Community mental health nursing and early intervention in dementia: developing practice through a single case history

Abstract

People Nursing in association with Journal of Clinical Nursing 13, 6b, 57-67 Community mental health nursing and early intervention in dementia: developing practice through a single case history This paper reports on a single case history taken from the 'Dementia Action Research and Education' project, a 15-month primary care intervention study that was undertaken in North Wales in the early part of 2000. The study sought to address the meaning, context and diversity of early intervention in dementia care and employed a community mental health nurse and a psychiatric social worker to undertake early and psychosocial interventions with older people with dementia (aged 75 years and over) and their families. The workers tape-recorded, documented and analysed their interventions with 27 older people with dementia and their families over the 15-month duration of the study. Clinical supervision was also undertaken during the intervention phase. One case history is presented in this paper to illustrate the work of the community mental health nurse and to identify areas of practice development. Greater role transparency, collaborative working and improvement in educational preparation for practice are called for.

Can training community mental health nurses to support family carers reduce behavioural problems in dementia? An exploratory pragmatic randomised controlled trial

“…There are potential advantages for carers when practitioners have dementia-specific caseloads (Woods et al, 2003). Furthermore sustained clinical supervision to unlock PSI components (Keady et al, 2004) will need to underpin PSI (Brooker and Butterworth, 1993;Pusey, 2003) in dementia care.…”

“…Dementia protocols in primary care for training practitioners in behaviour management (Teri et al, 2005a) and collaborative dementia-care management (Callahan et al, 2006) exist, where the type of intervention is potentially of more importance than the professional identity of the care-provider (Keady et al, 2004).…”

Reminiscence in dementia: A concept analysis

“…They also have the potential to support a person-centred approach to dementia care (Keady, Woods, Hahn, & Hill, 2004). Reminiscence therapy (RT) is a psychosocial intervention commonly used in dementia (Wang, 2007).…”

What does practice development (PD) offer mental health‐care contexts? A comparative case study of PD methods and outcomes

“…PD in the context of mental health nursing has been applied in different settings, for example from community mental health nursing and early intervention in dementia (Keady et al . ). Deacon () explored the use of a ‘virtual ward’ when providing care for people in acute mental health nursing work.…”