Libraries of life: Using life history books with depressed care home residents

Abstract

Depression is a common, and often undetected, psychiatric disorder in geriatric care home residents 1,2. Reminiscence, an independent nursing therapy used by a variety of health and social care professionals, can prevent or reduce depression 14. This practice development project explored the use of reminiscence life history books as an interpersonal therapeutic tool with three depressed care home residents living in residential care and skilled nursing facilities.

The process of choosing to produce a book, assessment of capabilities, and methods of construction are described using three illustrative case studies. Three themes emerged: reviewing the past, accepting the present, and dreaming of an alternative future. This project demonstrated that life history books, tailored to individual needs and abilities, can facilitate reminiscence and reduce depression by increasing social interaction. The benefits to residents, their families and care staff are discussed and the relevance to nursing practice highlighted.