By Ann Louise Barrick PhD, Joanne Rader RN MN PMHNP, Beverly Hoeffer DNSc RN FAAN, Philip D. Sloane MD MPH, Stacey Biddle COTA/L
2008 AJN ebook of the yr Winner! Like its renowned predecessor, the hot version of Bathing and not using a conflict provides an individualized, problem-solving method of bathing and private care of people with dementia. at the foundation of in depth unique learn and scientific adventure, the editors have built ideas and strategies that paintings in either establishment and residential settings. Their strategy can also be applicable for caregiving actions except bathing, reminiscent of morning and night care, and for frail elders no longer struggling with dementia. For this moment variation, the authors have integrated old fabric on bathing and considerably up-to-date the part on distinctive matters, together with: discomfort skincare making a choice on the ideal point of assistance Transfers the surroundings An stronger ultimate part addresses how one can aid caregivers by means of expanding their knowing of the care recipient's wishes and their wisdom of interventions to enhance care and luxury. It additionally emphasizes self-care and system-level adjustments to advertise person-directed care. numerous chapters contain particular insights and knowledge from direct caregivers.
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Extra info for Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing)
Along with the availability of water (especially hot water), cultural, religious, and social forces determine bathing traditions. Even today, bathing may be seen as a task or chore rather than as a pleasurable activity in areas where obtaining or heating water is difﬁcult. Many elders, both foreign born and native, may not remember bathing with deep fondness. Prior to the introduction of water heaters for private homes, bathwater was often heated on the stove and shared by all of the family members.
Kovach, C. , & Meyer-Arnold, E. A. (1996). Coping with conﬂicting agendas: The bathing experience of cognitively impaired older adults. Scholarly Inquiry for Nursing Practice: An International Journal, 10(1), 23–36. Kovach, C. , & Meyer-Arnold, E. A. (1997). Preventing agitated behaviors during bath time. Geriatric Nursing, 18(3), 112–114. Kovach, C. , Noonan, P. , Schlidt, A. , & Wells, T. (2005). A model of consequences of need-driven, dementia-compromised behavior. Journal of Nursing Scholarship, 37(2), 134–140.
When a person loses even the ability to control when and how he will be touched, undressed, or washed, it is devastating. This is often expressed in demands, threats, or refusal to cooperate. 2 Possible Characteristics of Persons With Mild, Moderate, and Severe Dementia Mild Moderate Severe Orientation Some disorientation to time Oriented to name only Disoriented in all spheres Memory Unable to recall some major, old information and learn new information Can recognize familiar people Largely unaware of recent events Sketchy knowledge of past life Generally unaware of surroundings/seasons No recognizable memory ADLs (Activities of Daily Living) No assistance needed with toileting and eating, some assistance needed with choosing proper clothing Needs some assistance with all ADLs Becomes incontinent Totally dependent Behavior/Personality Some changes: apathetic, some suspiciousness Repetitive, obsessive behaviors, irritability, ﬁdgety, psychosis, sleep disturbances Extreme irritability Problem Solving/ Judgment Impaired planning and decision making Severely impaired: unable to understand limitations or consequences of actions No discernible ability, unable to problem solve Language Word-ﬁnding problems Language usually becomes “word salad” as disease progresses All verbal abilities lost Mobility Unimpaired Ambulatory until end of this stage; may be restless Unable to walk, sit, or (eventually) to hold up head Attention Slightly reduced Easily distracted and some trouble starting or stopping task Severely impaired Perception Mild problems in new areas Unable to recognize common objects and environmental cues Severely impaired Dementia-related problems: People with Alzheimer’s disease and related problems often develop symptoms to which the caregiver must adjust.
Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing) by Ann Louise Barrick PhD, Joanne Rader RN MN PMHNP, Beverly Hoeffer DNSc RN FAAN, Philip D. Sloane MD MPH, Stacey Biddle COTA/L