title: Community mental health nursing and early intervention in dementia: developing practice through a single case history.
abstract: People Nursing in association with Journal of Clinical Nursing 13, 6b, 57-67 Community mental health nursing and early intervention in dementia: developing practice through a single case history This paper reports on a single case history taken from the 'Dementia Action Research and Education' project, a 15-month primary care intervention study that was undertaken in North Wales in the early part of 2000. The study sought to address the meaning, context and diversity of early intervention in dementia care and employed a community mental health nurse and a psychiatric social worker to undertake early and psychosocial interventions with older people with dementia (aged 75 years and over) and their families. The workers tape-recorded, documented and analysed their interventions with 27 older people with dementia and their families over the 15-month duration of the study. Clinical supervision was also undertaken during the intervention phase. One case history is presented in this paper to illustrate the work of the community mental health nurse and to identify areas of practice development. Greater role transparency, collaborative working and improvement in educational preparation for practice are called for.
authors.affiliation: Northumbria University, School of Nursing, Midwifery and Health Studies, University of Wales Bangor, Gwynedd, UK. j.keady@bangor.ac.uk
authors.forename: John
authors.initials: J
authors.lastname: Keady
authors.forename: Bob
authors.initials: B
authors.lastname: Woods
authors.forename: Sue
authors.initials: S
authors.lastname: Hahn
authors.forename: Jim
authors.initials: J
authors.lastname: Hill
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002983:Clinical Competence / Q000592:standards; D003152:Community Health Nursing / Q000193:education / Q000458:organization & administration*; D003156:Community Mental Health Services / Q000458:organization & administration; D003299:Cooperative Behavior; D003704:Dementia / Q000451:nursing*; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D016294:Models, Nursing; D020380:Needs Assessment; D009720:Nurse Clinicians / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009745:Nursing, Supervisory / Q000458:organization & administration; D011320:Primary Health Care; D011568:Psychiatric Nursing / Q000193:education / Q000458:organization & administration*; D018454:Spouses / Q000523:psychology*; D013997:Time Factors; D014852:Wales