Implementation of a standardised protocol delivered within the structure of a school passport document would aid uniform follow-up. The proposed multistage protocol includes early communication and reintegration planning followed by meetings at school re-entry. Follow-up meetings are suggested to reduce information loss and reassess the child's needs. Hospital support at school transitions, inclusion of school data in long-term clinical follow-up and long-term rehabilitation are also recommended. Each stage would be supported by school passport documentation and would facilitate school and parental empowerment, paramount to the long-term sustainability of successful schooling.
There are many challenges to MPT members providing holistic care to patients with OPGs. As no OPG clinical practice guidelines currently exist, it is suggested that the above recommendations be piloted with evaluation to validate their use.
Background:Several studies have examined the therapeutic use of dolls with people with dementia. These studies have been favourable, although caveats have been noted, resulting in the publication of guidelines. Despite positive findings, an understanding of ‘why’ the approach is effective for some residents has yet to be established.Aims:The aim is to develop an understanding of why doll therapy improves the well-being of older adults with dementia, in order to direct appropriate, safe, and successful doll usage.Method:Eight participants were interviewed twice using grounded theory qualitative methodology.Results:A diagrammatic representation modelling the impact of the dolls was developed. The content of the model is illustrated via quotes from the participants.Conclusion:The model indicated that the impact of the doll is complex, being influenced by systemic processes between the doll and the resident, as well as the wider networks within the home environment. The central category emerging from this research was that the doll met residents’ individual psychological needs.
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