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Description
This learning object focuses primarily on the later stages of dementia and on managing the more significant or prominent challenges - and symptoms - associated with this level of dementia.
The material aims to reflect, where possible, the experiences of people with dementia and their family carers.
Many of the examples given are located in a care home setting although the issues are also very relevant to supporting a person with dementia in the community.
This resource contains both audio and video. The learning object makes use of a video produced by the Alzheimer’s Society entitled Yesterday, Today and Tomorrow: Providing Quality Dementia Care in order to illustrate some of the issues we raise.
Please note that this object also contains a self-assessment section where you can test how far you have assimilated the key messages from this learning object.
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About the authors
Alisoun Milne is a senior lecturer at the Tizard Centre in the University of Kent’s School of Social Policy, Sociology and Social Research. Prior to this, she was a Research Fellow at the Personal Social Services Research Unit and has an extensive background in social work. Her key research interests are: mental health in later life, older carers, carers of people with dementia and early diagnosis of dementia. Recent research projects include: a review of the needs and roles of older carers; GP attitudes to early diagnosis of dementia; an evaluation of the support needs of older Asians; and a review of dementia screening instruments. Alisoun contributed to the 2006 Social Care Institute for Excellence Guide to ‘Assessing the Mental Health Needs of Older People’ and is regularly involved in training health and social care staff working with this group of users. She is a member of the SE Dementia Collaborative Oversight Group and the National Patients Safety Agency, External Mental Health Reference Group. She has published widely and presented papers at national and international conferences.
Following a decade of social work practice, Brian Gearing worked for twenty years at the Open University where he was senior lecturer in Gerontology, developing a wide range of courses on ageing and the care of older people for health and social work professionals and carers. He has also carried out and published a number of biographical research studies which focus on older age and age care, and (as series editor) developed the successful Open University Press series, Rethinking Ageing.
Joanne Warner, senior lecturer in Social Work, School of Social Policy, Sociology and Social Research, University of Kent took up her post there in 2005. Prior to this she held posts as lecturer in health and social care at the Open University - where her main responsibility was writing course materials on mental health - and lecturer in applied social studies at Oxford. She has a background as a practitioner in community development and social work and continues to act as a Mental Health Act manager in an NHS trust. Joanne’s main research interests are in mental health and risk, in particular the role of inquiries in shaping professional practice. She serves on the editorial board of the international journal Health, Risk and Society.
Acknowledgements
SCIE would like to thank the four peer reviewers of the materials: Rachel Fitton, Robert Johns, Jo Moriarty and Nasreen Hammond.
SCIE would also like to thank the Alzheimer’s Society (http://www.alzheimers.org.uk/) for allowing us to use video footage in this learning object from their training package entitled ‘Yesterday, Today and Tomorrow – providing quality dementia care’ (Alzheimer’s Society, 2002).

