Since it was first published, the Pool Activity Level (PAL) instrument has become the framework for activity- based care systems in a variety of settings for clients with dementia. Following two years of feedback from practitioners and carers, the author has refined the instrument, expanding its use to form occupational profiles for people who have had strokes and those with learning disabilities as well as those with dementia.
This substantially revised edition includes photocopiable activity checklists and plans which take into account users' life histories and help to match abilities with activities, as well as new features such as an outcome sheet and reformatted checklists.
Guiding the reader through a series of clear, practical steps and using case studies to enable them to understand, plan and implement activities, this is an essential resource for any practitioner or carer wanting to provide fulfilling occupation for clients with cognitive impairments.
The instrument is now standardised and will also be of interest to strategic level providers and commissioners of health and social care services as a standardised assessment and outcome measure.
In the draft practice guideline for dementia, The National Institute for Clinical Excellence (NICE, 2006), the PAL instrument is recommended for activity of daily living skill training and for activity planning.
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This is an excellent resource that demonstrates how life history can be integrated into record keeping and then transferred into the care routines of people with cognitive impairment, enabling them to engage in meaningful activity. I feel this instrument has particular relevance for care workers and activity co-ordinators in residential environments. I would recommend this instrument as part of the assessment of older people with cognitive impairment on entering residential environments. (Dementia Journal)
Although designed for professionals and those involved in the care of dementia sufferers, the ideas outlined may also be of great benefit to those working with or caring for those with cognitive impairments of any age from school age upwards. I have found the PAL instrument very useful with both children and adults who have profound and multiple learning disabilities...The book would be invaluable in any care setting where these conditions are prevalent. (PMLD Journal)
The third edition of the Pool Activity Level (PAL) Instrument for Occupational Profiling remains a practical and accessible guide for the formal care staff and informal carers of people who have a cognitive impairment associated with stroke, a dementia of learning disability. The instrument is made up of a checklist and protocols to aid planning of activities. (International Journal of Therapy and Rehabilitation)
The third edition of the "PAL Instrument" is a welcome reminder of the importance of meaningful activity for people with cognitive impairment. The theoretical underpinnings of the PAL is presented concisely and early on giving enough depth to satisfy the interested reader whether they have a professional background or not. It is followed by a short list of key references useful for those who may wish to look at the relevant theory in more depth. (The London Centre for Dementia Care)
One of the fears that many people have about coming into the community or institutions setting for care is the potential for boredom. Many people still hold the image of the resident's lounge in a residential care home as a place with chairs pushed up against the wall, with a television set switched on and nobody really taking any notice of anything. Jackie Pool, has provided a third edition of the Pool Activity Level (PAL) Instrument, which has become generally used as the framework for activity based care systems in a variety of health and care settings. It is to be commended as an essential resource for any practitioner wanting to provide fulfilling occupation for clients with cognitive impairments. (Leveson Centre Newsletter)
Praise for the first edition:
'An extremely practical resource with photocopiable activity checklists, personal profile records and outcome sheets...the resource is well presented and easy to read and it flows. The inclusion of short case studies provides the reader with workable illustrations so that at no point is he or she left unsure as to how ideas might be translated into practice.'
(The British Journal of Occupational Therapy)Jackie Pool is a state registered consultant occupational therapist in dementia care. She graduated from the Liverpool School of Occupational Therapy in 1988. She has esatablished her own full-time consultancy, Dementia Concern, working with health and social care providers to develop their practices with peple with dementia. Jackie is an Approved Alzheimer's Society Trainer and an Associate of the Bradford Dementia Group. She has published extensively in the field of dementia care.
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