N.C. Nurse Aide I Curriculum MODULE T. Dementia and Alzheimer s Disease. DHSR/HCPR/CARE NAT I Curriculum - July
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1 N.C. Nurse Aide I Curriculum MODULE T Dementia and Alzheimer s Disease DHSR/HCPR/CARE NAT I Curriculum - July
2 Objectives Define the terms dementia, Alzheimer s s disease, and delirium. Describe the nurse aide s s role in the care of the resident with Alzheimer s. DHSR/HCPR/CARE NAT I Curriculum - July
3 Dementia Usually progressive condition marked by development of multiple cognitive deficits such as memory impairment, aphasia; and inability to plan and initiate complex behavior DHSR/HCPR/CARE NAT I Curriculum - July
4 Alzheimer s Disease Progressive disease Gradual in memory, thinking and physical ability over several years Average life span is 8 years, but survival may be from 3 to 20 years Progressive into 3 stages DHSR/HCPR/CARE NAT I Curriculum - July
5 Early Stage (Mild) Memory loss affects everyday activities Difficulty remembering names Difficulty following directions Disoriented Increased moodiness, agitation or personality changes Poor judgment and bad decisions Difficulty maintaining living spaces, paying bills and managing money DHSR/HCPR/CARE NAT I Curriculum - July
6 Middle Stage (Moderate) Longest restlessness during evening memory loss Requires assistance with ADLs problems with communication, ambulation and impulse control behavioral issues Bladder and bowel incontinence Auditory or visual hallucinations Finally requires full-time supervision DHSR/HCPR/CARE NAT I Curriculum - July
7 Late Stage (Severe) Terminal stage Loses ability to verbalize needs Does not recognize self or family Becomes bed-bound Total dependence Body function Death DHSR/HCPR/CARE NAT I Curriculum - July
8 Delirium State of severe sudden confusion, reversible Triggered by acute illness or change in physical condition Symptoms of delirium? Notify nurse and stay with resident DHSR/HCPR/CARE NAT I Curriculum - July
9 Dementia or Delirium? DHSR/HCPR/CARE NAT I Curriculum - July
10 Dementia and Alzheimer s Disease Key Terms Cognition Confusion Irreversible Onset Progressive DHSR/HCPR/CARE NAT I Curriculum - July
11 Dementia and Alzheimer s Disease Key Terms Dignity Independence Quality of life Respect DHSR/HCPR/CARE NAT I Curriculum - July
12 Respect, Dignity, Quality of Life Every human being is unique and valuable Therefore, each person deserves understanding and respect Dementia does not eliminate this basic human need how does person-centered care relate? DHSR/HCPR/CARE NAT I Curriculum - July
13 Respect, Dignity, Quality of Life Abilities, interests and preferences should be considered As disease progresses adjustments needed Important for staff to know who resident was before dementia DHSR/HCPR/CARE NAT I Curriculum - July
14 Respect, Dignity, Quality of Life An individual s personality is created by his/her background DHSR/HCPR/CARE NAT I Curriculum - July
15 Respect, Dignity, Quality of Life Encourage residents to participate in activities and daily care, but avoid situations where resident is bound to fail To promote independence do things with rather than for resident DHSR/HCPR/CARE NAT I Curriculum - July
16 Respect, Dignity, Quality of Life Long-term care facilities must provide care that maintains or enhances each resident s dignity, respect and quality of life DHSR/HCPR/CARE NAT I Curriculum - July
17 Alzheimer s Disease Communication Residents often experience problems in making wishes known and in understanding spoken words Communication becomes more difficult as time goes by DHSR/HCPR/CARE NAT I Curriculum - July
18 Communicating Nurse Aide s Role Components DHSR/HCPR/CARE NAT I Curriculum - July
19 Communicating Nurse Aide s Role Techniques DHSR/HCPR/CARE NAT I Curriculum - July
20 Communicating Nurse Aide s Role Strategies DHSR/HCPR/CARE NAT I Curriculum - July
21 Communicating Nurse Aide s Role Hello Mrs. Jackson. My name is Sarah Smith and I am going to take care of you today. Tips DHSR/HCPR/CARE NAT I Curriculum - July
22 Dementia and Alzheimer s Disease Behavior Issues Behavior Catastrophic reaction Delusion Depression Paranoia Sundowning Trigger Wandering DHSR/HCPR/CARE NAT I Curriculum - July
23 Dementia and Alzheimer s Disease Behavior Issues Behavioral responses associated with each stage Early stage Middle stage Late stage DHSR/HCPR/CARE NAT I Curriculum - July
24 Dementia and Alzheimer s Disease Behavior Issues Behavior an observable, recordable and measurable physical activity Normal brain has the ability to control responses Alzheimer s disease and dementia have lost much of the ability to control responses DHSR/HCPR/CARE NAT I Curriculum - July
25 Dementia and Alzheimer s Disease Behavior Issues Behavior is a response to a need Before choosing a specific intervention, trigger must be identified Triggers may be environmental, physical, or emotional DHSR/HCPR/CARE NAT I Curriculum - July
26 Dementia and Alzheimer s Disease Behavior Issues Effective behavior management Changing the environment Intervention must meet needs while maintaining respect, dignity and independence DHSR/HCPR/CARE NAT I Curriculum - July
27 Dementia and Alzheimer s Disease Common Behaviors DHSR/HCPR/CARE NAT I Curriculum - July
28 Wandering A known and persistent problem behavior that has a high risk factor for resident safety Safety risk factors Reasons Preservation of resident safety and interventions DHSR/HCPR/CARE NAT I Curriculum - July
29 Sundowning A behavioral symptom of dementia; refers to agitation, confusion and hyperactivity that begins in late afternoon and builds throughout the evening DHSR/HCPR/CARE NAT I Curriculum - July
30 Sexual Activity Offensive or inappropriate language, public exposure, offensive and/or misunderstood gestures Treat the resident with dignity and respect Remove resident from public Redirect attention to appropriate activity Assist the resident to bathroom DHSR/HCPR/CARE NAT I Curriculum - July
31 Agitation Nurse aide must ensure safety and dignity of agitated resident while protecting safety and dignity of other residents DHSR/HCPR/CARE NAT I Curriculum - July
32 Disruptive Verbal Outbursts Are one of the most persistent behaviors in a long-term care facility DHSR/HCPR/CARE NAT I Curriculum - July
33 Catastrophic Reaction DHSR/HCPR/CARE NAT I Curriculum - July
34 Catastrophic Reaction DHSR/HCPR/CARE NAT I Curriculum - July
35 Catastrophic Reaction DHSR/HCPR/CARE NAT I Curriculum - July
36 Catastrophic Reaction DHSR/HCPR/CARE NAT I Curriculum - July
37 Catastrophic Reaction DHSR/HCPR/CARE NAT I Curriculum - July
38 Activities Goal to give support needed so that they can participate in the world around them to the best of their ability Must focus on the fact that the resident is involved and satisfied, not on the task or activity DHSR/HCPR/CARE NAT I Curriculum - July
39 Activities Activity-based care is focused on assisting resident to find meaning in the day, rather than just to keep busy Activities fall into two categories: Doing activities Meaningful activities DHSR/HCPR/CARE NAT I Curriculum - July
40 Activities Principles of activity-based care DHSR/HCPR/CARE NAT I Curriculum - July
41 Activities Timing is important and individualized Cultural environment refers to values and beliefs of people in an area DHSR/HCPR/CARE NAT I Curriculum - July
42 Nurse Aide Stress and Burnout DHSR/HCPR/CARE NAT I Curriculum - July
43 The End DHSR/HCPR/CARE NAT I Curriculum - July
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