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Presented by : Joy Mason BSN,RN
19

Dementia Care Nurses Teaching Ppt

Dec 19, 2014

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This is a general overview of a nurse teaching tool. The actual research paper has been submitted for review to a peer journal and is being taught at nursing workshops in Connecticut.
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Page 1: Dementia Care Nurses Teaching Ppt

Presented by : Joy Mason BSN,RN

Page 2: Dementia Care Nurses Teaching Ppt

Increase Assessment Skill in dementia care Build communication skill Recognize pain superimposed on dementia Recognize delirium superimposed on

dementia Define and implement meaningful activity Provide intervention for distressed humans Evaluate intervention effectiveness

Page 3: Dementia Care Nurses Teaching Ppt

Maslow

Piaget in Reverse

Rosemarie Parse

Barker

Page 4: Dementia Care Nurses Teaching Ppt

REALITY ORIENTATION DOES NOT WORK!

Impulsive behavioral acts indicate a basic human need is unmet

True Mental Status changes are medically emergent

Page 5: Dementia Care Nurses Teaching Ppt

The Tidal Model Theory: A radical approach to person-centered care Let them take the lead, they are the author of their own story

Page 6: Dementia Care Nurses Teaching Ppt

ASSESS AND DELEGATE IF UNDER TIME CONSTRAINTS

Page 7: Dementia Care Nurses Teaching Ppt

ALZHEIMER WORDS … EXPRESSING UNMET NEED

If my physiological needs are not met I can get stressed out and tense

If I don’t feel safe I may say things like “I want to go home”

I need to love and be loved, “Talk to me”

Let me do things. Give praise

Let me express myself with ART

Page 8: Dementia Care Nurses Teaching Ppt
Page 9: Dementia Care Nurses Teaching Ppt

THE H.A.L.T. + Pain CLINICAL ASSESSMENT GUIDE Simply based in Maslow’s Hierarchy Guides critical thinking Resolves most behavioral impulsive acts Triggers nursing intervention of

meaningful human inter-reaction

Page 10: Dementia Care Nurses Teaching Ppt

Always invite and be polite Use humor, encourage response, have a

conversation and be sincere

Page 11: Dementia Care Nurses Teaching Ppt

Friend or Colleague Socialization Lunch Family or spouse

Socialization Wind down Supper

Worry a little Wind down

WORK , AFTERNOON ACTIVITY

Entertainment and Enjoyment

Relaxation

Wakefulness

Sleep

Page 12: Dementia Care Nurses Teaching Ppt

Stage 4

Stage 5

Stage 6

Stage 7

11 yr & up

7-11 yr old

2-7 yr old

Birth-2 yr old

Writing

Books, News Lit Chores, folding, cooking

Serration,Flower arrangingFlashlights

Dough rolling

Tootsie pops pops

Sensory Music

Formal operational

Concreteoperational

Pre-operational

Sensory-motor

Mild Alz

Moderate

Moderate/Severe

Severe

Harold

Myrtel

Bubba

Cloey

Glorey

Louise

Greta

Mara

FASTPIAGET IN REVERSE CASE STUDIES

ACTIVITIES THEY MASTERED

Movies

Movies

Page 13: Dementia Care Nurses Teaching Ppt

Seasonal cueing with colorand objects are connectionsto the environment. Colors have meaning Handling materials are reminiscent and expressive.A single brush stroke with a colorof choice is a job well done

Page 14: Dementia Care Nurses Teaching Ppt

Music can stimulate memory Music can affect appetite Music can induce or reduce stress

Music combines movement,tactile, sensation with melody, vocalizationand percussion. MUSIC PROVOKES RESPONSE

Page 15: Dementia Care Nurses Teaching Ppt

Have you determined an unmet need?

Is the person in pain? Is the person delirious? Have you built self-esteem by

providing meaningful activity?

Page 16: Dementia Care Nurses Teaching Ppt

1. BODY LANGUAGE SHOULD RELAX2. FACIAL FEATURES SHOULD SOFTEN3. TONE OF LANGUAGE SHOULD BE

APPROPRIATE (even when the words are wrong)

4. DIRECT EYE CONTACT IS ACHIEVED5. ATTEMPTS ARE MADE TO TOUCH OR

UTILIZE OBJECTS Change objects according to response

Page 17: Dementia Care Nurses Teaching Ppt

True Care-giving is… Expertise in understanding the human response to health and well being.

Gathering and synthesizingThat knowledge can be empirical ,ethical ,esthetic or personal ( Carper, B.A., 1978)

Teaching is most effectively when it is reflective, respectful, and intimately practiced in the patterns of knowing of others.

.

Page 18: Dementia Care Nurses Teaching Ppt

Camp, C., (2005) Montessori-Based Activities for Persons with Dementia Menorah Park,

Cosgrove, S., (2006) A complement to lifestyle assessment: Using Montessori sensorial experiences to enhance and intensify early recollections The Journal of Individual Psychology 62,1 pp.47-58

Cossentino, J., (2005) Ritualizing Expertise: A Non Montessorian View of the Montessori Method American Journal of Education Feb.pp.211-244

Downs, M., (2005), Awareness in dementia: In the eye of the beholder Editorial- Aging and Mental Health March pp.381-383

Howorth, P., Saper, J., (2003) The dimensions of insight in people with dementia Aging and Mental Health 7(2) pp. 113-122

Page 19: Dementia Care Nurses Teaching Ppt

Kitwood, T. (1997) The experience of dementia Aging and Mental Health 1(1) pp.13-22

Kolanowski, A., Whall, A., (2000) Toward Holistic Theory-Based intervention for dementia behavior Holistic Nursing Practice 14(2) pp.67-76

Korfmacher, J., Spicer,P., (2002) Toward an Understanding of the child’s experience in a Montessori Early head Start Program Infant Mental Health

Markova, I., et al (2005) Awareness in dementia: Conceptual issuesAging and Mental Health Sept 9(5) pp.386-393

Schreiner, A., et al. (2005) Positive affect among nursing home residents with Alzheimer's dementia: The effect of recreational activity Aging and Mental Health March pp.129-134

Upton, N., Reed, V., (2006) What does Phenomenology Offer to the Study of Caregiving The International Journal of Psychiatric Nursing Research 11,2 pp.1241-1254