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.

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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.

Monday, November 12, 2007

Black Stools More Condition_treatment

Mrs. Olga and linen

Log in structure with some episodes of maleorientamento, that seems to be the beginning of the disease that is called dementia. The children tell me that in recent times has become difficult to manage in spite of his house is close to them. Oddities, forgetfulness, constant demands, accusations, anger and sadness alternating with maddening pace. Had happened even called that night was not scared because some laundry in his drawers. Another strange thing that the next day he did not mention, even react angrily when he spoke.

soon becomes a difficult patient on the ward. It 's a tireless accuser, aggressive attitude, his precious disappear constantly skirts - according to his - or her underwear. They are responsible for these thefts, technically called delusions of robbery, the nearby room, staff and even relatives. Whenever there are specific and accurate explanations.

staff, often targeted, I groped for calls to resolve those moments full of anger.
So I realize, though still awkward to use a technology so new that you really enter the world of Mrs. Olga, participate with transport to their internal troubles, take it for real in his mind because those things happen in earnest, believing in his suffering without pretense and legitimate, not only my job easier, but opens a whole new way to manage behavioral problems of this and other patients. What in fact
frustration accompanying our days before we know Validation, on the ward when they tried to calm her showing her with great patience that her skirts were right there in the closet. We have the opposite effect and none of us knew!

many, many times I spoke with Mrs. Olga when I called for his eccentricities. It was enough to the right question, the reformulation of what she said (Olga: "They disappeared my skirts! "Me:" I am gone? ") and ran a long story that ended with a general discharge of tears for the death of her husband. The
miss her, too. Sure enough, the skirt disappeared had they donated him or her underwear was stolen that beautiful, because he kept us. It seemed always to be there the husband behind those thefts.

What had been stolen from this person? Perhaps the happiness to share with his old mate? What was he trying to tell us through the symbols 'skirts and underwear'? What was he trying to say? Mrs. Olga did not want to be told that there was no theft, wanted to be heard and to speak to someone careful and sensitive of his emotions. He was so angry, he had to tell someone!
Again and again, these episodes have been repeated. What is certain is that department we had one more tool to help you and others to walk the difficult road taken.

Wednesday, October 10, 2007

Diagnosing Human Worms

Mario: "It hurts the brain!"

A seemingly simple shelter. Is in the structure of his own free will, then prepared. It 'very aware of the disease, particularly dementia, in Lewi bodies.

When I first talk with him I find it all pretty hard and are not the only one. In the ward are all upset. His consciousness is too painful for us.

Mi racconta come è iniziata la malattia, di come un nipotino è stato in gamba a buttarla in ridere dicendogli “nonno sei messo male se non sai nemmeno fare i conti “, di come trovava spaventoso essere colpito proprio nella capacità di pensiero e parola. Stiamo parlando infatti di un uomo di grande cultura, come risultò dalla intervista coi familiari, che aveva basato la sua professione nonché la sua vita su di una incredibile capacità di comunicare. Faceva conferenze in tutto il mondo, parlava molte lingue, viaggiava in continuazione, rivestiva un ruolo fondamentale in una grossa associazione che si occupava del terzo mondo.

Questo mostro di cultura e intelligenza, dopo poche frasi fa confusione e smette. Ci dobbiamo stop every time (I found more in there) after a very short time, sending down an empty feeling and a great sadness.

Mario walking back and forth, going to disturb others in the room is a bit 'uninhibited, easy to confuse the people in front of him mistaking them for family mostly.

E 'difficult relationship with him because he constantly fluctuates between the awareness and ability to structure a good thought (certainly by some huge mental agility that characterizes it) and moments of complex management with hallucinations and difficulty in movement.

hurts to see this man, still good looking, certainly not old, that has spent his life talking and relate very well with both the diplomat with the laborer hurts to see it filled with anger when he can not finish the sentence, it does suffer from "reduced" as he says.

We would like to help, but how? The
Validation does not help you much as a technique with this type of dementia, however, you are a bit 'to help it asks you to grow inside. For example, it is essential in these cases so compelling ability to distance oneself if one is made, in fact too involved. Then you compare yourself with colleagues or the team you can count on, talk, I trim short after admitting to yourself with serenity the error.

Thanks to the knowledge of his biography, which, according to the method Validation is important, to help when we were, just as an example, John shouted to another hospital, accusing her of wanting to throw away all that milk! After removal of the lady (which was validated by an operator) with the help of good listening and validating attitude, Mario was able to express its disappointment that the eyes of his mind could see empty cup in a quart of milk does not was certainly thrown away! That cup was the access ticket to fly to another time, another place, in a size that does not coincide with ours. Mario has worked hard during his esistenza sul problema della “ mancanza “ di acqua, di cibo, di terra da lavorare… non è difficile immaginare come si sia indignato all’idea che si buttasse qualcosa di così prezioso come il latte.

In queste situazioni non è solo bello poter fare qualcosa di utile, ma è anche estremamente importante se pensiamo che certi attacchi di ira, certe liti, a volte possono degenerare così tanto da dover essere gestite con mezzi di contenzione fisici o farmacologici. E ciò non ci piace, è terribile da vedere e da vivere.

P.S. Fu Mario un giorno a dirmi “Mi fa male il cervello”