CHAPTER 26 AND DEMENTIA WORKSHOP DEMENTIA CARE CHAPTER 26 AND DEMENTIA WORKSHOP

DEMENTIA: A terminal illness that affects ability to think & remember DELIRIUM ALZHEIMERS DISEASE Temporary Disorientation Sign of another problem Infection is a common cause Most common Protein deposits for plaques Vascular Dementia Damaged blood vessels decrease oxygen to brain

SITUATIONS THAT CAN CAUSE DEMENTIA-RELATED BEHAVIORS ROOM IS TOO BIG OR TOO SMALL UNFAMILIAR SITUATION OVER-STIMULATION TASK IS TOO COMPLICATED PERSON HAS A PHYSICAL OR EMOTIONAL NEED

STAGES OF ALZHEIMER’S MILD: Forgetfulness Trouble with routine tasks Less aware of current events MODERATE: Disoriented to time and place Needs help with ADL’s Personality changes ADVANCED: Unable to walk or stand Lost ability to speak, swallow or smile Needs total care DEATH: Person usually dies of an infection or some complication from chronic disease STAGES OF ALZHEIMER’S

APPROACH SLOWLY STAY CALM KEEP IT SHORT & SIMPLE BE PATIENT LISTEN MEETING NEEDS APPROACH SLOWLY STAY CALM KEEP IT SHORT & SIMPLE BE PATIENT LISTEN

ENCOURAGE INDEPENDENCE MEETING NEEDS BE KIND & PATIENT ENCOURAGE INDEPENDENCE USE VISUAL CUES KEEP ACTIVE PROTECT FROM INJURY CONSTANT SUPERVISION

ASSISTING WITH BATHING KEEP WARM DISTRACTION BE ORGANIZED KEEP COVERED ENCOURAGE INDEPENDENCE AVOID THE WORD “BATH” BATHING CAN BE FRIGHTENING FEEL EXPOSED & VULNERABLE

ASSISTING WITH DRESSING & EATING LIMIT CLOTHING CHOICES CLOTHING CHOICES THAT ARE EASY TO GET ON OFFER FINGER FOODS ALLOW TIME TO CHEW & SWALLOW RISK FOR DEHYDRATION

MEETING EMOTIONAL NEEDS REMINISCENCE THERAPY ACTIVITY THERAPY VALIDATION THERAPY MUSIC THERAPY PET THERAPY

CAREGIVER STRATEGIES PERSON-CENTERED APPROACH ACTIVITIES HAVE MEANING TO RESIDENT CONSISTENT STAFF & A HOME-LIKE SETTING USE YES OR NO QUESTIONS PERSON-CENTERED APPROACH PROMOTE SELF-CARE & DIGNITY

IF YOU ARE STRESSED, SEEK HELP OR SEEK ANOTHER JOB STRESS: LEADS TO ABUSE PERSONAL & WORK ISSUES LACK OF EMPATHY NEGATIVE ATTITUDE BURNOUT

PEOPLE WITH DEMENTIA CANNOT BE HELD RESPONSIBLE FOR THEIR ACTIONS PEOPLE WITH DEMENTIA CANNOT BE HELD RESPONSIBLE FOR THEIR ACTIONS. ________________________________ IF YOU ARE FEELING STRESSED, MAKE THE PERSON SAFE AND WALK AWAY.