Wednesday, December 10, 2008

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.... after a while it's not you who search the abyss, the abyss, but that scrutinizes you.

design made the Artists' Club the other night.
thank Stephen has kindly turned over for friends of the garage.

Sunday, November 30, 2008

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Congress of Gerontology in Florence: we had too! For you


the National Congress of Gerontology and Geriatrics we were there with an interesting poster of which I propose the abstract. The article was awarded with the publication of the abstract itself in the acts of Congress.


ALTERNATIVE TO CONTAIN THE DISTURBI DEL COMPORTAMENTO: IL METODO VALIDATION®: ATTEGGIAMENTO CONVALIDANTE, INTERVENTI INDIVIDUALI E RIUNIONI DI GRUPPO. C.Siviero, A.Cerri, M.Girotti, Fondazione Castellini – Residenza Socio Sanitaria di Melegnano – onlus.

SCOPO: questa relazione vuole dare un contributo alle dimostrazioni dell’utilità della comunicazione convalidante con persone anziane affette da demenza e con disturbi del comportamento. Tali disturbi hanno sempre rappresentato, non solo nella nostra esperienza (4), un problema in primis per i pazienti, poi per i familiari e infine per tutti gli operatori che si sono trovati a lavorare a diretto contatto con questa patologia.

L’uso del Metodo Validation has proved a valuable tool that can address all three of these fronts, it is a communication technique that divides the course into four stages of the disease and benefits of specific techniques for each stage.

This method was developed between 1963 and 1980 by Naomi Feil (2), in response to existing methods, based on the effort to preserve as much as possible the cognitive abilities of patients and not satisfactory to meet the needs of people with dementia, their families and operators. The Feil assumes that these people need to express in their own way, feeling trapped in the confusion of their minds.

we report the results Validation of two groups that for years are being conducted within the Foundation, noting that they were trained and emotionally helped the families of these and other patients, trained operators to use the basic attitude and that there are patients in the Foundation followed individually.

MATERIALS AND METHODS: short courses validating attitude to staff ; regular meetings with family ; individual technique (3), which consists of conversations lasting 10-15 min. for two or three times a week, in which the operator uses the techniques appropriate to the stage of the disease basing its Communication on the legitimacy of others' feelings and empathy, not by reasoning or comforting or reassuring the patient or shifting attention to another; group technique (1): The Validation Group, 5 / 6 people, takes place a once a week and takes about an hour. The procedure is always the same, has the function of instilling safety. All of the meeting centered around the specific role of each participant, which gives self-esteem and dignity. There are moments of leisure and relaxation that allow energy recovery where there has been an effort of concentration. As for the talks, what happens is important to listen of emotions in a safe and secure environment (6). Case studies
: group 1, 5 people all women, aged between 88 and 92 years with 3 diagnosis of Alzheimer's dementia and vascular dementia 2, all with behavioral problems. Group 2, six people aged between 76 and 87 years with 3 diagnosis of Alzheimer's disease, vascular 2, a senile, all with behavioral problems.
Selection criteria : problems expressed by the team management for difficult erratic behavior (see experiment F. Munsch c) (5). Tools: observations of family members and staff; tests: MMSE, CDR, UCLA, BANSS, and Tinetto BARTHEL, changes in therapeutic course of treatment.

RESULTS: We have in fact been able to detect a reduction in quantity and quality in the administration of drugs with the progress of treatment. Only two patients at the end of the observation period have prompted the resumption of a therapy night causing sleep. Rather less significant, changes in tests that have demonstrated improvements in only a few sporadic cases. Moreover the maintenance of a stationary nature of the scores in a notoriously progressive disease can be considered a positive result.
Certainly the most significant was the steady appreciation and relief that it was found in all the testimonies of family members and professionals is compared to the stress assistance is greater than the serenity of the clients.

CONCLUSION: Patients who have had access to the lawful operators in their daily lives, family members less scared, operators specializing in individual technique, have, in our opinion, benefited from a fundamental tool for the management of their disorders. Validation in participating in the groups have often found solutions to common problems, sharing capabilities, desire to help. Placed in a suitable context seem to find energy and communication skills in general lost. If we mean a group of self-healing process that goes towards improving the "feel better" physical ed emotivo, è nostra convinzione che questo nei gruppi Validation accada.

