Communication
True or False: The ability of persons with dementia to communicate their needs increases as the disease process affects their cognitive abilities.
False
All behaviour has ______.
Meaning
True or False: Leisure and recreation are equally as important to the person living with dementia as is engaging them in daily activities of living.
True.
The misdirection of food particles, fluid, or saliva into the airway is recognized as:
Aspiration.
What are three common physical responses that may accompany stress?
Headaches, grinding teeth, clenched jaws, chest pain, SOB, pounding heart, high BP, muscle aches, indigestion, constipation/diarrhea, increased perspiration, fatigue, insomnia, frequent illness.
Care providers need to find ways to enhance __________ with persons with dementia as part of their strategy to support the persons capabilities and maintain independence and autonomy.
Communication
True or False: Behaviour is communication that is related to unmet needs.
True
Engaging the person living with dementia in putting together a jigsaw puzzle or in making photo albums available for reminiscing are examples of what kind of activities?
Meaningful
What is the first vital sign to change after a person aspirates?
Temperature.
Fear is a common response as uncertainty about the future raises many unanswerable questions. What as the nurse can you do to reduce fear and stress for the individual living with dementia and their family?
Educate the individual and family on the basic signs and processes of the dementia disease process, making sure it is known that dementia is highly individualistic.
What are three basic communication strategies to take up with a person with dementia
- Facing the front of them.
- Approach slowly.
- Go off to the side.
- Get low.
- Offer a hand.
True or False: An individual living with dementia has a sudden negative outbreak during an event because it is simply a part of their personality to do so.
False.
What is the meaning of "Use It or Lose It"?
If you do not continue to practice or use an ability, you may lose that ability.
There are 6 main factors that can place older adults at risk of poor oral nutritional status, name 3.
1. Decreased ability to chew.
2. Changes to taste and smell.
3. Dry mouth caused by medications.
4. Inability to brush or floss.
5. Tobacco use.
6. Some diseases.
What are the 2 factors that can help make sense of stress?
1. Stress is individual.
2. Sources of enjoyment.
When a client with dementia tries to verbalize a sentence but has difficulty finding words, the nurse must:
A. Help the client by trying to finish his sentence with him.
B. Offer her tools such as pictures or pencil with paper.
C. Let the client finish his sentence himself.
Answer: C.
Thinking about the acronym P.I.E.C.E.S. helps us to identify and examine the possible underlying causes of the person's behaviour. What does this acronym stand for?
Physical, Intellectual, Emotional, Capabilities, Environment, and Social.
What are 3 goals of music therapy for individuals living with dementia?
1. Provides nonverbal opportunity to express emotions.
2. Stimulates use of voice, memory recall and communication skills.
3. Provides opportunity for physical exercise.
4. Provides opportunities for reminiscence as old tunes are associated with past events.
5. facilitates relaxation by listening to soothing music
6. provides opportunity for pleasurable activity
7. provides opportunity to be creative through dancing to the music
Unintended weight loss with persons living with dementia is commonly caused by pacing. In what ways as a nurse could you help maintain an appropriate weight for the individual?
1. Increase food intake.
2. Increase in energy and nutrient rich foods.
3. Nutritional supplements.
Caregiver burnout is a state of physical, mental, and emotional exhaustion. Caregivers who are burned out may experience fatigue, stress, anxiety, and depression. Who can caregivers turn to, to look for help and support?
Additional help and support may be provided through other family members, close friends, paid care providers, or volunteers to give the primary care provider a break.
Place the following steps in the order of how to start an interaction with a person living with dementia:
1. Eye contact - Establish eye contact with the client so that he/she can see you to better understand.
2. Environment - Make sure the environment is calm; avoid distractions such as televisions or radio playing in the background.
3. Attention - Calmly approach the client from the front and lightly touch their hand to facilitate the task.
4. Introduction - Introduce yourself each time you approach the client.
Answer: 2, 3, 1, 4.
The acronym P.I.E.C.E.S helps to identify possible underlying causes of a person's behaviour. This acronym also is considered when using the U-First! Wheel A Collaborative Care Tool. What does the acronym for this tool stand for, and when would the P.I.E.C.E.S. acronym be included?
The acronym for U-First stands for Understanding, Flagging, Interaction, Reflection and Reporting, Support, and Team. The P.I.E.C.E.S. acronym would be used during the Understanding portion of this assessment, when you consider the possible causes of behaviour using the acronym P.I.E.C.E.S.
When offering assistance to someone with dementia, what are the two things that should be remembered?
1. Maintaining self-care routines and going for walks gives the individual meaningful sensory stimulation.
2. Assistance should incorporate the persons strengths and capabilities.
Inadequate intake of fluids can cause what 5 main symptoms?
1. A decrease in functional abilities.
2. Constipation.
3. Predisposition to falls and infections.
4. A UTI.
5. An upset in the body's electrolyte balance (in extreme cases can lead to death).
It is normal to have some stress in life. Stress can have both positive and negative impacts on our lives. What are 3 responses to having too little stress, and 3 responses to having too much stress?
Too little stress:
- Boredom.
- Under-stimulated.
- Unmotivated.
Too much stress:
- Fatigue.
- Depression.
- Headaches.