Dementia Care (eBook)

James Grealy RN, MHN is Director C&G Education and Research Pty Ltd and Julia Grealy RN, BA (Hons) MBA is clinical research assistant C&G Education and Research Pty Ltd.

Contents 7
Disclaimer 9
Foreword 10
Acknowledgements and Expert Review 11
Purpose of Book 13
Meet the Characters 15
Introduction 19
Care for older people 19
Ageing population 19
Dementia 19
Stages of dementia 21
Prevalence of dementia 24
Behavioural and psychological symptoms of dementia 24
Overview of the resistance to care project 26
Resistance to care defined 27
Resistance to care research outcome 27
Resistance to care and risk of care staff injury 29
References 32
1 The Person 35
Ageing 37
Movement 38
Visual field/spatial perception 57
Reflexes 61
Profiling the person 70
Restraint 73
Continence guidelines 74
References 98
2 The Care Staff 83
Model of care 85
Contextual interaction 85
Communication 86
Behavioural reporting 96
Lifestyle activities 97
References 98
3 The Environment 99
Physical and temporal environments 101
Environmental requirements 102
General considerations 103
Bathroom – toilet 108
Orientation to own room 110
Orientation within own room 112
Orientation to dining room 114
Orientation to kitchen 116
Orientation to lounge room 118
Entrances and exits from building 120
Internal doors – special care unit,,utility and service doors 122
Corridors 124
Outdoor areas 126
Environment to promote interaction 128
Environment and walkers 128
Environment and confinement 128
References 129
4 The Interaction 131
Repositioning in bed 133
Transfer from lying to sitting no.1 135
Transfer from lying to sitting no.2 138
Mechanical hoist 140
Stand transfer 143
Correcting sitting posture 145
Wheelchair mobilising 147
Continence pad change – standing 149
Continence pad change in bed no.1 151
Continence pad change in bed no.2 153
Toileting 155
Showering 160
Dressing 163
Putting shoes on 165
Assisting to eat 167
Eating 169
Sundowning 171
Catastrophic reaction 173
Wandering 174
Hitting – standing 175
Hitting – squatting 176
Throwing 177
Appendix 1 181
Behavioural reporting 181
Appendix 2 184
Physical and temporal environmental audit 184
Appendix 3 200
Questions and answers 200
Module 1:Introduction 201
Module 2:The Person 203
Module 3:The Care Staff 206
Module 4:The Environment 209
Module 5:The Interaction 210
Glossary 213
Index 216

'This illustrated guide is a useful and practical resource for
staff who care for people with dementia in care homes.'

Nursing Standard

This is an invaluable resource for those working with people in
the later stages of dementia. A highly practical book, full of
strategies and helpful information.

Dementia