Bathing Without a Battle

Ann Louise Barrick, PhD, is a Clinical Professor at the University of North Carolina-Chapel Hill, Department of Psychology, and director of psychology at John Umstead Hospital, Butner, NC. Joanne Rader, RN, MN, is currently an independent consultant. She has worked in the field of long term care for 30 years. Dr. Beverly Hoeffer is professor and associate dean emerita, School of Nursing, Oregon Health and Science University in Portland, Oregon. Philip Sloane, MD, MPH, is Elizabeth and Oscar Goodwin Distinguished Professor of Family Medicine at the University of North Carolina at Chapel Hill. A geriatrician, he has served as medical director of several long-term care facilities. Stacey Biddle, COTA/L, has combined her creative talents with degrees in art therapy and occupational therapy by providing direct services for 15 years to seniors in skilled, long term assisted living, outpatient, home health care, and healthcare travel assignment. She has extensive experience adapting and modifying the environment to enhance the quality of life and daily living activities of older adults.

Contributors

Preface

Acknowledgments

Part I: The Basics

Understanding the Battle, Beverly Hoeffer, Joanne Rader, Ann Louise Barrick

Temperatures of the Times: Fluctuations in Bathing Through the Ages, Mary Lavelle

General Guidelines for Bathing Persons With Dementia, Ann Louise Barrick, Joanne Rader

Assessing Behaviors, Ann Louise Barrick, Joanne Rader, Madeline Mitchell

Selecting Person-Directed Solutions That Work, Ann Louise Barrick, Joanne Rader, Madeline Mitchell


Part II: Special Concerns

Person-Directed Care: Sustaining Interactions Through Offering the Needed Level of Assistance, Carla Gene Rapp

Managing Pain, Karen Amann Talerico, Lois L. Miller

Care of the Skin, Johannah Uriri Glover, Kimberly Horton Hoffman, LouAnn Rondorf-Klym

Transfer Techniques, Adele Mattinat Spegman, Theresa H. Raudsepp, Jennifer R. Wood

The Physical Environment of the Bathing Room, Margaret P. Calkins

Equipment and Supplies, Stacey Biddle, Phil Sloane


Part III: Supporting Caregiving Activities

Bathing as a Vehicle for Change, Joanne Rader, Ann Louise Barrick, Darlene McKenzie, Beverly Hoeffer

Interactive Approaches to Teach Person-Directed Bathing, Joyce H. Rasin, Joanne Rader, Ann Louise Barrick

Taking Care of Yourself: Strategies for Caregivers, Joyce H. Rasin


Appendix A: Measuring Success: A Quality Improvement Program for Person-Directed Bathing

Appendix B: Behavior Rating Checklist

Appendix C: Caregiver Behavior Checklist

Index