- Web site of the case study
Memory problems are generally quite prominent in dementia and they have a significant impact on everyday functioning. Medication developed for Alzheimer’s disease, for example, acetylcholinesterase...www.tandfonline.comMet de verschuiving van een vooral medische oriëntatie in de psychogeriatrie in de jaren zeventig van de vorige eeuw naar een meer psychosociale benadering van de persoon met dementie in de jaren negentig, heeft ook de theorievorming op dat gebied een vlucht genomen.btsg.nl
- Table of contents
- Coping with dementia
CoP 2 Coping with dementia
Hearing the diagnosis of dementia is confronting for the person involved. Many feelings are released at that moment. These range from feelings of sadness, disbelief, powerlessness, anger, ... and sometimes also a sense of relief, confirmation (I finally know what's wrong).
The diagnosis is usually made after symptoms have been present for some time (up to years). On average, this takes even longer for people under the age of 65.
After the diagnosis of dementia is communicated, a processing period begins for the person concerned to give it a place and to learn to deal with (present) symptoms. This is called 'coping'. Coping is derived from the English term 'to cope with' which literally means 'to be able to deal with or to cope with'.
How the person involved accepts this and how he deals with the consequences is an individual process. People are looking for a sense of control and balance. The person with dementia, with the help of the environment, looks for ways to adapt. This adaptation to and coping with the consequences of dementia are, according to R.M. Dröes processes in which the person with dementia is active and where the environment can offer support and guidance. T. Kitwood specifically points to the impact (both positive and negative) that the environment can have on people with dementia. R.M. Droës distinguishes 7 adaptive tasks for the person with dementia:
Practical adaptation to limitations
1. Dealing with your own disability
2. Develop an adequate care relationship with healthcare providers
3. Maintaining an Emotional Balance
4. Maintain a positive self-image
5. Preparing for an Uncertain Future
6. Developing and Maintaining Social Relationships
7. Handling Day Care, Nursing Home Environment and Treatment Procedures
In any case, it is a constant adjustment for the person with dementia as for the environment to changing internal and external circumstances. Psychosocial support can help people with dementia to cope with the consequences of their situation.
How can we, as adult educators, support carers and people with dementia in accepting and learning to cope with dementia? What experiences do you have in this regard?
 Mentaal beter.nl : copingstijlen
 Memory problems in dementia: adaptation and coping strategies and psychosocial treatments