Eden Alternative Tip of the Week from the Book "Dementia Beyond Drugs"

Excerpts from the "Other Eyes" chapter of Dementia Beyond Drugs by Dr. Allen Power

The biomedical model sees dementia mostly as neuropathology. However, viewing only what can be easily observed and measured is inadequate to our needs. ... one can say that the physical and chemical changes that occur in the brain are of no consequence until they are experienced by the person with the changing brain.

That experience is more than simple structural and chemical defects; many other factors come into play such as life history, relationships, values, interactions, and coping styles. Seeing dementia as a life experience and viewing the world through those eyes is the key to better understanding the needs of people with dementia.

The biomedical model sees dementia as an irreversible, progressive, and ultimately fatal disease. The experiential model sees dementia as a shift in the person's perception of his or her world. The brain, while altered, remains somewhat plastic and is intimately tied to the surrounding environment. In fact, in many cases, individuals with dementia are more exquisitely sensitive to the attributes of their surroundings than the rest of us tend to be. ... the experiential model holds that new learning can occur. .. The experiential view sees dementia as a challenge to make meaningful connections and improve the lives of all who live with the condition.

The biomedical view sees people with dementia as a burden and creates care environments that foster dependence. Biomedical dementia requires caregivers. The experiential view sees people for the gifts and abilities they continue to express to others. Experiential dementia creates care partnerships that empower all and maximize interdependence.

... the experiential model holds that well-being is not a function of cognitive skills, and that people may retain complex and integrative abilities far into their lives with dementia. People with dementia always remain unique individuals, and this uniqueness should be the driving force in their lives and their care. Autonomy should be preserved as far as possible.

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