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Doll Therapy in Dementia Care: Evidence and Practice

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Gary is a dementia care advisor for Four Seasons Health Care in the UK. Previously a dementia care nurse, Gary's role now relates to the development, implementation and evaluation of best practices in dementia care throughout a number of care homes in the UK.
1. Dementia and Society. 2. The Evidence Underpinning Doll Therapy. 3. The Theory Underpinning Doll Therapy. 4. Bioethical Considerations of Doll Therapy. 5. Doll Therapy as and Person-Centred Care. 6. Doll Therapy and Palliative Care. 7. Clinical Case Scenarios. 8. Best Practice Recommendations for Doll Therapy.
I was asked to review Doll Therapy in Dementia Care by Gary Mitchell. To be honest I was reluctant to believe this could be used to alleviate distress or agitation. After reading the book two times as a person who has Alzheimer's and PCA I thought it was written by a person who clearly had empathy and clearly illustrated how individuals at a later stage of dementia could satisfy their inner feelings of need, being loved and wanted. The most important aspects of care that a family want for their loved ones is ensuring they are content and happy within their environment. It can be very difficult for relatives watching their mum or family member cuddling an inanimate doll. Yet perceptions can change once they see their ""loved one smile with pleasure at holding something close to love again."" The image of an older person cuddling and singing to a doll can seem strange and incongruous. Yet I realise I had the same need and when my grandson was born I was doing the same thing but instead of being a doll it was a real baby. I couldn't get enough. I had such a yearning to hold, love and want to have this baby as much as I could. The moral and ethical dilemmas should not supersede the reality of the beneficial impact - every person has a vivid desire to express affection, physical nurturing and emotional attachment that is clearly stored in the repository of their brains irrespective of what type of dementia or stage they are at.
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