The number of people with dementia is expected to increase globally. People with dementia are not affected in isolation and any intervention should also support their families and carers. Intervention is best delivered using a relationship-centred approach and a case management model. Case management has an established and successful history in supporting people with long-term conditions and those with a diagnosis of severe mental illness. This article, the last in this dementia series, discusses the Admiral Nursing case management approach to supporting patients and families affected by dementia, and provides recommendations for establishing a gold standard model of case management.
Nurses are required to maintain their fitness to practise through continuing professional development activities, and must demonstrate this by maintaining a portfolio of evidence that should be available for inspection every three years. The Nursing and Midwifery Council introduced revalidation in 2016 to demonstrate that nurses are practising safely and effectively. Nurses, however, are busy healthcare professionals and, as well as clinical practice, they have other demands on their time, such as providing evidence for annual appraisals. Admiral Nurses, specialist dementia nurses who support families living with dementia, also have a three-tier competency framework designed to demonstrate their acquired expertise and knowledge in dementia care. To support Admiral Nurses in managing these activities, the charity Dementia UK gave them access to the PebblePad e-portfolio system. This article details the implementation and outcomes of this project.
According to the United Nations Guiding Principles on Internal Displacement (Guiding Principles), internally displaced persons (IDPs) refers to any person or group of persons who involuntarily had to leave their home or habitual settlements, without crossing an internationally recognized state border, especially in order to protect themselves from the consequences of armed conflict (UN Commission on Human Rights, 1998). There are an estimated 25 million IDPs worldwide and approximately 1 million in Turkey alone (Deng, 2003). In the 1980s and 1990s, an armed struggle between the Kurdistan Workers’ Party (PKK) and the Turkish Armed Forces resulted in significant levels of internal displacement in Turkey.
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