GP surgeries, outpatient clinics, and hospitals can be difficult for people with dementia, as physical and emotional discomfort can build up and become overwhelming. This book invites healthcare workers to examine the root causes of distress for people with dementia in clinical settings, and offers ways to resolve incidents without the need for restraint or sedation. It also suggests strategies for reflection after incidents and forward planning, to support patients and staff and reduce the frequency of difficult interactions. Each chapter includes illustrative case studies to bring key concepts and dilemmas to life, and is supported by analysis and practical advice rooted in the authors' extensive experience in dementia care. This guide helps healthcare professionals to understand why people with dementia may become distressed in a clinical setting, and gives them the tools to not only resolve incidents, but create a person-centred, supportive environment to reduce future distress.
Eleven-year-old Ray feels like a misfit at school and in her family. Things have been hard for her family since her father's accidental death in a logging accident, and Ray has been unable to express her grief. In school, the green eyes she inherited from her father are unusual for a child from an Ojibway background in a northern Ontario town and get her noticed in ways she doesn't enjoy. At home, Ray believes that her mother, grieving herself and busy with Ray's younger brother and sister, no longer needs her. Ray becomes so withdrawn that at times she hardly speaks. Then Ray gets the chance she's been longing for: to spend a summer in the bush with her beloved grandmother - fishing, camping, and living off the land. During this visit, guided by her grandmother's sure hands, compassionate wisdom, and unfailing sense of humour, Ray begins a marvellous journey. Her grandmother, Agnes, a skilled healer respected in her small community, is the mentor and teacher Ray needs. She sees Ray's need to find her own identity and voice and begins to help her learn traditional skills. At the end of this beautiful and empowering story, which begins in 1978, the withdrawn green-eyed girl has found her voice and is not afraid to use it.
It is a place both mythic and all too real, a place thought to be the site of one of our oldest human settlements and known to be a center of ancient cultures and annihilating conflicts. It sits at the bottom of a malarial valley, the lowest place on the surfact of the earth--"the overheated, earthen basement of the world," as Robert Ruby describes it. And yet, long before the world's modern religions began scrapping over its bones, Jericho was home to waves of colonization and floods of destruction. Fought over by the succeeding epochs of ancestors, the place we call Jericho is as old as the first remnants dated at 9,000 B.C.--and as current as the daily headlines. In this unorthodox biography of the first eleven thousand years in the life of a legend, Robert Ruby takes us back through time to those early settlements, then forward to the often crude but ultimately successful latter-day attempts to locate Jericho, to unearth and map and catalog its history. Beginning with the geography of place, he weaves together his own intimate knowledge of modern-day Jericho with stories of the lives and work of those explorers and archaeologists of the past whose courage often bordered on madness and whose dedication sometimes seemed the purest kind of human folly. Soldiers, scholars, engineers, adventurers--dilettantes and professionals alike, they were all dreamers drawn to this parched and dusty spot where so much of human history took place. Matching biblical accounts to araeological evidence, sifting myth from science, phantoms from reality, Robert Ruby teases out the complex strata of the past, helping us to make sense of what exists today. With the flair of a novelist and the enthusiasm of an amateur archaeologist, he offers a tale that is part detection, part epic adventure. Above all, he gives us a work of great literary panache: witty, fact-filled, and uterly, subversively compelling.
This romantic novel is set in Lusaka during the turbulent months before Northern Rhodesia gained independence as Zambia in 1964. Beryl goes to join her husband, Henry, who works there. She has been staying with his parents, in Salisbury, Southern Rhodesia, for several months and hopes to have a home of her own at last. Henry introduces her to his mainly-expatriate colleagues and their girlfriends, but life in Lusaka is not what Beryl expected. She is drawn into the lives and loves of this motley group of young people, who know that their way of life is about to change forever. Beryl struggles to save her marriage but she experiences times of intense loneliness and fear before finally deciding where her true destiny lies.
Ruby writes two parallel stories. First, nineteenth-century American Charles Francis Hall studied the oral tradition of the Inuit -- the "Eskimo"--In the remote Canadian Arctic region, as stories passed down through generations. In them, Hall made a shocking discovery. During Queen Elizabeth I's time, pirate Martin Frobisher set out with the queen's blessing and faith on a mission to find the Northwest Passage. When the dream turned into a nightmare, the island colony died, despite establishing England's presence in North America. Frobisher's exploration was lost to history -- until Hall publicized the Inuit legends of the first English colonists.
GP surgeries, outpatient clinics, and hospitals can be difficult for people with dementia, as physical and emotional discomfort can build up and become overwhelming. This book invites healthcare workers to examine the root causes of distress for people with dementia in clinical settings, and offers ways to resolve incidents without the need for restraint or sedation. It also suggests strategies for reflection after incidents and forward planning, to support patients and staff and reduce the frequency of difficult interactions. Each chapter includes illustrative case studies to bring key concepts and dilemmas to life, and is supported by analysis and practical advice rooted in the authors' extensive experience in dementia care. This guide helps healthcare professionals to understand why people with dementia may become distressed in a clinical setting, and gives them the tools to not only resolve incidents, but create a person-centred, supportive environment to reduce future distress.
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