'The book, aimed at practitioners, professionals and academics, involves an impressive and wide-ranging array of contributors from both the UK and the US. The book includes learning objectives and exercises, encouraging the reader to actively engage with the material. There is also an insightful preface from Daphne Wallace, a retired psychiatrist now experiencing early dementia. It's an admirably comprehensive and user-friendly resource for anyone with a professional or personal interest in excellent dementia care' - Communitycare. 'Thanks to the variety of questions treated, illustrated by both discussions and exercises, this book is a clear and comprehensive pedagogic tool for any professional involved in the care of people (with dementia)' - Fondation Nationale de Gerontologie, Paris, France. 'Written by leading theorists from a range of countries, this comprehensive text is a unique achievement. It is divided into four parts: principles and perspectives; knowledge and skills for supporting people with dementia; journeys through dementia care; and embedding experience in dementia care. Despite there being 46 contributors, there is a consistent voice addressing current thinking in dementia care, with good cross referencing. Expertise of researchers, practitioners and academic tutors is brought together in a stimulating, informative and sometimes provocative read' - Nursing Standard. 'Dementia care has come of age with this book. It is an impeccably crafted collection of papers from eminent experts on both sides of the Atlantic. The book demonstrates confidence, based on both research evidence and well-grounded good practice, and a solid set of shared values both explicit and implicit. The contributors are refreshingly candid about debates and controversies. This book is authoritative and readable which makes it useful to a wide audience. It will provide knowledge, encouragement and motivation to a hard pressed workforce' - Mary Marshall OBE, Emeritus Professor, University of Stirling, Scotland. This landmark textbook draws on the extensive knowledge of researchers, practitioners, and professionals in the care of people with Alzheimer's disease and other dementias. It is informed both by a profound respect for people with dementia and a commitment to including them in decisions about their care and lives. While focusing on care for people with dementia, this core text also addresses the most pressing concerns of families by promoting practices and services that recognise the full humanity of their relative with dementia. In addressing the many complex issues related to offering support to people with dementia and those who care for them, this timely textbook is unique in emphasising strategies for creating sustainable change in practice. The book includes examples from a range of countries, drawn from research, practice wisdom and, most importantly, from the experience of people with dementia and their families. This key text offers valuable insights about how to: provide