BIBLIOGRAFIA : 1) Feil N. Group Therapy in a Home for the Aged, The Gerontologist 7, 192-195, (1967). 2) Feil N. Il Metodo Validation (1996) Sperling&Kupfer. 3) Feil N. Validation il Metodo Feil, Minerva Edizioni (2008). 4) Morton I. La persona con demenza, Erikson Edizioni (2004). 5) Munsch F. Prise en charge des troubles psyco-comportamentaux chez des prsonnes agees en institution, atteintes de deficences cognitives (2000). 6) Rogers C. I gruppi di incontro, Astrolabio (1976).

Monday, November 24, 2008

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Ada strikes

Sunday, October 26, 2008

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Operators Certificate Validation Level 1 courses

Carissimi,

non mi è facile raggiungervi!

Sono cambiati i vostri indirizzi, il luogo di lavoro, l’indirizzo mail…per questo ho deciso di fare un post sul blog dedicato a voi.

Gli operatori Validation di 1° livello di tutta Europa sono accomunati dal bisogno di essere supportati e chiedono fortemente una supervisione almeno una volta all’anno.


Dopo essermi confrontata con altri insegnanti ho pensato dunque di proporre una supervisione annuale, alla portata di tutti, where there is the possibility to ask questions and expose doubt, is to tell how it is working to get feedback. These are in fact the two main objectives we want to achieve.

Many of you no longer have had the opportunity to practice Validation unfortunately, but that does not mean you can not recover.

Among other things have changed a few things for Validation, I remember, walk.

For the first meeting I propose to you a real review / update, and then the next give us more years a fixture on the style of supervision.

The period to which I refer is February, the date to be determined.

Anyone interested can send me an email ( cinzia-siviero@tiscali.it ) or call (02.982201 every morning except Friday) and if there was an argument that would take me it may report.

my concern will collect pre-accession and then send the final call.


you soon!

Cinzia Siviero

Tuesday, August 12, 2008

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® Validation

Come riportato nelle news del mio sito sono aperte le pre-iscrizioni al mio corso di 1° livello . Tale corso partirà durante l’autunno 2008 e verrà presentato durante una mezza giornata gratuita il 18 settembre a Melegnano (vedi programma nel sito).
Ricevo molte e-mail di persone interessate che mi chiedono dettagli sulla struttura di questi corsi. Ecco quindi qualche notizia.

Al corso per Operatore Validation certificato 1° livello , vi accede chiunque. L’unica cosa richiesta e necessaria è la opportunity to work with dementia patients. The Melegnano Castellini Foundation (MI), where he held my course, provides the opportunity to undertake any training in it.

The course has a specific structure: five blocks of two days each and supervision among the other block, spread over at least six months, in general, however, it takes much longer. For example, if the course will begin next November, you will do two days of classes in November and December, the supervision, two days in January and February, the supervision and so on.

This is because this technique can not be studied and so it must be treated, you must win in it. It takes time for this .

is sometimes made available to students a zero block, say the application, not mandatory, but I particularly recommend it because it is extremely useful and interesting. In this block we start talking about emotions and empathy.

During the blocks facing the various theoretical arguments and do exercises. It works on some cases that are then brought into the classroom to be corrected and reviewed together. A tool commonly used is the camera, which at first may be unpleasant and embarrassing but then wins. It 's a great way to review and modify their behavior. The student takes and then start applying the shooting method are examined to correct errors.

During supervision, where the group is divided into small sub-class, the teacher is completely dedicated to the cases of the students. Among other things, to the extent possible, going round the various facilities to "touch" the different realities.

At the end of the 'school year "should arrive having learned the theory and having done so much exercise you can do with a fluency intervention with elderly Validation of all four phases according to Feil. It is not a course "easy", but has aspects that make it a location where every difficulty is overcome with serenity .

At the end of the 5 blocks to maintain a written exam and a practical. If someone is not able to positively support the consideration or part thereof, may do it again a few months later, after having exercised yet.

This is just the license, as my teacher used to say, then only time and the passion for this work to continually advance our capacity communication.

*************************************
the course Group Leader Certificate Level 2 , who accesses it has obtained a diploma of 1st livello.E 'consists of three blocks of two days each and supervision of a block and another, spread out over a minimum of six months.
Here is some theoretical and practical.

