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Enhanced dementia practice for social workers

Working with carers - developing your practice

Watch the film clip of Caroline with the social worker and consider the questions at the bottom of the page.

Video: Carolines's story

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Video transcript: Caroline's story

Shirley - Oh, thanks Caroline. As I was saying to you yesterday, I find it really helps me to get a better all round picture if I can spend some time on my own with the carer. I also wanted to speak with you because I wondered how you were coping being a carer and living your own busy life.

Caroline - It has been very hard to see her going downhill, and to hear that my mum has been upset and difficult at the day centre. That's not like my mum. And I wonder what the future holds.

Shirley - You are going through a very difficult time right now and your responses are absolutely natural. Now it's my job to support you to be the best carer for your mum that you can be, and you are being. It's also important that you take some time for yourself.

Caroline - That doesn't seem to be possible. I can't abandon her when she needs me so much.

Shirley - Caroline, can I ask; what information have you been given about your mum's dementia and how it might progress from here?

Caroline - None really. The Doctor told me she had dementia. He said that it wasn't curable and that I needed to think about power of attorney.

Shirley - Well power of attorney can be very helpful. It allows your mum to choose who she wants to make decisions on her behalf when she cannot make her own decisions anymore. I noticed when we were chatting yesterday that she often turns her head round to you to look for reassurance. Have you already arranged a power of attorney with your mum?

Caroline - Yes, we did that last year.

Shirley - Oh that's good. I have brought a leaflet for you Caroline that I thought you might find helpful. It's based on the Standards of Care for People with Dementia and their Carers, and what they can expect. If you look at this section here, what it does is that it outlines that carers like yourself are entitled to information and support, and that you are allowed to take time off from looking after your mum.

Caroline - I didn't know that, thank you.

Shirley - I'll just leave this here for you and you can have a look at it in your own time. Now, if I was to ask you; what's important to you in relation to your mum?

Caroline - Just the simple things really. That she is healthy and well fed. That she is comfortable. That she has company.

Shirley - You are trying to meet all of those needs yourself.

Caroline - I suppose so. That's why the day centre has been so important. It gives me a break so that I can go to work.

Shirley - I can see that. What about if I asked you; what's important to you in your own life?

Caroline - No one has asked me that before. I think really it's just the people I care about. My mum. My kids. My husband. Work too, that's important to me.

Shirley - I noticed that your mum was top of your list there. Is that how it's been for you recently?

Caroline - Yes.

Shirley - How does your husband feel about that?

Caroline - He feels like he is less important. But he also understands. I know he wonders when it will all end. He says it has taken too much out of me.

Shirley - Is he right?

Caroline - Probably. But what choice do I have?

Questions

  1. What feelings has Caroline shared about her caring role?
  2. To what extent were the social worker's responses supportive of the core principles for working with carers outlined in Equal Partners in Care (EPIC) and emanating from the Carers Strategy 2010?
  3. How would you proceed in your work with Ellen and Caroline, recognising the EPIC principles and the right to a Carer's Assessment?
  4. How will you support Caroline to be better informed and prepared as her mother's dementia journey progresses? Which resources, individuals or organisations will you use/approach?
  5. What supports may be available to Caroline in order for Caroline to take time off from caring and spend time with her partner and children?
  6. If Caroline already has welfare and continuing power of attorney in place, can she currently exercise the powers to support her mother now, and if so, how? (Caroline has an extensive range of welfare powers)
  7. How and when might you discuss Ellen's palliative and end of life care with Caroline, and with Ellen?

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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

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