By Cynthia D. Steele
Study dementia care from an skilled colleague! From a senior college member of the Copper Ridge Institute comes peer-to-peer advice on how one can supply the absolute best care to dementia sufferers and their households. a part of McGraw-Hill's Nurse to Nurse sequence, this name contains PDA obtain of the total textual content, vignettes, nursing signals that function just-in-time info on complicated or really vital elements of sufferer care, and healing discussion containers that offer nurses with particular communique options for either sufferers and their households. covered flex-binding repels stains. gains: Dementia fundamentals universal issues of dementia overview of dementia Caregiving fundamentals universal difficulties in day-by-day care handling behavioral difficulties Designing actions supporting households the recent Nurse to Nurse sequence is in particular designed to simulate the instructing adventure from which nurses examine top: depended on mentors rigorously explaining what they have to do in particular medical events. Written in a constant, single-author voice, each one booklet within the sequence brings the knowledge and adventure of a few of the key specialists to non-specialist nurses in scientific care.
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Additional resources for Nurse to Nurse Dementia Care
There are many standardized tests that can be administered both to identify psychiatric conditions and to monitor the condition’s response to treatment. Assessments that measure various types of conditions are listed in Table 3-2. OVERALL ASSESSMENT PLAN Your clinical team should make an informed decision as to which scales they will use, obtain training to achieve good interrater reliability, and use the same scales over time. For example, we suggest completing the Mini-Mental State Examination 46 Nurse to Nurse: Dementia Care Table 3-2 Summary of Psychiatric Assessments Assessment Domain Early to Mid-Stage Illness Late Stage Cognition Mini-Mental Scale SIRS Depression Cornell Scale for Depression in Dementia3 Function IADL KATZ IADL scale Function ADL PGDRS on admission and every 6 months after that, or more frequently if sudden changes occur.
Box 2-6 What to Say to Patients with Hallucinations The primary response to patients who hallucinate should be one of concern for their safety and comfort. Example: A female patient with dementia won’t go into the shower room. ) Although the patient is hallucinating, respond to her perceived discomfort. ” Switch gears and wash the patient at the sink in her room or attempt the shower later. 28 Nurse to Nurse: Dementia Care Box 2-7 Side Effects of Antipsychotic Medications Antipsychotic medications can have serious side effects: • Orthostatic hypotension (sudden drop in blood pressure when standing) • Stiffness • Shuffling gait • Masked facies • Drowsiness • Delirium • Dizziness Patients on these medications must be carefully monitored and side effects reported promptly!
Caregiving Basics 53 The underlying concept of all the principles is to understand the person who lives behind the screen of dementia. Nurses must take into account the life story and the needs and feelings of each dementia patient to create an individualized care environment. The basic principles of caregiving for dementia patients are described here. Know the Patient There are no generic dementia patients. Understanding key information about each individual allows the nurse to tailor care to the patient’s specific needs and wants.
Nurse to Nurse Dementia Care by Cynthia D. Steele