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The Best Friends Approach to Alzheimer's Care, Revised Paperback – November 21, 2002

4.7 4.7 out of 5 stars 57 ratings

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Join thousands of caregivers who are adopting this groundbreaking and uplifting method for the care of people with Alzheimer’s disease. This comprehensive program builds on the essential elements of friendship: respect, empathy, support, trust, humor. They’re the building blocks of a care model that’s both effective and flexible enough to adapt to each person’s remaining strengths and abilities. It’s easy. It’s natural. It works. Learn how to ensure the highest quality of life for people with Alzheimer’s disease, not just by preventing catastrophic episodes but by making every day consistently reassuring, enjoyable, and secure. This revised edition includes new material such as an updated and expanded resource list, updated biographies of Best Friends featured in the book, and a new Preface from Virginia Bell and David Troxel. Best FriendsTM―for the best care.

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The Best Friends Approach to Dementia Care
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Editorial Reviews

From Booklist

The best Alzheimer's caregivers, say Bell and Troxel, become friends with the knack for calmly directing sufferers through their frightening confusion. Responding with the knack guides a patient to acceptable behavior while providing "cuing about roles and identities." For instance, to a patient's inappropriate sexual advance toward his daughter, a "no-knack approach" would be to angrily respond, "You dirty old man! Stop that" ; one with the knack would be, "Daddy, it's Mary, your daughter. Look what I have here--a photograph of Mother. Isn't she pretty?" The responses suggested for other situations are similar. Bell and Troxel stress that Alzheimer's victims are usually confused, not malevolent or willful, and compassion and indulgence will keep situations from worsening and enhance peace of mind for caregiver and patient alike. This approach is time and energy intensive, but its decency makes the book a potential gold mine for afflicted families. The fill-in-the-blanks "Best Friends Assessment" form, however, makes the book problematic for libraries. Mike Tribby

Review

"innovative and refreshing due to the relaxed and natural 'hands on' approach - an empowering book that proves one can enjoy life after a diagnosis of Alzheimer's disease." (Aging & Society Reviews 2001-01-01)

“One of the first, and still one of my favorites [positive, uplifting books on Alzheimer’s disease]…easy to grasp and always respectful of the person with the disease.” (Alzheimer’s Care Quarterly
Reviews 2001-01-01)

“For every friend, relative, or caregiver to a person with Alzheimer’s, [Best Friends] offers practical advice, compassion and optimism in understanding and dealing with the challenges they face each day and how to bring out the best in the person with the disease, so that a life that seems at times hopeless can be a life of love and dignity.” (
Reviews 2001-01-01)

“Virginia Bell and David Troxel ... argue persuasively that the proper metaphor for organizing our thinking in this area is not the distant clinical reserve of the professional but the open and engaged warmth of a best friend... [They] have written powerfully about this in their book.” (
Reviews 2001-01-01)

“Here at last are two compassionate, humorous, experienced authors (David Troxel and Virginia Bell) who say it’s time to stop being morbid and negative about AD. ...It’s the best training guide for families and professionals in print. A must for every Alzheimer’s library.” (Wiser Now
Reviews 2001-01-01)

“The Best Friends philosophy … has been adopted as a model through Maine and has become one of our most valuable caregiving resources. We’ve seen it in action and heartily recommend it!” (
Reviews 2001-01-01)

“...a potential gold mine for afflicted families.” (Booklist
Reviews 2001-01-01)

“[ Bell and Troxel] have laid out a way of relating that is immediately accessible to all involved in dementia and a policy and programme for service provision. …Here is an initiative that is easy to understand and is within the immediate capacity of each of us to deliver.” (Journal of Dementia Care
Reviews 2001-01-01)

Product details

  • Publisher ‏ : ‎ Health Professions Press; First Edition (November 21, 2002)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 272 pages
  • ISBN-10 ‏ : ‎ 1878812351
  • ISBN-13 ‏ : ‎ 978-1878812353
  • Item Weight ‏ : ‎ 12.8 ounces
  • Dimensions ‏ : ‎ 6 x 0.75 x 9 inches
  • Customer Reviews:
    4.7 4.7 out of 5 stars 57 ratings

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Top reviews from the United States

  • Reviewed in the United States on July 19, 2014
    This is one of the best books ever written on how to care for and understand Alzheimer's patients. My father's caregiver lovingly recommended this to me so that I could better understand why my dad acted the way he did, as well as how to make myself understand my own approach to him as the disease stole him away from us. The caregiver said this book was used by the instructors when he was learning how to care for those who he would be working with, and he felt the families of Alzheimer's victims should all read this book and keep it for reference during their journey. I have bought so many of these for friends who are dealing with this pain that I should have bought stock in the company selling them. Buy one for anyone who needs the information and support this book provides. They will thank you.
    3 people found this helpful
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  • Reviewed in the United States on July 5, 2010
    This is a really great text outlining a different slant on how to care for the Alzheimers disorder. I love the concept utilized in this book, and have seen it at work in a local Adult Day-Services center. As a retired nursing professional I would like to see more use of this type of therapeutic care for the mentally impaired. I hope that the book will help to educate those who care for the aged, and AD persons. The families of those patients could be helped in their respite care.
    4 people found this helpful
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  • Reviewed in the United States on January 20, 2014
    This series is one of our most important resources as we implement the Best Friends approach in all of our memory care communities. Having known David and Virginia for over 20 years, I have had the opportunity to watch from the beginning and they just keep getting better.
  • Reviewed in the United States on March 29, 2014
    Great for Caregivers. This Is a very good book for anyone to use who is a caregiver for someone with Alzheimers. Highly recommended.
  • Reviewed in the United States on September 24, 2016
    Yes, the chapter on activities was most helpful for caregivers to understand how and what activities work for folks with dementia.
    2 people found this helpful
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  • Reviewed in the United States on February 15, 2012
    Our family was just beginning to deal with these issues and this book pointed us in the right direction. I have since lent it to three people who found it helpful. A good resource even today.
    One person found this helpful
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  • Reviewed in the United States on May 20, 2016
    Tips for family and caregivers, making the most of every day for those living with Alzheimer's.
  • Reviewed in the United States on August 29, 2016
    A great approach to caring for patients, not only those with Alzheimer's, but anyone.

Top reviews from other countries

  • deborah moore
    5.0 out of 5 stars I am a carer and this book helped perfectly
    Reviewed in the United Kingdom on November 16, 2022
    To help me understand the people I care for