language is not English and a chapter describing a project which encourages people with dementia to participate in the analysis of the research findings. This varied and innovative book will help those in the fields of health and social policy, dementia research and dementia care to hear the voices of people with dementia more clearly, and to include their opinions more effectively in the provision of services. * also in the eLibrary

Supporting people with learning disabilities and dementia - training pack : a training pack for support staff

Within this pack you should find everything needed to deliver individual training sessions or, combined, as a half or full day training course. 
Included in the pack are four resources - 
The trainer guidelines, including the Powerpoints, resources and handouts needed to run the training.

Supporting people with learning disabilities and dementia self-study guide

Tools are included as part of each topic. They may be copied as handouts, or used as part
of staff discussions. Some can also be displayed or available in a designated staff area for
 staff to read.

Supporting Derek : a practice development guide to support staff working with
people who have a learning difficulty and dementia [kit]

This training pack aimed at those supporting people with learning difficulties
who have or may develop dementia. It will assist people in providing high
quality,individual care for people with a learning difficulty and dementia.
'Supporting Derek' is a practice resource pack based on extensive research
by experts in the field. Including a DVD and training pack, it covers many
 of the key issues related to diagnosing and responding to dementia in people
 with learning difficulties.
The short drama included on the DVD (acted out by people with a learning
difficulty) gives a powerful insight into the reality of dementia and how it might
feel to the individual affected.
Young onset dementia : a guide to recognition, diagnosis, and supporting individuals
with dementia and their families

Providing key information and insight into the experiences of people living with a diagnosis
 of  young onset dementia, this book will increase the knowledge and skills of health and 
social care professionals in the early recognition, diagnosis and support of young people with 
dementia and their families.The book explores the experiences of people living with a 
diagnosis of young onset dementia through detailed case studies, and gives learning points 
to implement in practice for the better provision of appropriate support and care. It explains 
the need for adapting services which are often designed for older people, and how the 
complicated diagnostic process can lead to misdiagnosis among younger people. Key issues 
are considered, including at-risk groups, work and dealing with potential loss of employment, 
changes in personal and family relationships, readjusting life expectations and plans, and 

Alzheimer's disease and dementia : what everyone needs to know

This book contributes what is urgently missing from public knowledge: unsparing
 investigation of their causes and manifestations, and focus on the strengths possessed by
 people diagnosed. Steven R. Sabat mines a large body of research to convey the genetic
 and biological aspects of Alzheimer's disease, its clinical history, and, most significantly,
 to reveal the subjective experience of those with Alzheimer's or dementia. Sabat corrects 
dangerous misconceptions that plague our understanding of memory dysfunction and many
 other significant abilities that people with AD and dementia possess even in the moderate to severe stages. 

People diagnosed with AD retain awareness, thinking ability, and sense of self; crucially, 
Sabat demonstrates that there are ways to facilitate communication even when the person with 
AD has great difficulty finding the words he or she wants to use. 

Sabat strives to inform as well as to remind readers of the respect and empathy owed to
 those diagnosed and living with dementia, and conveys the type of information and more,
 which, when applied by family and professional caregivers, will help improve the quality of 
life  of those diagnosed as well as of those who provide support and care.

May 10, 2019

Journal of Dementia care - Vol 27 No 1 January/February 2019

Resources  including  eResoures and articles are available to members of Dementia Australia Library.

*You can request items by emailing Library@dementia.org.au

The Dementia-Friendly Hospital Charter: its impact and future
In the first of a new series on good practice in hospital dementia care, Vicki Leah and Jo James report on the impact of the Dementia Friendly Hospital Charter and explain why it has been relaunched – it now includes a new section on volunteering and it has identified approaches and innovations from education, social events, nutrition programmes, and allowing carers to stay over night …  p 14

Young onset dementia: bridging the diagnosis gap
Diagnosis rates for young onset dementia languish well below those for people aged over
65. Jacqueline Hussey and Leena Reddy argue that this is unacceptable and issue a call for radical change – the rate of diagnosis for remains below 40% - the diagnosis gap and more efficient recording of diagnosis by GPs is not adequate. Difficulties lie in the fact that some studies show 80% of YOD don’t present with cognitive symptoms – they are likely to have one of the rarer types of dementia  that often get attributed to depression. In the frequent absence of a co-ordinated referral or care pathway , people find themselves having multiple consultations from different professionals ….p 16

