1. Professor June Andrews Facing the Care Challenge

2. Let’s use dementia nursing care as an example......

5. Role of the DSDC Information Training Consultancy Change and innovation Research

6. The possible journey with dementia

7. I don’t have time to help them eat…

8. The three levels of possibility Policy and government Organisation and systems Personal and professional

9. The ten top challenges Consider the impairment Work with research Extrapolate from other impairments Use international best practice Stop doing pointless things Design systems right Get education for your support staff Use the resources that already exists Reduce adverse incidents Use time management

10. Consider the impairment to remember to work things out to learn to deal with the normal changes of aging increase in stress Other’s responses to the impairments

11. Work with research that tells us We over medicate with antipsychotics and we don’t understand pain We restrain and we don’t understand exercise We keep people in hospital too long and we don’t communicate with relatives We don’t study dementia and we are surrounded by it We don’t give access to diagnosis

12. Extrapolate from sensory and physical impairment The yellow goggles The soap and bath plug The smell and taste of food Falling down and anger Sleeping and wandering Learning to read and play the piano

13. Use international best practice Australian care systems Netherlands care home design French meal times Northern Ireland walking clubs Scottish dementia centre Danish lending museums

14. Stop doing pointless things Continence Aggression Unwanted exiting Medication Communication

15. Design systems right Involvement of relatives Life story work Meaningful activity Good diet and fluids Rest

16. Educate your support staff Law and ethics Self awareness Basic care skills Confidence in communication “How we do things around here…”

17. Use the resources that exist DSDC Free publications from Alzheimer organisations websites Your own training budget Your own people

18. Reduce adverse incidents Keep records Keep it light Use incident analysis

19. Time management The only thing that is rationed is your time Stop doing pointless things and focus your attention on what works Understand the system and be as effective as you can be Get help

20. The eleventh challenge Love your work and have fun – this is the best job in the world

21. Iris Murdoch Building, University of Stirling, FK9 4LA Tel. 01786 467740 Email: dementia@stir.ac.uk Web: www.dementia.stir.ac.uk