Dementia Care - The Adaptive Response

Paul Smith is a qualified nurse with 30 years' experience. For the last 18 years he has specialised in the study and care of those living with a dementia and has gained graduate and postgraduate qualifi cations from a number of UK and overseas universities in this subject area. He has also received qualifi cations in psychotherapy and group psychotherapy and is a master practitioner of neuro- linguistic programming. He has worked across all three sectors of care and, almost uniquely, has worked his way upwards from RMN and CPN to senior nurse roles and into management and senior management and to his current executive status. Paul has worked as head of dementia development and care for the third and fi fth largest UK care groups and on DoH projects, national guidelines and is part of the NICE stakeholder contributors pool and was a contributor to the creation of the national dementia pledge and is currently a member of the NHS Institute for Innovation and Improvement - Care Homes project and as head of mental health and dementia for HC-One group is running the FITS and GAS research project - a UK fi rst in partnership with the DoH, the Alzheimer's society and the University of Worcester. Occupying executive positions across a number of the UK's largest care groups, Paul has been able to study the application of various care models across hundreds of care homes, has shared the experiences of thousands of people living with dementia and their families and friends, and has developed award- winning teams and premises over the last 12 years. He has spoken and presented at national conferences and forums, has written and co- authored a number of articles and was a lead chapter contributor - on change management - to the MBA Book of the Year 2006, Th e New Culture of Activity Th erapy for Older People, edited by Dr Tessa Perrin. On top of all his working commitments Paul was greatly honoured to be a visiting research fellow between 2008 and 2010 at Green Templeton College, Oxford University. Paul is currently the Head of Mental Health and Dementia for the UK's newest and third largest care provider, the HC- One Group, where he leads in these areas for 15,500 staff members caring across 248 sites for over 12,500 people.

Introduction; 1: What is dementia? The biological domain; 2: What is dementia? The psychological and social domains; 3: Modern contexts of dementia care; 4: Stress and adaptive responses; 5: Adaptive response: the original essay; 6: Stress: concepts , considerations, appraisal and stress thresholds; 7: Manipulating the social environment; 8: Manipulating the built environment