Students from the first block began to work with a small group of elderly confused with the supervision of the teacher. This allows you to get to the end of the course to support a theoretical and a practical which demonstrates the ability learned during training.

This diploma gives the opportunity, strengthening over time the experience of the conductor, to lead large groups of people with behavioral problems and manage difficult situations.

It 's a big job and great satisfaction that the group . Just recently I attended a scientific paper where we could demonstrate extraordinary results than the decrease of eating disorders and chemical restraints.

With the hope that it was clear enough I wish you a productive and satisfying work.

Monday, April 14, 2008

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Mrs. W, a marked improvement

Ms W. enter into the structure of its own volition because at home begin to accumulate dangerous episodes of confusion, often forget to take essential medicines for his health.
come quickly call (about a year ago) to intervene with treatments Validation individual in a department where there are many tools to manage behavioral problems associated with dementia, although there are operators of common sense.
Ms W is nel primo stadio secondo Feil per la maggior parte del tempo: a volte è molto confusa ma parla della disgrazia del figlio morto giovane e chiede spesso dove ci troviamo - quindi stiamo parlando di una persona agganciata alla realtà -.
Rabbia e dolore sono le sue emozioni di base. Tende a “scappare”, nel senso che esce perché le sembra la cosa più normale del mondo e in genere rientra. Si arrabbia moltissimo in reparto per le restrizioni; chiede spesso del dottore, del direttore etc. per protestare e tende a stare letteralmente appiccicata alla caposala, unico suo punto di riferimento. Qualche episodio di disinibizione sessuale.
Dopo circa due mesi assistiamo ad un peggioramento della confusione, di which makes it yet anyway. In the department removes the restraint to a lady because she thinks it is an abused child. He began to talk increasingly of the distant past, parents and places of childhood and in our own chat saying "I want to know if my mother is dead or alive" - \u200b\u200bso it seems to move slowly in the second phase according to Feil -.
At one point, a dramatic episode happens to escape, managed just fine! Comes out and asks for money for the bus arrives and takes him to his home miles away. He played and no one answers for which he plays a neighbor, with whom does a chat and drink tea while arriving firefighters and especially when the staff is desperate. The next day, outraged by the various scolded - "the fact that no one has told me that I'm right it makes me hair stand on end!" - And is happy for what he has unleashed - "the most pleasant thing was that everyone gave me wrong "- we Validation for hours on the basis of this contradiction.
A period of episodes of confusion, believed to be in school (this is a teacher who really loved his work), believes her husband is cheating and being with a younger, thinks be in the mail, you put the shoulder two or three bags, always shows a lot of anger and often the bags ready. Moments of deep sadness that I thank you because I take care of his emotions. Delusions of thievery often.
two or three months and we are faced with the great wars and protests to the feeling of captivity. On the other hand groped every time he dares to leave the department or a walk in the yard finds himself back together from those who see it as the case of escape. In the department you are trying to hide even the coat but other problems are unleashed. Sometimes said, in a warm and loving relationship, to hear a very fragile! Recognizes infinite love and gratitude to the beautiful daughter, the "girls", her nieces and begins to easily get excited for the music, walking the sun, the children ... I said one day "because that's what you do because I feel I have a great need for trust and solidarity," I say "solidarity?" and she "Yes, why be so happens it makes me feel normal!" .
a month and yet the department can no longer support his erratic behavior and reluctantly (they all were now loyal to her) is expected to transfer to the nucleus Alzheimer.Il legitimate fear that decompensated left us full of doubt .
Two or three weeks of trouble for the locked door, so that claims to be in prison for political reasons. Unfortunately aggression of another patient against that increase the already considerable difficulties of Mrs W. We meet very often and I her. The staff and the (very) beautiful daughter uses a fantastic attitude validating, legitimizing but also giving honest answers. This is a woman in the group included intelligente.Viene Validation as president.
From here on, a surprising recovery of mood and a striking decrease, if not death, of eating disorders seems even more focused. Starts to put on lipstick! She starts to argue with all major issues where she still has a lot to say and one day in the Validation group arrives to propose to talk about why women do not come never at the top in politics! A great team work in collaboration with a special family and a great woman.