Unit 1
The loss of the ability to smile or frown spontaneously is know as this.
Flattened Affect
What is the benefit of having Marija help in setting the table?
Helps to foster personhood.
Geri has receptive aphasia. How do you communicate with him to sit in a chair.
Use a combination of both verbal and non-verbal communication (ie: gestures)
Identify two nutritional changes that a PLWD may experience.
Changes/altered sense of taste and smell = poor appetite
Crave certain foods
ST memory impacts
Changes in reasoning and judgement
Changes in motor skills
Changes to swallowing
Eat to quickly
This concept can sometimes be seen as following a "recipe".
Evidence-Based Practice
Sensory memory, if paid attention to, turns into this.
Short-Term Memory
Using the soft skill of collaboration, how would you get Geri to get dressed for the group outing.
1. Provide choice, guide Geri while allowing him as much choice as possible in the process.
Ex: "It's cold outside, would you like to wear your green sweater or blue sweater today?"
Wheelchair, bedrails, tight bedding and leg ties are examples of?
Physical restraints.
Care partners take on new roles when they are caring for someone living with dementia, and as a result take on more responsibilities that can be overwhelming. Identify 3 signs of care partner stress.
Denial
Anger
Withdrawing Socially
Anxiety
Depression
Exhaustion
Sleeplessness
Emotional Reactions
Lack of Concentrations
Changes in Health
What does PICO stand for?
P: Population
I: Intervention
C: Comparison
O: Outcome
Name the 3 D's and identify the two that are treatable.
Dementia
Delirium (treatable)
Depression (treatable)
Rephrase the following using Person-Centered Care Language:
"Terry requires a diaper because he wets is bed at night".
Answers will vary:
"Terry uses an adult brief."
Identify three verbal communication tips and strategies that can be used with PLWD.
1. Short and sweet
2. Familiar
3. Avoid open-ended questions
4. Patience/time for processing
5. Reduce X-communication
6. Do not correct
** reference Unit 3 for more tips and strategies.
Jagveer has dementia and recently the doctor had noted that he is no longer able to drive. Though aware, Jagveer get's upset when his family reminds him he is not able to drive. What are some suggestions you can provided to his family?
1. "Out of sight, out of mind" - keep the car elsewhere so it does act as a reminder
2. Have friends/family "show up" when he would normally drive
3. Have a mechanic modify the car so it can't be started easily
4. Hire driving services and note them as "free trials" or gifted from family/friends
In consideration of the GEMS Model of Dementia Care, when a PLWD is starting to experience changes and is not "clear and sharp" anymore, what GEM would this person with dementia be?
Emeralds (review the Teepa's GEMS video) in Custom Readings
These three A's are cognitive changes/symptoms related to a diagnosis of dementia an individual can experience.
Aphasia
Apraxia
Agnosia
When the health-care team supporting a client with dementia does not allow the family or the person with dementia to contribute to the decision-making process, which core concept of person-centred care is the health-care team not addressing?
Participation
Warren is 68 years old and has early stage Alzheimer’s disease. He frequently wanders on the dementia care unit. In the past, Warren frequently took trips to the mountains for fishing, camping, and hiking. Identify two interventions/strategies that would be an appropriate way to respond to Warren’s wandering.
Answers will vary.
1. Provide/utilize safe outdoor walking paths
2. Create a camping/fishing kit to use with Warren
3. Provide a purposeful activity (sorting fish bait)
Ms. Mae has been caring for her brother Neil, who has Alzheimer's Disease. When Ms. Mae was attending a care conference for Neil, the care team asked Ms. Mae to make some decisions on Neil's behalf. However, Ms. Mae stated "I can't do this anymore! I am just so tired...". This is an example of?
Decision Fatigue
EBP is a process. Identify one of the steps within the process.
1. Asking well developed, answerable questions
2. Searching for evidence
3. Evaluating/appraising the evidence for:
a. Truth
b. Scale of effect
c. Identifying if it’s applicable
4. Integrating the evidence into practice
5. Evaluation for future use
These four elements influence our ability to retain new information.
1. Interest
2. Intent to remember
3. Understanding
4. Personal background & interest
Identify the 5 components of personhood
Attachment
Comfort
Identity
Occupation
Inclusion
The song "Singin' in the Rain" comes on. As this is Lara's favourite song she starts to sing and dance. To apply the soft skill of "play", what would you do?
Join her by singing and/or dancing with Lara.
In 1-2 sentences describe the statement risk vs. reward in relation to safety and dementia care.
Responses will vary. It is important for HCP/CP's to find a balance between independence & safety. As PLWD experience changes, it does not mean they are not able to participate in activities. We just need to find ways to mitigate the risk so that we can still maintain/foster personhood.
The use of “emotional intelligence” in dementia care aligns with which model?
The Butterfly Approach