Conversations that Matter: person centred validation in dementia care.

My mother Edith spent the last years of her life in residential care. She had a tragic childhood and hid much of this from us as children. Much of the pain was hidden so deeply that it was not revealed until her dementia had substantially progressed. By this time, she was in a care home. I knew that she had been locked away for a long time in coal shed but not that she spent time in a work house and felt abandoned as a victim of the first world war and an early death of her mother.

This experience had a great impact on her life. One of her greatest fears is being left/abandoned or being excluded from a conversation about things that mattered to her and a desire to please.

In the early stages of her dementia my mother showed signs of accusing, blaming and demonstrating the emotions arising feeling marginalised. This resulted in her aggressive stance as she lacked trust in some of the people around her.  She hung onto control and would shake her fist and wag her finger giving out threats such as the frequently heard exhortation with threats ‘ How dare you….. you have not heard the end of this…..’ .

After 2-3 years she gradually started to slip into the next stage of dementia, displaying time-confused characteristics.

It was clear that her UNFULFILLED NEEDS were:

·         Safety and security (the need to be nurtured)

·         To belong and to be loved and feel affection with others

·         To gain appreciation and recognition

I started asking my mother what mattered to her and took myself on an extended course to learn validation methods to try to meet her emotional needs, with my friend and colleague Julia Pitkin.  This is the passion behind the course we are delivering. iCarer Validation Course.

COPING MECHANISMS

  1. Denial

  2. Catastrophic reaction when she loses a sense control

  3. Great problems admitting the type of establishment (residential home she was living in, regarding it as a hotel (when in mal-orientation). This might be due to her fear of the work house. 

On this journey of learning my mother told me what mattered to her and I put it together as a poem

Quality of Life

Someone who listens

Someone to talk with

Kindness and understanding

Someone to laugh with

‘Me’ to see ‘me’ a lot

I like to be liked

I like to please

I like to know what pleases you So that I can pass it on to someone else

Doing things, loving people

Letting them know you are thinking of them,

I like to see the light come into their face because I have said something that really makes them happy,

…….because I had so much unhappiness as a child

It is not so much about what people do but about relationship

Edith Brooking

This was made into a short youtube clip which you can view through this link