Disruptors or innovators?
In the last issue of JDC, David Sheard argued for disruptive culture change in care homes. But Lynne Phair asks whether calling innovators “disruptors” is merely a rebranding exercise    p18

Dementia is a cognitive disability: it’s time to act
Action is needed on the rights of people with dementia, insists Peter Mittler, who argues that they are still subject to discrimination by government…asks why governments are so slow to accept that dementia is a disability like any other, and people affected by dementia should have the same rights.  Action is needed because the OECD has reported that people with dementia “receive the worst care in the developed world” (2015) …p19

A direct dementia referral pathway
Early diagnosis can help people to live well with dementia, but what if GPs omit to make the necessary referrals? Beverley Drogan came up with an ingenious answer. Early diagnosis is know to be beneficial in enabling people receive the most appropriate treatment and support while providing them with opportunities to live well with the condition – thus the proposal of a direct dementia referral pathway to speed up the process. Using Commissioning for quality and innovation (CQUIN) -Providers must also undertake a monthly audit of carers of people with dementia and report the findings to their Board at least twice per year. .. using the tool FIND, ASSESS, INVESTIGATE AND REFER (FAIR): There are three separate stages to this element of the CQUIN

…p 20

Making, shaping and celebrating together
Roz Austin explains how co-facilitating poems with her late granny, Wendy McNay, resulted in a remarkable book of poetry called Sweet Memories. “Creating the poems connected us together again,” she says … p 24

Technology helps people stay healthy at home
Does technology have the answers to early identification of health problems in dementia? Helen Rostill and colleagues discuss the early findings from their pioneering study: Technology Integrated Health Management (TIHM) for dementia. Due to inadequate care after discharge elderly people with dementia may develop problems that see them back in hospital – 1 in 4 hospital beds is occupied by patients with dementia – and UTIs are the most common problem (NHS). TIHM (technology integrated health management) for dementia study involves using the workforce in a targeted effective way by installing a network of internet-enabled devices in peoples homes…early findings show a reductions neuropsychiatric symptoms such as depression, agitation and irritability… …p 26

Frontotemporal dementia: how we are failing families
Frontotemporal dementia often manifests itself in behavioural changes rather than memory deficits, yet it may go unrecognised. The consequences can be disastrous, as Lynne Ramsay, F Katharina Reichelt and Ian James report.
Despite being relatively rare FTD is one of the leading causes of dementia in younger people – it is thought to be the 3rd most common cause of dementia in people under 65! 2 variants of FTD have been identified by the leading features at presentation (behavioural and aphasic). While physical problems are uncommon in the early stage approximately 10% develop motor neurone disease and some develop Parkinsonism. About 1/3 have a genetic or familial predisposition. Other risk factors may include head injury and hypothyroidism. Over 40% with aphasic variant displaying progressive word finding difficulties, nearly 60%  present with the behavioural variant  which is marked by personality changes, disinhibition, apathy, poor decision making, impulsivity and new criminal behaviours (14 %  - first indicator of FTD) and socially inappropriate behaviours. The article looks at 2 case studies. Reflections – both case studies give powerful narrative of how services and even specialists failed to provide for these patients sometimes because these people didn’t have typical dementia symptoms and family members did not feel that they were taken seriously or listened to nor did they receive adequate support once the diagnosis was made…p 30

The WHELD programme: showing the benefits Do person-centred care and social activity benefit people living with dementia in care
homes? Lucy Garrod, Jane Fossey and Clive Ballard discuss the results of the WHELD study and implications for practice
Providing quality care for people with dementia in care homes is a major challenge due to complex needs  and other health issues, high turnover of staff and management changes, and low ratio of staff to residents, as well as low pay and variable training. There is a consensus that person centred care principles is crucial – but interpretations of these are often inconsistent – there are very few guidelines and interventions that have been  proven to demonstrate benefits, thus given this lack of evidence the WHELD study sought to standardise the approach to care  person centred approach.

