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Providing Good Care at Night for Older People


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Table of Contents

Acknowledgements. Introduction. 1. The Night-Time. 2. Night Staff: Their Work and Experiences. 3. Night Staff and their Health. 4. What is Dementia? What Night Staff Need to Know and Do. 5. Sleep, Ageing and Group Care. 6. Night-Time Checking. 7. Eating and Drinking Through the Night. 8. The Care Home Environment at Night. 9. Night-Time Activities. 10. Responding to the Pain Experiences of People at Night. 11. Medication and Night-Time Care. 12. End-of-Life and Palliative Care at Night. 13. Relatives and Night-Time Care. 14. Night-Time Care Prompts for Inspectors. Conclusion. References. Appendix. Index.

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Providing the information, knowledge and practical skills needed to deliver positive and appropriate care at night - from tackling common issues to the importance of staff self-care

About the Author

Diana Kerr is Research Fellow at the Centre for Research on Families and Relationships, University of Edinburgh. Diana has worked for many years as practitioner, educator, trainer and researcher in the field of older age, dementia and learning disability and dementia. She has and continues to design and run courses on dementia and learning disability and dementia for voluntary, statutory and private providers, as well as carers. Heather Wilkinson is a co-director of the Centre for Research on Families and Relationships, University of Edinburgh, where she also directs a programme of work focusing on ageing and dementia. Heather is also the Director of Research and Knowledge Exchange for the School of Health in Social Science at the University of Edinburgh. She is involved in a number of different research projects and teaching with a dementia focus.


From the impact of dementia on eating and drinking to the use of assistive technology, this is packed with field-tested observations and ideas - and should be in any medical provider's collection. -- The Midwest Book Review
This important book - if read by managers in particular - can make a great contribution to the development of night-time care. -- Caring Times
This book will change lives. But it must be read, digested and put into action - as above all else this book is a call to arms... I have worked in and out of care homes for the last 27 years and have witnessed the good the bad and the indifferent. This book recognises the challenges, the weaknesses and the strengths of care home cultures but offers tangible findings to help us achieve better practice - most of all it recognises the vital role of the night time worker and at last redresses the balance. If you work in a care home and especially if you manage a care home, you need this book. -- Paul TM Smith, Head of Dementia Development, European Care Group
The book aims to provide night staff with the information, knowledge, and practical skills they need to deliver positive and appropriate care at night. There is a particular focus on residents with dementia. It is well structured and clearly written... Overall this is a thoughtful and thought-provoking book that inspires staff to understand the world of the person with dementia, and through this understanding, to develop the ability to meet the needs and wishes that the person is often unable to express. I shall keep my copy, but I will also buy another for the night staff at the community hospital where I am based. -- International Journal of Palliative Nursing
This practical text sensitively identifies the experience of residents and staff during night duty in residential care settings, so we can understand what it must be like trying to sleep while surrounded by the noise of staff routines. -- Southwark Pensioners Action Newsletter
This book makes a significant contribution to an important yet neglected part of caring for older people by providing a person-centred, evidence-based approach to enhancing sleep and rest and acknowledging the important contribution of night staff to the health and well-being of older people in care homes. These expert authors present practical approaches in a holistic and humanistic framework that can be used by formal and informal caregivers of older people in many settings. The book should be required reading for care home staff as well as students, practitioners, policy makers, and researchers committed to improving the care of older people from morning to night. -- Theris A. Touhy DNP, ARNP, Professor of Nursing at the Christine E Lynn College of Nursing, Florida Atlantic University, Florida and co-author of Toward Healthy Aging and Gerontological Nursing and Healthy Aging

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