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Dementia Beyond Drugs: Changing the Culture of Care 2ed

by G Allen Power Health Professions Press
Pub Date:
Pbk 328 pages
AU$94.00 NZ$97.39
Product Status: In Stock Now
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Reducing the use of psychotropic drugs in the symptomatic treatment of dementia is key to successfully implementing compassionate, person-centered practices in your organization—and this book shows clearly why and how it can be done. The revised second edition of this award-winning resource introduces new research, language, and examples to reinforce the core message that antipsychotic medications are not the solution to ease the distress experienced by individuals living with dementia. Outlined here is the information and inspiration you need to provide alternative solutions for individualized support and care.  



• enlightened models to reduce the use of harmful medications by understanding and addressing underlying causes of distress

• a pathway to accomplish drug-reduction goals established by the U.S. Centers for Medicare and Medicaid Services (CMS) •discussions of new drug studies and government reports on the dangers and ineffectiveness of antipsychotic medications in the treatment of people with dementia

• recognized best practices in dementia care and their transformational results

• case studies, stories, and other educational tools illustrating positive outcomes for people living with dementia

 •ways to respond to anxiety and distress in people with dementia.


An essential read for all professionals in long-term care, including administrators, medical directors, nursing staff, psychologists and counselors, social workers, and policy makers, the ideas presented here call for a revolution in dementia care—one that always puts the person first.

Foreword, by William H. Thomas

Foreword, by Kate Swaffer


Prologue: Simone's Story

Introduction: What It Isn't, What It Is


1. The Universe of Dementia: And What Lies Beyond

2. The Pill Paradigm: A Critical Look at Medication Use

3. "I Have a Feeling We're Not in Kansas Anymore": Experiencing the Institutional Model

4. "Abandon Hope": A Deeper Look at Institutionalization


5. "Other Eyes": Introducing the Experiential Model

6. Putting the Dragon to Sleep: Deinstitutionalizing Care Environments

7. Bingo and Bird Funerals: Meaning and Activity in Daily Life

8. Death of the Nursing Home? Aging in Community


9. Face to Face: Basic Interpersonal Approaches

10. Getting Past the Words: Language and Communication

11. "I Know You're My Friend": General Advice for Understanding Distress

12. "I Want to Go Home": Approaches to Specific Scenarios"

13. "They're Poisoning the Food": Nondrug Approaches to Paranoia, Hallucinations, and Delusions

14. "How Low Can You Go?": Can We Achieve Drug-Free Care?





“This book is a must read for individuals and organisations working with people living with dementia. It certainly sparked a revolution in me personally - which then spread quickly throughout my entire company.” Daniella Greenwood, Strategy and Innovation Manager, Arcare Residential Aged Care, Australia


“This transformative, comprehensive, and enriching book will change your perspective towards respecting the humanity of people with dementia. From an experiential model of dementia, Dr. Power sees our loneliness and boredom, and writes of how we can be helped towards wellbeing. Most importantly, he challenges the use of medication, rather than individualised care.” Christine M. Bryden, author and dementia advocate


“This book is a tour de force and a must read for anyone who cares about individuals who are living with dementia. Dr. Power, through his wonderful insights, pragmatic sensibility, and personal experiences, offers valuable information to change the culture of dementia care that sorely needs changing. The first edition of the book was excellent, yet the second edition is even more enriching. Bravo!” Karen Love, Executive Director, Dementia Action Alliance


“As this second edition of a classic demonstrates, Dr. Al Power is a pioneer still on a journey to transform the lives of people with dementia. His work and passion contribute to the bigger picture of challenging medicalization and institutionalization, which are built on limited views of the value of diagnostic labels, the nature of aging, and the power of science. His book offers new hope for the future of aging and care.” Peter Whitehouse, M.D.

Professor of Neurology, Case Western Reserve University

Strategic Advisor in Innovation, Baycrest Health Center

Professor of Medicine and Institute of Life Course and Aging, University of Toronto

President, Intergenerational Schools International


“This book is a must for all who endeavour to better care for our seniors! If we are new to person- and relationship-centred care, it illuminates, instructs, and edifies. If we are already on this journey of enlightened care, it makes palpable our shared understanding and experiences, galvanising us and inspiring us to new heights!” Dr. Philip Yap Lin Kiat

Senior Consultant, Dept of Geriatric Medicine Clinical Director, Geriatric Centre Khoo Teck Puat Hospital

Adjunct Association Professor, Yong Loo Lin School of Medicine, National University of Singapore

G. Allen Power, M.D., is a board-certified internist and geriatrician and Associate Professor of Medicine at the University of Rochester, New York. He is also a Fellow of the American College of Physicians-American Society of Internal Medicine. Dr. Power has practiced medicine for 25 years, the last 18 of which have been in long-term care and rehabilitation. As a Certified Eden Alternative Educator, Dr. Power serves as an Eden Mentor at St. John's Home in Rochester, New York, where he has worked since 2000. He also serves on the board of directors of the Eden Alternative, Inc. His regular contributions to the blog of Dr. William Thomas, founder of the Eden Alternative, can be found at Dr. Power has lectured on geriatric and culture change topics both nationally and internationally. He has been interviewed for print and broadcast media including BBC Television, The Washington Post, The Wall Street Journal, and WHYY radio among many others. Dr. Power is also quoted in the book Old Age in a New Age: The Promise of Transformative Nursing Homes by Beth Baker (2007, Vanderbilt University Press). An accomplished musician and songwriter, Dr. Power's music has been performed on three continents. His song of elder autonomy, â??If You Don't Mind,â? was performed by Peter, Paul and Mary, and Walter Cronkite used his song â??I'll Love You Foreverâ? in a 1995 Discovery Channel documentary on American families.