dementia care nurses teaching ppt
DESCRIPTION
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.TRANSCRIPT
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Presented by : Joy Mason BSN,RN
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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
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Maslow
Piaget in Reverse
Rosemarie Parse
Barker
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REALITY ORIENTATION DOES NOT WORK!
Impulsive behavioral acts indicate a basic human need is unmet
True Mental Status changes are medically emergent
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The Tidal Model Theory: A radical approach to person-centered care Let them take the lead, they are the author of their own story
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ASSESS AND DELEGATE IF UNDER TIME CONSTRAINTS
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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
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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
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Always invite and be polite Use humor, encourage response, have a
conversation and be sincere
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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
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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
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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
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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
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Have you determined an unmet need?
Is the person in pain? Is the person delirious? Have you built self-esteem by
providing meaningful activity?
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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
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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.
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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
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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