Dementia is the greatest shame of modern medicine; not because there have been no significant advances in treatment, but because—from restraints, to locked units, to antipsychotics, to ECT—we have lost our recognition of the humanity of those living with the diagnosis.
Over a decade ago I left the beach towns of Florida I had always called home. I packed up a station wagon and headed to the millennial’s promised land, Brooklyn. Before I left, a friend and mentor recommended that I read Ayn Rand’s The Fountainhead. This quote by the main character struck me, changed my […]
Walking (indoors and outdoors) is something we all do freely, every day, without even thinking about it. Moving away from “lock-down” memory care for people living with dementia not only helps alleviate distress, but also affirms and enables everyone’s basic human right to be able to move freely.
Recently, I posted a provocative argument for considering locked doors as physical restraints. I have received many comments about the post; and as promised, I am following up with a second installment (of three), in which I will give some guidelines for those who wish to take up the challenge.
New research validates what we already know — the use of antipsychotic medications to reduce behavioral and psychological symptoms of dementia (BPSD) is not very effective and what we should be doing instead is focusing on meeting the unmet needs of the person living with dementia through person centered approaches.