W4: Caregiving Skills Flashcards
what are Manifestations (biểu hiện) of Dementia?
Impaired Recall of recent events
Impaired Functioning (complex tasks)
Gradual withdrawal from activities
Lowered tolerance of new ideas and changes in routine
Difficulty finding words
Repetitive statements
Decreased logic
Becoming lost
Inconsistency in ordinary tasks of daily living
Increasing tendency to misplace things
Narrowing of interest
Living the past
Self centered thoughts; restlessness or apathy
Increased forgetfulness (meals, medications, people, self)
Untidiness, hoarding, rummaging
Difficulty with basic activities of daily living
Wandering and becoming lost
Uncoordinated motor skills and poor balance
Repetition of words or activities
Loss of contact with reality; hallucinations, confusion
Withdrawal
Agitation (kích động)
Impaired judgment
Altered sensory-perceptual functioning
What are “Activities of Daily Living?”
basic physical needs:
- Bathing
- Dressing and grooming
- Toileting
- Eating
Basic Guidelines for Assisting with ADL’s
Gain their trust Understand what their routine is Talk to them as an adult Keep instructions simple/use cues Keep them as independent as possible Maintain their dignity and self esteem Organize your work around them Save them from embarrassment (ko tự nhiên) Be alert for signs of anxiety, confusion, and discomfort Keep record of likes and dislikes Continuity of care Give encouragement and support Use a gentle approach to care
Specific Care for ADL and the Dementia Patient
Toileting Hair care Bathing Oral care Skin and foot care Grooming Dressing Eating
Bathing for Dementia patients
- shower 1 or 2 per week
- Often dislike bathing because of afraid
- Types of baths: tub (bồn), shower, bed, sponge at sink
- Keep person warm
- Right length of time,
- Water right temperature,
- don’t’ use perfumed soaps
skin care for Dementia patients
Skin is delicate, thin, and easily tears skin breakdown Massage skin when applying creams Attention to finger nails Change position often throughout day and night if they can’t do it themselves
Foot Care for Dementia patients
Check regularly
Soak feet (ngâm chân) – basin of warm water
Cut and clean nails/
note ingrown toenails –> see agency policy
Massage
Cream, lotion if skin intact
Grooming for Dementia patients
Encourage to be independent Follow routines Give clear instructions Consider likes, dislikes, privacy, lighting, safety Do not rush (move quickly) the person Give gentle praise (ca ngợi) Men: shaving
Oral Care for Dementia patients
Independence with assistance as needed/safety considerations
Give cues
Oral care and teeth brushing at least twice per day
Care to tongue and roof of mouth
Remove and clean dentures (răng giả)
how often to do Oral care and teeth brushing/
at least 2 a day
Hair Care for Dementia patients
Encourage to be independent prn Do not need as frequent hair washing Massage scalp Comb hair avoid “bed head” Hair cuts and hairdresser May set hair for them
Toileting for Dementia patients
Toilet routinely Safe route to washroom Colored water in toilet bowl may help Ensure they void and have a bowel movement on a regular basis Can use a commode or urinal Cleanliness
dressing for Dementia patients
Limit choices Lay out clothes in order Hand outfits on one hanger Ensure clothing is clean Choose easy to wear Use pictures on drawers and closet Tend to have favorite pieces of clothing
Eating for Dementia patients
Know the persons rituals (nghi thức) for eating
Consider the setting
Consider safety issues – choking
Bib (“clothing protector”) and pureed food may seem degrading to person and family
What might make eating more pleasant and appetizing for the person?
Care Plan for Dementia patients
Outlines the care for the patient in writing or electronically
Actions to resolve patient problems
Guides the care given
Assists in evaluation of the care