Well-being and Health for People with Dementia (WHELD) combines the most effective elements of existing approaches to develop a comprehensive but practical staff training intervention. This optimised intervention is based on a factorial study and qualitative evaluation, to combine: training on person-centred care, promoting person-centred activities and interactions, and providing care home staff and general practitioners with updated knowledge regarding the optimal use of psychotropic medications for persons with dementia in care homes.
These findings suggest that the WHELD intervention confers benefits in terms of QoL, agitation, and neuropsychiatric symptoms, albeit with relatively small effect sizes, as well as cost saving in a model that can readily be implemented in nursing homes. Future work should consider how to facilitate sustainability of the intervention in this setting.…32



A pocket guide to understanding Alzheimer's disease and other dementias
If you or a loved one are worried about Alzheimer's disease or other types of dementia, this pocket guide will help you to better understand the conditions, and how they are diagnosed and treated. Written by leading dementia experts, this book provides clear and concise information on:

* Symptoms
* Diagnosis and treatments
* Getting help and support
* Tips for people living with dementia
* Advice for carers

This is a fully-updated edition of the popular Understanding Alzheimer's Disease and Other Dementias, which featured on the Reading Well Books on Prescription for Dementia scheme.

April 04, 2019

New resources for carers

Resources  including  eResoures and articles are available to members of Dementia Australia Library.

*You can request items by emailing Library@dementia.org.au

The "D' word : rethinking dementia

Dementia is also is a social problem, not just a medical one. We have to learn to live with Dementia and, as it will affect many of us either as carers or through eventually having the condition, we become our own experts rather than relying on the inadequate response from medicine. 
The authors, based on their long experience of working together to support people affected by dementia, show us how to understand the biological reality of dementia (the brain is changing and no amount of memory medicine can restore what is gone); readjust our thinking about the condition so that we can accept rather than fear it; and gain the expertise to manage the problems we have now.

Dealing daily with dementia : 2000+ practical hints & strategies for carers

Here is a thoroughly practical book for carers and families, written by someone with first-hand experience of caring for a person with dementia over many years. Drawing on real-life situations, this book brings together a wealth of information not easily found elsewhere. 

It provides solutions to a vast range of situations the carer is likely to encounter -- from organising legal and financial affairs, to ways of coping with the symptoms of dementia, such as aggression, hallucinations, incontinence and decreasing mental powers. 

It also contains thousands of hints for dealing with dementia on a daily basis, including adapting the home environment; showering, dressing, eating and drinking; keeping the mind stimulated; and communicating well with family, friends and professionals, as well as with each other. The personal stories throughout the book are inspiring, sobering and at times amusing. This book is full of the wisdom and insights of experienced carers, and has much to offer anyone new to this role.

Creating moments of joy : for the person with Alzheimer's or dementia

When a person has short-term memory loss, his life is made up of moments. We are not able to create a perfectly wonderful day with those who have dementia, but it is absolutely attainable to create perfectly wonderful moments—moments that put smiles on their faces, a twinkle in their eyes, or trigger memories. Five minutes later, they won’t remember what you did or said, but the feeling you left them with will linger.

Within the sections are smaller steps. At the end of each step is a place where you can journal your thoughts, solutions, and treasures to help you achieve the overall goal of creating many moments of joy for the person with dementia, and for YOU!

Loving someone who has dementia : how to find hope while coping with stress and grief

This is a new kind of caregiving book. It's not about the usual techniques, but about how to manage on-going stress and grief. Dr. Boss helps caregivers find hope in "ambiguous loss" having a loved one both here and not here, physically present but psychologically absent.

Outlines seven guidelines to stay resilient while caring for someone who has dementia. Discusses the meaning of relationships with individuals who are cognitively impaired and no longer as they used to be. 

Offers approaches to understand and cope with the emotional strain of care-giving. Boss's book builds on research and clinical experience, yet the material is presented as a conversation. She shows you a way to embrace rather than resist the ambiguity in your relationship with someone who has dementia.

