Care Giving for Alzheimer's Disease - A Compassionate Guide for Clinicians and Loved Ones
von: Verna Benner Carson, Katherine Vanderhorst, Harold G. Koenig
Springer-Verlag, 2015
ISBN: 9781493924073
Sprache: Englisch
132 Seiten, Download: 1950 KB
Format: PDF, auch als Online-Lesen
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Care Giving for Alzheimer's Disease - A Compassionate Guide for Clinicians and Loved Ones
| Foreword | 5 | ||
| Preface | 8 | ||
| Contents | 10 | ||
| Chapter-1 | 11 | ||
| Going Back to the Beginning: The Theory of Retrogenesis | 11 | ||
| References | 19 | ||
| Chapter-2 | 20 | ||
| There Is No Such Thing As a “Little Dementia”! | 20 | ||
| Challenging Behaviors: Blame the Brain! | 24 | ||
| References | 28 | ||
| Chapter-3 | 30 | ||
| “If I knew My Loved One Was in Pain…” | 30 | ||
| Dangers of Antipsychotics in the Elderly | 32 | ||
| Pain Assessment in Advanced Dementia Scale (PAINAD) | 36 | ||
| PAINAD Item Definitions | 37 | ||
| Breathing | 37 | ||
| Negative Vocalization | 37 | ||
| Facial Expression | 38 | ||
| Body Language | 38 | ||
| Consolability | 39 | ||
| End Stage and Pain | 40 | ||
| References | 41 | ||
| Chapter-4 | 42 | ||
| Alzheimer’s: Strips Individuals of All Skills | 42 | ||
| Instrumental Activities of Daily Living | 42 | ||
| IADL and ADL | 43 | ||
| Stage 4: Mild AD: cognitive level 8–12 years of age. | 43 | ||
| Stage 5: Moderate AD—cognitive level on FAST scale 5–7 years of age. | 44 | ||
| Case study: as told to us by Joan, a family caregiver in California. | 44 | ||
| Stage 6: moderately severe AD—cognitive level on the FAST scale—4–2 years of age. | 45 | ||
| Bathing | 45 | ||
| Dental Care | 47 | ||
| Dressing | 48 | ||
| Toileting | 49 | ||
| Walking | 50 | ||
| Summary | 50 | ||
| Appendix A | 51 | ||
| References | 51 | ||
| Chapter-5 | 52 | ||
| Help! My Mother Is Lost and I Cannot Find Her! | 52 | ||
| Who Is at Risk? | 53 | ||
| Suggestions to Prevent Wandering | 54 | ||
| Checklist of Daily Activities to Consider | 54 | ||
| Writing the Plan | 55 | ||
| Additional Interventions | 56 | ||
| Night Wandering | 57 | ||
| Developing a Neighborhood Watch | 57 | ||
| Creating an Emergency Plan | 58 | ||
| Summary | 59 | ||
| References | 59 | ||
| Chapter-6 | 60 | ||
| Getting the Food in…and Getting it Out | 60 | ||
| Dehydration | 61 | ||
| Weight Loss | 61 | ||
| Other Causes for Diminished Appetite | 62 | ||
| Strategies to Encourage a Healthy Appetite | 62 | ||
| Additional Challenges | 63 | ||
| Challenging Behaviors That Surround Eating | 64 | ||
| Eating Environment | 65 | ||
| Meal Preparation | 65 | ||
| Living Alone | 66 | ||
| Managing Incontinence | 66 | ||
| Additional Strategies for Dealing with Incontinence | 69 | ||
| Making the Bathroom Safe and Friendly | 69 | ||
| Summary | 70 | ||
| References? | 70 | ||
| Chapter-7 | 71 | ||
| Sexuality and Intimacy in Those with Dementia | 71 | ||
| Risks Associated with Sexual Activity Among Older Adults | 72 | ||
| Additional Facts About Sexuality Among Elderly with Dementia: The Value of Touch | 73 | ||
| Increased Sexual Interest | 74 | ||
| Challenging Sexual Behavior | 74 | ||
| Changes in Level of Inhibitions | 75 | ||
| Adapting to Changes in a Partner’s Behavior | 76 | ||
| When the Caregiver or Person with Dementia Feels Frustrated | 77 | ||
| What About Sexuality in an Assisted Living or Skilled Nursing Facility? | 77 | ||
| Staff Reactions to Sexual Behavior | 78 | ||
| Issues for Families | 78 | ||
| Assessing Competency | 79 | ||
| Determining Consent and Safety | 79 | ||
| Guidelines | 80 | ||
| Inappropriate Touching | 80 | ||
| Summary | 81 | ||
| References | 81 | ||
| Chapter-8 | 82 | ||
| Communication Commandments | 82 | ||
| The Importance of Communication | 82 | ||
| What Is Communication? | 83 | ||
| Deterioration in Communication Skills | 83 | ||
| Using the Ability to Read | 84 | ||
| Effective Communication Strategies | 85 | ||
| What to Say | 86 | ||
| Listening | 86 | ||
| Body Language and Physical Contact | 87 | ||
| Specific Challenging Situations | 89 | ||
| Summary | 90 | ||
| References | 91 | ||
| Chapter-9 | 93 | ||
| Whispering Hope and Faith: Still, Small Voices for the Alzheimer’s Journey | 93 | ||
| Impact of Memory Loss | 95 | ||
| The FAST Scale and Religious Needs | 96 | ||
| Spiritual Needs of the Caregiver | 98 | ||
| Summary | 98 | ||
| References | 99 | ||
| Chapter-10 | 100 | ||
| What Else…? | 100 | ||
| Importance of Keeping Good Records | 100 | ||
| Using Behavior Logs | 100 | ||
| Taking Away the Car Keys | 102 | ||
| Sundowning | 103 | ||
| Vacations | 105 | ||
| Air Travel | 106 | ||
| Explaining to Grandchildren | 107 | ||
| Holidays | 109 | ||
| Gift Giving | 111 | ||
| Making the Painful Decision: Placement of a Loved One | 111 | ||
| Early-Stage Preparations | 112 | ||
| Considering Long-Term Care | 113 | ||
| Care at Home | 113 | ||
| Is It Time to Move? | 113 | ||
| Assisted Living Facilities and Nursing Homes | 114 | ||
| Nursing Homes | 114 | ||
| Making the Choice of Facility | 114 | ||
| Making the Move | 115 | ||
| Summary | 115 | ||
| References | 116 | ||
| Chapter-11 | 117 | ||
| Finale: Pulling It All Together | 117 | ||
| We Need to Think Outside of the Box!! | 117 | ||
| Appendix | 122 | ||
| Index | 131 |