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Loss and Grief in Dementia

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Guidance <strong>and</strong> Resources<br />

CASE STUDY 2<br />

to visit his old friends to beg<strong>in</strong> to process his change <strong>in</strong> environment. It may also<br />

<strong>in</strong>volve work<strong>in</strong>g with his family to develop an underst<strong>and</strong><strong>in</strong>g of the th<strong>in</strong>gs that matter<br />

to Tom <strong>and</strong> to give you some <strong>in</strong>formation about Tom's mother which may support<br />

him. For more <strong>in</strong>formation on life story work as an approach please see (115).<br />

Validate <strong>and</strong> acknowledge Tom’s emotions<br />

• Labell<strong>in</strong>g Tom’s emotions may be a helpful way of engag<strong>in</strong>g with him. Say<strong>in</strong>g<br />

someth<strong>in</strong>g like “Tom I see you’re really sad/upset today”. Will we talk about it?<br />

Someth<strong>in</strong>g practical like do<strong>in</strong>g an activity Tom likes or go<strong>in</strong>g for a walk/ leav<strong>in</strong>g the<br />

residential care sett<strong>in</strong>g may be a good way to connect <strong>and</strong> engage with Tom.<br />

• Support Tom to express himself <strong>and</strong> to grieve on his terms. It may be useful to<br />

speak with the family about how best to support Tom with his grief. Visit<strong>in</strong>g his<br />

mother’s grave <strong>and</strong>/ or the family home may be supportive to him <strong>in</strong> beg<strong>in</strong>n<strong>in</strong>g to<br />

grieve. Us<strong>in</strong>g art or music therapy may be other useful avenues to support Tom <strong>in</strong><br />

express<strong>in</strong>g his grief.<br />

Underst<strong>and</strong> connections<br />

• Support Tom to ma<strong>in</strong>ta<strong>in</strong> his relationships with his family <strong>and</strong> friends. This will help<br />

to allow him feel connected <strong>and</strong> supported <strong>in</strong> a new environment after a major<br />

bereavement.<br />

• Use environmental cues: It may be useful to have a photo of Tom’s mother <strong>and</strong><br />

some objects which he would relate to her as a way of support<strong>in</strong>g him to cont<strong>in</strong>ue<br />

to feel connected to his mother.<br />

<strong>Loss</strong> <strong>and</strong> <strong>Grief</strong> <strong>in</strong> <strong>Dementia</strong><br />

37

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