Dementia Care

List (2) strategies for communicating effectively with a dementia person?

(1) Ask how you can help (2) Speak slowly

Name (2) ways caretakers help a dementia person function at their best

(1) Building on their strengths (2) Recognizing them as whole & unique individuals

Name several ways that cause a dementia person to become frustrated?

(1) Challenges with judgment (2) If asked too many questions

Dementia persons with challenges in concentration, orientation, and visuospatial ability may exhibit these symptoms (Name 2 symptoms)

(1) Have visuospatial challenges that confuse them (2) Be overwhelmed with too many choices (3) Ask questions that don't make sense to others; based on their sight

Name (2) strategies for communicating with a person with dementia

(1) Identify yourself (2) Use visual and verbal cues

Name (2) ways you give a dementia person your complete attention

(1) Look them straight in the eye when speaking to them (2) Be sure you're at the same level their positioned at

Name (3) possible reasons for behaviors in persons with dementia

(1) Medications (2) Environment (3) Their life story

How would challenges w/ sequencing affect how a person with dementia communicates?

*Difficulty answering question *Say things in the wrong order *Need simple detailed instructions to do things in right order

Dementia patient w/ language issues might exhibit what kind of behaviors?

*Use inappropriate words to explain what they mean *Frustrated they can't find the right words or not talk at all *Need to express in other ways (e.g. gestures, facial expressions)

Name 2 strategies for communicating with a person with dementia?

- 1. Be Patient - 2. Keep it simple

3 condition might result in Dementia like symptoms?

- 1. Confusion - 2. Depression - 3. Medical Condition

What symptoms of dementia does Delirium cause?

- 1. Confusion. - 2. Hallucinations. - 3. Restlessness.

Name 3 conditions may cause dementia to worsen?

- 1. Depression - 2.Medication side effects - 3. Excess use of alcohol.

How would challenges w/ sequencing affect how a person with dementia communicates?

- 1. Difficulty remembering events or situations - 2. Inability to read facial expression or complex social cues

Name 2 ways you give a dementia person your complete attention

- 1. Look at them with eye contact - 2. Talking to them

Name 2 ways caregivers help a dementia person function at their best?

- 1. Modifying tasks by breaking them into simpler tasks to help patients retain focus. - 2. The environment by reducing noise and distraction to help dementia patient's focus and work.

Specific symptoms of dementia includes?

- 1. Subtle short-term memory changes - 2. Difficulty finding the right words. - 3. Change in mood

Dementia person with challenges in concentration, orientation, and visuospatial ability may exhibit these symptoms?

- 1. difficult to navigate tasks such as going downstairs and thus increasing the risk of falls. - 2. Activities of daily living such as getting into a bathtub, getting dressed or feeding oneself can also become more challenging.

If a dementia person exhibits 'wandering behavior' there are (2) key questions the caregiver must ask

1. "Do I need to do anything?" 2. "Is this a matter of health or safety?"

Name several ways to communicate with persons with dementia through a sense of touch

1. Holding hands 2. Rubbing their shoulders

4 main symptoms all dementia have all in common?

1. Memory Loss 2. Issues with languages 3. Difficulty focusing 4. Reasoning and Judgment difficulty

The 3 most common Dementia?

1. Vascular 2. Alzheimer's 3. Frontotemporal

Name (3) issues a client may be experiencing that would cause them to not want to take a bath

1. isolation 2. incontinence 3. self-consciousness

Name (3) good ways to relate to a person with dementia

1. state your message clearly 2. get the person attention 3. set a positive mood for interaction

When a person with dementia states they want to go 'home' they have an unmet need. Which can be

1.An expression of loneliness 2. An expression of previous home responsibility

4. If a resident tells you they are experiencing neglect or abuse you are to report the allegations immediately. A nursing home is required by Federal regulation to report alleged violations of mistreatment, neglect, or abuse to the Survey Agency immediately with ____ hours (How soon (in how many hours) should it be reported?

24

One of the most common symptoms of Dementia?

Alzheimer Disease

Which is considered the most common type of irreversible Dementia?

Alzheimer's Disease can slow it down but not cure it.

What does Sequencing mean?

Arrange in a particular order

Apraxia

Causes problem performing known movement.

Agnosia

Causes problems recognizing environment.

Amnesia

Partial or total loss of memory.

Unreasonable confinement

Detained, restrain, and not allow

Punishment

Discipline, scold, and tell off

willful infliction of injury

Done on purpose

A person with dementia will always be cooperative with a caregiver if they remind them of someone?

False

An emergency or short-term monitored separation is not considered involuntary seclusion?

False

File a complaint or report against you

False

Which dementia affects the frontal and temporal lobes of the brain?

Frontotemporal Dementia

Aphasia

Inability to speak or use words.

In a time when a situation with a dementia resident may get out-of-control and they are very upset & aggressive, a response that's not appropriate is

Notify the supervisor the person needs medicated

intimidation

Pressure, threaten, bully, make a personal fearful

Dementia patient w/ language issues might exhibit what kind of behaviors?

Some behavior can be embarrassing, disruptive or uncomfortable to be around.

What does the term 'orientation' refer to?

The state of being oriented

5. Dementia symptoms esp. those due to irreversible causes such as Alzheimer's disease tend to worsen over time?

True

Medication changes may result in increased confusion, anger or disorientation for the dementia resident?

True

Sometimes the best way to support a person with dementia is to sit and listen to them

True

Those who violate the anti-retaliation provision may be fined up to $200,000 and excluded from the Federal programs (Medicaid & Medicare) for up to 2 yrs.

True

When you report abuse or suspicion of a crime, the employer cannot... Fire, suspend, threaten, or harass you

True

When communicating with a person with dementia a caregiver should avoid the following

Using negative words when speaking to the resident

Which Dementia includes symptoms of more than one type?

Wernicke-Korsakoff Syndrome

What is Dementia?

a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning.

A caregiver being available to a person with dementia at a certain time of day to address actions is which example of the '3 P's?'

a. Present b. Prepare c. Prevent