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).
