For nursing staff working with Alzheimer’s patients in long-term care and assisted living, often the most challenging aspects of care is providing ADLs. Dressing, bathing, grooming and even meal times may be perceived as a frightening experience by the person with Alzheimer’s disease. It’s not surprising that a patient becomes uncooperative, agitated or even aggressive if they don’t understand why their clothes are being removed or why they are being confined into a small bathroom area with someone perceived to be a stranger.
Dr. Peter Rabins and nursing staff work together in this DVD to develop strategies that will be useful for all care providers. Their suggestions include: not overwhelming the patient with general directions; providing step-by-step verbal cues; demonstrating what action the patient should do; encouraging the patient and providing positive reinforcement at the completion of each step; encouraging patients to do as much as they can for themselves; and using a gentle reassuring tone of voice and manner. If something upsets a patient, they suggest not continuing, but coming back later and trying a different approach or bringing in another staff member.
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