Appendix B - Nursing Home Help

Behavioral and Person Centered CareAppendix BPositive Person Work (PPW) and Malignant Social Psychology (MSP)Categorized by Kitwood’s Psychosocial NeedsThe Need for ComfortUndermined by MSPIntimidation - Making a person frightened orfearful by using spoken work or physicalpower.Withholding - Refusing to give asked forattention, or to meet an evident need forcontact.Outpacing - Providing information andpresenting choices at a rate too fast for aperson to understand.The Need for IdentityUndermined by MSPInfantilizing - Treating a person in apatronizing way as if they were a small child.Labeling - Using a label as the way todescribe or relate to a person.Disparagement - Telling a person that theyare incompetent, or incapable through wordsor actions.The Need for AttachmentUndermined by MSPAccusation - Blaming a person for thingsthey have done or have not been able to do.Treachery - Using trickery or deception todistract or manipulate a person in order tomake them do or not do something.Invalidation - Failing to acknowledge thereality of a person in any situation.Met through PPWWarmth - The demonstration of careconcern or affection for another person.Holding - Providing safety, security andcomfort.Relaxed Pace - Recognizing theimportance of helping create a relaxedatmosphere.Met through PPWRespect - Treating a person as a valuedmember of society and recognizing theirexperience and age.Acceptance - Entering into a relationshipbased on an attitude of acceptance orpositive regard for the other.Celebration - Recognizing, supporting,and taking delight in the skills andachievements of a person.Met through PPWAcknowledgement - Recognizing,accepting and supporting the person as aunique and valued individual.Genuineness - Being open and honestwith a person in a way that is sensitive totheir needs, feelings.Validation - Recognizing and supportingthe reality of the person. Sensitivity tofeeling and emotion must take priority.Provided by the MU MDS and Quality Research Team September 2011

Behavioral and Person Centered CareAppendix BThe Need for OccupationUndermined by MSPMet through PPWDisempowerment - Not allowing the Empowerment - Letting go of control andperson to use the abilities they have. assisting a person to discover or employabilities and skillsImposition - Forcing persons to dosomething, over-riding their own desiresor wishes. Denying them choice.Disruption - Intruding in or interferingwith something a person is doing orcrudely breaking their frame of reference.Objectification - Treating persons as ifthey were an object.Facilitation - Assessing levels of supportrequired and providing them.Enabling - Recognizing and encouraging aperson’s level of engagement within a frame ofreference.Collaboration - Treating a person as a full andequal partner in what is happening. Consultingand working with them.The Need for InclusionUndermined by MSPMet through PPWStigmatizing - Treating persons as if Recognizing - Meeting a person in his or herthey were a diseased object.own uniqueness, bringing an open,unprejudiced attitude.Ignoring - Carrying on in conversation or Including - Enabling and encouraging a personaction in the presence of a person as if to feel and be included, physically andthey are not there.psychologically.Banishment - Sending a person away orexcluding them physically orpsychologically.Mockery - Making fun of a person,teasing, humiliating or making jokes attheir expense.Belonging - Providing a sense of acceptancein a particular setting regardless of abilities anddisabilities.Fun - Finding a way to use positive humor andencouraging the person to do so.Brooker and Surr, 2006. DCM Principals and Practice. Bradford Dementia Group: Bradford, UK.Provided by the MU MDS and Quality Research Team September 2011