competent and compassionate care for people with Alzheimer's Disease and other dementias; build systems to provide effective care; encourage collaboration among multi disciplinary professionals and users and carers; support those caring for people with dementia; and ensure those with dementia maintain dignity, well-being, and meaningful participation in life. "Excellence in Dementia Care" is a vital resource for those working with people with dementia. It provides an accessible yet sophisticated overview of the knowledge, skills and attitudes required to achieve excellence. It is an essential handbook for those responsible for training, education and skills development in dementia care.
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从学术严谨性的角度来看,这本书的参考文献和引用的研究数据是相当扎实的,但令人称道的是,它成功地在保持专业深度的同时,避免了陷入纯粹的学术论文模式。作者似乎有一种魔力,可以将那些复杂的神经科学发现和行为心理学模型,转化为清晰、易于理解的图表和模型。例如,书中对“路易体失智症”的特定症状群解析部分,它不仅详细说明了视觉障碍和异食癖的生理基础,还紧接着提供了针对性的非药物干预措施,并且用列表的形式清晰地列出了哪些干预是首选,哪些需要谨慎尝试。这种“理论支撑+实践指导”的双轨并行模式,让这本书成为了一个绝佳的教学参考资料。对于机构的培训师来说,它提供了可靠的知识框架;对于一线的工作人员来说,它提供了即时的行动指南。我发现自己经常会停下来,翻阅后面的附录,那里收集了一些非常实用的工具和评估量表,它们的设计考虑到了实际工作环境的局限性,非常贴合现实操作的需求,体现了作者深厚的临床实践背景。这本书的知识密度非常高,但阅读起来毫不费力,这本身就是一种高超的写作技巧的体现。
评分这本书在探讨“沟通技巧”的部分,简直是一场关于语言艺术的深度研讨会。它超越了简单的“说什么”的层面,深入挖掘了“如何听”和“如何感受”的重要性。作者强调,在失智症照护中,非语言线索占据了交流的绝大部分。书中专门辟出章节来详细分析面部表情、肢体语言甚至呼吸模式的细微变化所蕴含的信息。我尤其喜欢作者提出的“镜像回应”理论,它不仅仅是指模仿对方的姿势,更深层次的是指情感状态的同步与接纳。书中提供了大量的场景模拟练习,比如如何应对患者反复提出的同一个问题而不显现出不耐烦,作者建议的不是重复相同的答案,而是改变回应问题的“情感基调”,比如从困惑转变为温柔的确认。这种细致入微的指导,对于那些在日常照护中感到沟通受阻的人来说,简直是拨云见日。读完这一部分,我对自己与失智症患者进行互动的方式有了一个彻底的颠覆性认识——真正的沟通,是先建立情感的桥梁,语言只是辅助工具。这种对沟通本质的深刻洞察,使得这本书的价值远远超出了普通的护理书籍范畴。
评分这本书的视角非常具有前瞻性和包容性,它没有将失智症视为一个需要“战胜”或“治愈”的敌人,而更多地将其视为一种生活状态的转变,并倡导在这种转变中寻找并最大化患者的“能力圈”和“生命意义”。书中对“生命叙事重构”的探讨非常触动人心,它鼓励照护者与患者一起,回顾并肯定患者过去的人生价值和成就,而不是仅仅关注他们现在“丧失”了什么。这种积极的、赋权(empowerment)的视角,极大地提升了照护的质量和尊严感。比如,书中提到一位曾是出色会计师的女士,即便在晚期阶段无法处理复杂的数字,照护者也可以通过提供简单的、有节奏感的计数活动,让她重温掌控感。这种尊重个体历史和固有身份的做法,是现代照护理念的核心,但这本书将其阐述得如此清晰有力,让人心悦诚服。它成功地将照护的焦点从“疾病管理”悄然转向了“生命质量的维护与提升”,这对于整个行业来说,都是一次重要的理念引导。这本书读完后,留在脑海里的不是沉重的负担,而是一种充满希望和责任感的使命感。
评分这本书的语言真是平易近人,像一位经验丰富的老友在耳边娓娓道来,让你感觉仿佛不是在阅读一本专业的护理指南,而是在进行一次深入的、充满人文关怀的对话。作者似乎深谙如何将复杂的临床知识转化为日常可操作的步骤,这一点尤其让我印象深刻。比如,书中关于“情境重塑”的章节,它没有用那些晦涩难懂的学术术语堆砌,而是通过一系列生动的小故事,展示了如何在看似僵局的互动中,巧妙地引导失智症患者回到一个让他们感到安全和被理解的状态。我记得其中一个例子,是关于一位总是在找“回家的路”的老先生,书中提供的方法不是强行纠正他的认知偏差,而是顺着他的情感需求,将病房的一个角落布置成他记忆中温馨的旧客厅的样子,一下子就让老先生平静了下来。这种以人为本,尊重患者内心世界的处理方式,是很多教科书里往往被忽略或一笔带过的精髓。阅读过程中,我不断地在思考,如何才能将这些理论真正落地到我日常的工作中去,它提供的不是僵硬的SOP(标准操作程序),而是一种处理人与人之间复杂情感联结的哲学指导。这本书的价值就在于,它让你从心底里产生一种敬意和同情,去理解那些隐藏在行为背后的需求和恐惧,从而将冷冰冰的护理工作,升华为一种有温度的艺术。
评分这本书的结构安排堪称一绝,它没有采用那种传统的时间线或疾病发展阶段的线性叙事,而是巧妙地围绕着“照护者体验”这条主线展开,让阅读的过程充满了代入感和即时的实用价值。我特别欣赏作者在讨论压力管理和照护者自我关怀部分所花费的心思,这一点在许多专业读物中往往被视为次要内容,但作者却将其置于核心地位。她非常坦诚地描述了照护过程中可能出现的倦怠、内疚感和孤独感,这些都是真实照护者常常挂在嘴边却又羞于启齿的心声。书中不仅指出了这些问题的存在,更提供了详尽的、可操作的应对策略,比如如何建立有效的支持网络、如何设置合理的界限,甚至是如何在重压下保持个人的兴趣和爱好。读到这些内容时,我感觉自己被“看见”了,那种被理解的支持感是无价的。此外,书中对不同阶段失智症的照护侧重点切换描述得极其清晰,从早期的认知支持到晚期的舒适照护,每一步的转变都伴随着对照护者心理预期的调整建议,这种前瞻性的指导,极大地减少了照护过程中因不确定性带来的焦虑。它更像是一本陪伴照护者走过漫长旅程的“旅伴手册”,而非仅仅是一本知识的集合。
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