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♦ Overview of Dementia Stages of Alzheimer’s Symptoms of Alzheimer’s Reversible / Non Reversible Dementias Normal Aging Medications Used for Treating Dementia Tests used for diagnosis: FAST Functional Assessment Test, GDS Global Deterioration Scale, GDS Geriatric Depression Scale, Mini Mental Test, Folstein Test Stages of Alzheimer’s
♦ Activities / Recreation How to make activities successful, meaningful and purposeful Sample Calendars Importance of Exercise, Music, Reminisce, Sensory Program Self-Recreation
♦ Feelings Responding to Feelings Validation Therapy
♦ Environment Social Environment –staff, family, friends, visitors, residents Physical Environment-walking Path, lighting, noise, stimulation, home like, clutter free, glare, safety, etc Promoting Independence- How can this be achieved? Example brushing teeth. What promotes a negative environment in a healthcare setting?
♦ Staff and Family Relationships Working together, stress felt by families, guilt Feelings and Emotions Challenges that families face with long term care placement
♦ Stress and the Care Giver Taking care of yourself as the caregiver Signs of breakdowns with family members-alcohol, drugs, depression etc. How you can nurture your spirit Support Groups
♦ End of Life Feeding Tubes-Provide the Alzheimer’s Association position on feeding tubes. Advance Directives Do Not Resusiciate and Do Not Hospitalize if used by your facility Dying Process and Supporting the Family / Care Givers
♦ Multicultural Considerations in Care Giving Be aware of other cultures, races and religions Train the staff on Sensitivity Awareness to other cultures
“Every person is, in many respects, like all other people, like some people, like no other person.” Clyde Cluckhon Murray
♦ Sex & Intimacy Misconceptions about the elderly and sex Changes In Attitudes-Teaching your staff about sexual expression Positive perceptions about sexual expression Inappropriate behaviors and what to do Intimacy and connecting to each other When Dementia is involved-Disrobing, Masturbation, Sexual Comments Inability to express no to unwanted advances
♦ Hoarding What is Hoarding Why they hoard Make it purposeful, Ex., rummage drawers Where they may hide things What can you do?
♦ Wandering Types of Wandering, Example exit seekers Identify Triggers to Wandering Meeting Basic Needs & Emotions How to keep them safe Adapting environment How to redirect & management of wandering Policy and Procedures for elopement Wandering Tools-Safe Return, Wander Guards, Alarms, etc
♦ Communication Verbal and Non Verbal Communication Strategies to successful communication Common mistakes we make
♦ Repetitive Behaviors Common Behaviors Interventions for Repetitive Behaviors Medications
♦ Aggressive Behaviors Causes of Aggressive Behaviors Environmental Conditions, Physical & Medical Conditions Anti Psychotic Medications & Side Effects Interventions Ways to avoid aggressive behaviors Responding to Aggressive Behaviors Catastrophic Reactions
♦ Paranoia & Hallucinations What is Paranoia and What is Hallucinations Types of Behaviors & Causes Strategies for Management of Hallucinations and Paranoia Anti-Psychotic Medications & Side Effects Sun downing: What is it
♦ Recognizing Pain in the Person with Dementia Behavioral Changes such as facial grimaces How is the Discomfort Expressed? How to get them to answer questions with Yes or No Responses Assessing the Pain
♦ Depression & Alzheimer’s Disease Treatment Medications and Side Effects Signs & Symptoms of Depression Interventions and Activities
♦ Personal Care Dressing & Bathing Cognitive Changes Breaking Down the Tasks / Steps Specific Changes in Stage 1, 2 and 3 How to Encourage Participation Be Prepared for Personal Care. Example- Lay out bathing supplies
Toileting Causes of Incontinence Cueing Proper Toileting & Frequent Toileting Hydration Training the Caregiver
Nutrition Nutrition Goals Action Steps in Middle and Late Stages Environment What not to put on trays, anything that can be swallowed! Memory Aides for Dining Room Decreased Appetite & Increased Appetite, what to do. Finger Food Menus & Independence Reasons for Eliminating Sugar and Caffeine from Diet Seating Assignment-How to group people together Dental Care Home Like Environment in the Dining Room
♦ Sleep Disturbances Possible Causes Interventions Medications and Side Effects Nutritional Changes-Eliminate Sugar and Caffeine
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