Five good minutes with the one you love : 100 mindful practices to deepen & renew your love every day

This work offers 100 simple and fun practices that can help couples find quality time  for each other no matter how crazy their schedules. These simple activities show them  how to become more mindful and focused on one another, leading to a more intimate, connected, and loving relationship.

Lewy body dementia survival

Kevin Quaid author of this book was diagnosed with Lewy Body Dementia when he was 53 years old having been diagnosed with Parkinson's Disease two years earlier, however he started to show symptoms of Parkinson's three years before that. This story takes a look at his life, the highs and lows and sometimes his struggle with life itself. This book then leads into day to day living with this horrible disease Lewy Body Dementia, not only from Kevin's point of view as a patient but also how it affects his family and how his wife copes with being put in the role of a carer. There are some wonderful practical and helpful tips on how to make life a little easier for everyone, and some hints on how to have some difficult discussions with the sufferer before their mind begins to slip. This book is real and raw and its' aim is to help those who find themselves in the same terrible position as Kevin and his family.


A caregiver's guide to lewy body dementia

A Caregivers Guide to Lewy Body Dementia is written in everyday language, and is filled with personal examples that connect to the readers' own experiences. It includes quick fact and caregiving tips for easy reference, a comprehensive resource guide, and a glossary of terms and acronyms.This is the ideal resource for caregivers, family members, and friends of individuals seeking to understand Lewy Body Dementia.


Resources for healthcare professionals

Resources  including  eResoures and articles are available to members of Dementia Australia.

*You can request items by emailing Library@dementia.org.au

The refusal of food in the elderly patient : Identification of the causes of rejection of the meal in the elderly patient with respective hypotheses of intervention to prevent and treat malnutrition

Malnutrition has been calculated to cause death between 4.095% and 53.55% of the institutionalized elderly population, on average about one nursing home guest on 3.

Refusal of food should be discussed as a team in the case and also given to the family member by the same or alternatively by a professional elected to the role, with subsequent comparison. The planning of an intervention plan will follow, according to the procedures proposed in the manual that includes it, related to the identified causes, and of the resources exploitable in the service.

Practical Nutrition and Hydration for Dementia-Friendly Mealtimes

In this accessible guide, Lee Martin offers simple, practical and cost-effective solutions to ensure healthy and enjoyable eating for people with dementia. Presenting clinical advice in everyday language, this is the perfect book for unpaid carers and healthcare professionals alike.

The importance of food and mealtimes in dementia care : the table is set

*also available in the eLibrary

Using her extensive experience of working with older people with dementia, Berg explains how mealtimes can be used as natural opportunities for meaningful interaction, socialising and reminiscing, and useful forums for taking part in familiar tasks. 

The book considers the social significance of mealtimes and their role in maintaining patients' feelings of social attachment and well-being as well as the impact of the symptoms of dementia on food and mealtimes. Finally, the author discusses practical implementation strategies, considering variables such as building design, interdisciplinary collaboration, organization of staff and residents, and staff participation and conduct at mealtimes. 

Dementia as social experience : valuing life and care

*also available on the eLibrary

A diagnosis of dementia changes the ways people engage with each other – for those living with dementia, as well their families, caregivers, friends, health professionals, neighbours, shopkeepers and the community. Medical understandings, necessary as they are, provide no insights into how we may all live good lives with dementia.

It foregrounds dementia’s social, moral, political and economic dimensions, investigating the challenges of reframing the dementia experience for all involved. 
Part I critiques the stigmas, the negativity, language and fears often associated with a dementia diagnosis, challenging debilitating representations and examining ways to tackle these. 
Part II examines proactive practices that can support better long-term outcomes for those living with dementia. 
Part III looks at the relational aspects of dementia care, acknowledging and going beyond the notion of person-centred care. Collectively, these contributions highlight the social and relational change required to enhance life for those with dementia and those who care for them.

