Shibley Rahman has published his third book in the series which critically examines dementia care and approaches towards greater holistic and integration across the board. Shibley has always been an inspiration and frequently provides us all with challenging controversial views. His work builds on the ethos of care proposed by the person-centred care models but tends towards a more collective and individualistic combination of dynamic approaches by incorporating a societal, organisational and individual focus. Since dementia is clearly a progressive illness it is heartening to consider the ways in which we can respond to the changing landscape of dementia care as one of fluidity and flux. Sometimes we expect people affected by dementia to continually positively adjust to these often subtle changes in ways which defy logic; how can we expect a person with dementia to remember their GP appointment if they are having a bad day and having trouble trying to make sense of their place in their own home?
Every interview and conversation I have with those who give me their time to discuss their worlds, I am struck by the irony of how much providers assume people affected by dementia can consistently manage. The very nature of dementia changes day to day with seemingly small things impacting upon the ability to make sense of surroundings and people. This book articulates some of the ways in which professionals may make sense of their observations and in time pressed circumstances seek to validate their own responses.
Organisations need to be honest and supportive of their staff in ways which will help them to understand their dynamic place in their relationships with others. This book goes a fair way to helping us all understand the ways forward towards truly integrated care. This will promote wellbeing in the widest sense rather than constantly firefighting every crisis. Every care provider team, statutory, third sector or private, could do far worse than read these books. Let’s all embrace the Rahman Effect.