It is important to never exclude anyone whether intentional or by lack of thought or consideration. Just because a service user has dementia, it does not exclude him or her from taking part in activities and there should be activities to suit their capabilities so they are not left feeling isolated or inadequate remembering that dementia has a wide range of stages each person needs to be suitably stimulated, also having dementia should never result in them being excluded from decisions or discussions regarding their own care. Even advance dementia as long as they can still make their wishes known through speech, picture cards or other communication methods they must still be included. A good example of not excluding them from choices is if you were to offer a dementia sufferer a bath or wash and they decline to, do not try and force the issue, come back later and try again where a different state of mind could result in a different outcome.
Until the time comes where a service user is totally non responsive then they should be included in care plans and even once un responsive when assisting an individual you should always tell them what you are going to do and who you are as just because they cannot respond does not mean they cannot hear and understand what is going on around them. You should always talk to a service user with respect using low, calm tone oif voice and non verbal communication on a basic level as well.
Exclusion is where individuals may be discriminated against such as having dementia meaning they never get invited on outings or a deaf person not being invited to a meeting it is not acceptable to exclude and care provisions must be put in place so that outings are manageable for all and meetings are communicated in a way that a deaf service user could understand whether that be sign language or picture/written cards.
Some examples of exclusion could include;
Sound to low on TVs/radios
Speaking to quietly or too loudly deliberately
Ignoring someone in a group deliberately or non intentional
Being abusive physical or emotional
Not giving service users choice of meals, personal care or activities
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