Therapies/ Types
Residents are encouraged to share emotions through different methods.
What is validation therapy?
Avoid rushing during meals, serve one food at a time, limit food choices.
What are interventions to improve the nutritional status of a cognitively impaired client.
Considerations for a hospitalized client who have have a fever and new onset confusion.
What is delirium?
This type of dementia is the second most common, has multiple TIAs, Inconsistent symptoms with wide range, Mood disorder, inappropriate laughing or crying, poor decision making. Paranoia, Numb hands and feet
What is vascular dementia?
Generally people with dementia lose abilities in _________ order that they learned in childhood.
What is reverse order?
Symptoms of this type of dementia: Hallucinations, Delusions, Stiffness of body, Tremors, Falls and fainting, Lack of REM sleep (not distinguish dreams from reality), Fluctuating mental function
What is LEWY BODY DEMENTIA?
Remaining calm, speaking softly, providing presence, and removing others.
What are actions to take if a client becomes agitative?
This is the most common form of dementia/
What is Alzheimer's disease?
Chronic pain, chronic illness, frequent naps during the daytime hours
What are some reasons that may interfere with an older adults sleep patterns?
–Engage the patient in conversation, maintain a safe distance, and maintain eye contact
–Move other patients or visitors out of the immediate area
–Use behavior modification
What are interventions for a patient who is agitated?
Remotivation therapy consists of:
What is:
–Stimulate senses and provide new motivation in life through factual information rather than feelings
–Introduce pictures, plants, animals, or sounds to encourage interaction
–Consider art therapy or music
Putting the client on a bathroom schedule
What is an intervention for a client with dementia that starts to wander at night?
New onset confusion that occurs quickly often as a result of a secondary physiological condition (infection, surgery, etc.)
What is delirium?
Vascular insufficiency, Trauma, Tumors, Central nervous system, infections, Hypotension, Systemic disorders, Pulmonary/cardiovascular diseases, Metabolic disorders
What can cause confusion in patients?
This person can sign consent for a medical procedure for a patient with dementia.
What is the healthcare durable power of attorney?
Symptoms of this type of dementia include: decreased attention span, no filter on what they say, Difficulty speaking in full sentences, Agitation with changes to daily schedule, rapid progression of symptoms, Behavioral symptoms look like schizophrenia, Less memory loss
What is FRONTOTEMPORAL DEMENTIA?
Encourage a client to share past memories and experiences
What is reminiscence?
This disease is progressive and irreversible.
What is dementia?
Unexplained bruising, untreated wounds, depression and withdrawal, financial exploitation, neglect.
What are signs of elder abuse?
An important intervention when helping a caregiver deal with a loved one's dementia.
What is explore the caregiver's feelings?
Reality orientation consists of:
–Orient to time, place, and person
–Maintain consistent interaction with staff and family
–Maintain consistent schedule for mealtimes and activities of daily living
–Encourage use of memory aids such as clocks, newspapers,TV, radio, and calendars
Long term memories: Photos, stories, music, books
from past-- Engagement (boredom leads to repetitiveness)-- Organize objects-- Communicate through music/singing-- Allow adequate time to respond-- Keep living area uncluttered-- reduce distractions in environment--(TV, Noise, Lighting)
What are interventions for someone who has Alzheimer's disease.
Symptoms of Severe memory impairment, Impaired mobility, Deteriorating speech, Bedridden, Weight loss; Difficulty swallowing
What is late stage of Alzheimer's disease?
Dementia, Metabolic disorders, Stress, alcohol abuse, Undesirable medication effects, Vision or hearing impairments
What is ABNORMAL CHANGES IN
COGNITIVE FUNCTIONING?
Safety Consideration for the patient with advanced dementia.
What is:
Alerting systems attached to outside doors
–Identification should be sewn into clothes and placed in wallet or purse
–Measures to alert the household if the person leaves the bedroom area at night
–Residential placement may needed
–Driving may become another safety issue