Communication in elderly care : cross-cultural perspectives

"The topic of communication in elderly care is becoming ever more pressing, with an aging world population and burgeoning numbers of people needing care. 
It examines the way people talk to each other in eldercare settings from an interdisciplinary and globally cross-cultural perspective. 
Often, there is the presence of various mental/physical ailments on the part of the care receivers, scarcity of time, resources and/or flexibility on the part of the care givers, and a mutual necessity of providing/receiving assistance with intimate personal activities. The book combines theory and practice, with linguistically informed analysis of real-life interaction in eldercare settings across the world. Each chapter closes with a 'Practical Recommendations' 

A Creative Toolkit for Communication in Dementia Care

"..It is pleasing to know that the importance of non-verbal language is highlighted in this book. By following the great advice in this book you will have the necessary toolkit to give people every opportunity to communicate and take part in worthwhile physical and mental activities that will bring hours of enjoyment for the person with dementia and, just as importantly, you the carer.' - Tommy Dunne, person living with dementia.

'A Creative Toolkit for Communication in Dementia Care is a valuable resource for caregivers. You'll learn important tips for connecting and better communication with someone who has dementia. 

Connecting the dots : breakthroughs in communication as Alzheimer's advances 

If you have a loved one in the middle or late stages of Alzheimer's disease, you know how frustrating and difficult it can be to communicate. 

But it's not impossible to maintain a real relationship with your friend or family member, even as his or her Alzheimer's advances.
 In more than sixteen years of work with Alzheimer's patients and their families, author Judith London has learned how to 'connect the dots' of scattered information offered by people with Alzheimer's so that loved ones can understand the depth of feeling still present in them. 

Connecting the Dots reveals London's practical techniques for decoding the language of Alzheimer's to improve communication. With this book as your guide, you can better navigate your relationship with your loved one and keep a meaningful connection. 

International perspectives on reminiscence, life review and life story work

Offers critical accounts of the rapidly growing and extensive global literature, and highlights the continuing relevance and effectiveness of these therapeutic methods. 

Includes examples of international practical projects, involving people of all ages, life circumstances, and levels of physical and cognitive functioning. 

Contributions from contemporary practitioners and researchers give a nuanced appraisal of the methods of engagement and creativity arising from the purposeful recall of our personal pasts. Chapters include reviews of technology, ethical issues including end of life care, working with people with mental health conditions, and working with people with dementia.

Life Story Work with People with Dementia : Ordinary Lives, Extraordinary People

Introducing life story work, a way for people with dementia to connect with their relatives, carers and the professionals working with them. This evidence-based book explains the many benefits of life story work, with practical guidance for introducing it in a variety of settings. The authors show how life story work can empower people with dementia to inform care practitioners and family members what care and support they may need now and in the future, by taking into account their past and their future wishes and aspirations. The book includes practical information on how to get started, ethical considerations such as consent and confidentiality, and considers issues of diversity and how to address them. The voices of practitioners, researchers and family carers sit alongside those of people living with dementia to present a wide-range of perspectives on life story.

The Compassionate and Commercially Aware Care manager

The key message behind this Manual for the care home manager is that to be a truly successful, compassionate manager you also have to be a commercially aware manager. It explains how compassion is important for residents and staff and explains the basics of business and how its best applied in the care home environment.

Leadership and management skills for long-term care 

While the scope of long-term care settings has expanded from nursing homes and home care agencies to assisted living facilities and community-based health services, the training for nurses, managers and administrators, medical directors, and other professionals who work in these facilities is often fragmented. This book was developed to fill a widely-recognized gap in the management and leadership skills of RNs needed to improve the quality of long-term care. The book is based around learning modules in leadership and management competencies that were site-tested in three types of long-term care settings and revised based on the resulting feedback. Several of the nurse experts involved in the project contribute to this book.
The leadership modules cover team building, communication, power and negotiation, change theory and process, management direction and design, and management that moves from conflict to collaboration. Two additional modules cover cultural competence and principles of teaching and learning related to adult education in the long-term care environment. Together, these skills will enhance the nurse's ability to build and interact with the geriatric care team, resolve conflict, negotiate for solutions, develop collaboration, and teach and mentor nurses and nursing assistants.