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Enhanced dementia practice for social workers

Health and wellbeing - developing your practice

Watch the film clip below and consider the questions at the bottom of the page.

George is 63 and lives at home. He was married and worked in the housing department of the local council for 30 years until he was retired six years ago on the grounds of ill health. His wife left him recently, unable to cope with his dementia and George has since found it difficult to manage alone. He has one son who lives with his partner in the North of England.
Shirley graduated as a social worker two years ago and is working with adults in the community. Shirley is interested and committed to working with people with dementia, their families and carers and recognises that she needs to develop her knowledge and skills in this area of practice.

Video: George's story

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Closed Caption subtitles can be switched on by clicking on the 'cc' button. A transcript of this video is also available.

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Video transcript: George's story

Shirley - Ok George. Let's remind ourselves of what we talked about the last time we met. Do you still have the piece of paper that I left with you? We made some notes to help us remember.

George - Yes. It's here somewhere.

Shirley - That's it. Yes, that's it. We talked about your wife moving out and going to live with her sister, and how sad that made you.

George - Yes.

Shirley - It must be difficult to manage George. You were together for a long time and did a lot of things together. We agreed that you would think about having someone, or some place, to support you to feel less lonely. Like a local group, or picking up an interest that you had? Or even going to the football.

George - I used to like the football.

Shirley - Yes. We also talked about how important it was for you to have healthy food. You said that Connie your wife still comes to cook for you from time to time, but I'm still not clear what you do for the rest of the time George. You're looking very slim. Almost like those trousers were meant for a larger man.

George - I just don't feel very hungry.

Shirley - What about sleeping, can you sleep through the night?

Questions

  1. How is George presenting during this discussion and what might his presentation indicate?
  2. How else could the social worker have interacted with George other than through direct questions to assess his mood?
  3. What resources or which individuals, groups or organisations may be appropriate to offer additional care and support?
  4. Why is it essential to support good health and wellbeing for people with dementia?
  5. How would you describe your role in initiating and/or contributing to advance planning for George?

Think back to the first time you met Ellen in Understanding Dementia. Ellen was described as behaving uncharacteristically at the Day Centre, becoming distressed when she wasn't supported to leave when she wished to.

  1. From what you now know, how would you contribute to reducing Ellen's stress and distress as she attends the day centre?
  2. What alternative options might there be?

You can download the question paper to write and save your answers. You'll need Adobe Acrobat installed on your computer to use the question paper.

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This was printed from a website hosted by the Workforce Development and Planning Department at the Scottish Social Services Council.

Scottish Social Services Council
Compass House
11 Riverside Drive
Dundee
DD1 4NY

Telephone: 0345 60 30 891
Email: sssclearningtech@sssc.uk.com

www.sssc.uk.com

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