Dealing with Dementia: A Guide to Alzheimer's Disease and Other Dementias

By Brian Draper | Go to book overview

CHAPTER 11
RESIDENTIAL CARE
MOST PEOPLE WITH DEMENTIA will be placed into residential care in the moderate—severe stage of their illness, despite the best efforts of carers and community services to support them at home. Carer stress is one of the major factors leading to the breakdown of community care, and this in turn is often related to the behavioural aspects of the dementia. Other factors include the demands of physical care, the health of the carer and the availability of community support. If the dementing person lives alone, placement is likely to come sooner, as it is very difficult to provide overnight supervision in a community setting. In this chapter I cover:
the preparation required for entering residential care;
the basic requirements of good residential care;
the different types of residential care for dementia;
the residential care system in Australia.

WHY DOES PLACEMENT INTO RESIDENTIAL CARE OCCUR?

Placement in many circumstances occurs because insufficient professional and non-professional community support is available to alleviate the pressure on carers or to look after a single dementing person in their own home. The reason behind insufficient community support is principally economic. Although residential care is very expensive, the cost of providing safe, quality, homebased care to people with severe dementia is even more expensive. Most people with severe dementia require 24-hour supervision and it is often the overnight care that is the stumbling block. The

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Dealing with Dementia: A Guide to Alzheimer's Disease and Other Dementias
Table of contents

Table of contents

  • Title Page *
  • Contents v
  • List of Illustrations x
  • List of Tables xi
  • Preface xiii
  • Chapter 1 - What is Dementia 1
  • Chapter 2 - Prevention of Dementia I 12
  • Chapter 3 - Prevention of Dementia II 26
  • Chapter 4 - The Symptoms and Course of Dementia 45
  • Chapter 5 - Types of Dementia 71
  • Chapter 6 - Dementia Assessment 88
  • Chapter 7 - Drug Treatments 106
  • Chapter 8 - Psychosocial Treatments 123
  • Chapter 9 - Families and Other Carers 138
  • Chapter 10 - Community Care Services 154
  • Chapter 11 - Residential Care 170
  • Chapter 12 - Ethical and Legal Issues 188
  • Chapter 13 - The Future 204
  • Appendix 1 - Australian Telephone Helplines 220
  • Appendix 2 - Websites 222
  • Appendix 3 - Books for Carers 230
  • Glossary 232
  • Notes 238
  • Index 252
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