By Ann Louise Barrick PhD, Joanne Rader RN MN PMHNP, Beverly Hoeffer DNSc RN FAAN, Philip D. Sloane MD MPH, Stacey Biddle COTA/L
2008 AJN e-book of the yr Winner! Like its renowned predecessor, the hot version of Bathing and not using a conflict offers an individualized, problem-solving method of bathing and private care of people with dementia. at the foundation of in depth unique study and scientific event, the editors have constructed techniques and strategies that paintings in either establishment and residential settings. Their method can be acceptable for caregiving actions except bathing, equivalent to morning and night care, and for frail elders no longer struggling with dementia. For this moment version, the authors have incorporated old fabric on bathing and considerably up-to-date the part on detailed issues, together with: soreness skincare deciding upon the perfect point of information Transfers the surroundings An greater ultimate part addresses how you can help caregivers through expanding their knowing of the care recipient's wishes and their wisdom of interventions to enhance care and luxury. It additionally emphasizes self-care and system-level alterations to advertise person-directed care. a number of chapters contain particular insights and knowledge from direct caregivers.
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Additional info for Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing)
Gerontologist, 35(5), 672–678. Talerico, K. , & Evans, L. K. (2000). Making sense of aggressive/protective behaviors in persons with dementia. Alzheimer’s Care Quarterly, 1(4), 77–88. , Larson, E. , & Reiﬂer, B. V. (1988). Behavioral disturbance in dementia of the Alzheimer’s type. Journal of the American Geriatrics Society, 36(1), 1–6. RESOURCES Burgener, S. , & Barton, D. (1992). Caregiver and environmental variables related to difﬁcult behaviors in institutionalized, demented elderly persons.
R Be prepared. Gather everything you will need for the bath before approaching the person. Where will the bath take place? In the person’s room? In the bathroom? Warm the room. What special products will you need? Do you have enough towels? Washcloths? If the person likes to be dressed in the bathroom, do you have all of the person’s clothes? r Stop. When a person becomes distressed, stop and assess the situation. It is not “normal” for a person to cry, moan, or ﬁght during bathing. Look for the underlying reason for the behavior.
Always protect privacy and dignity. r Be ﬂexible. Modify your approach to meet the needs of the person. , dividing up tasks such as hair washing and bathing). r Use persuasion, not coercion. Help the person feel in control. Give choices and respond to individual requests. Support remaining abilities. 1 Traditional vs. Person-Directed Planning Traditional Planning Person-Directed Planning Planning FOR the person Talking ABOUT the person Starting with what’s “WRONG” with the person HEALTH and SAFETY dictate care Planning WITH the person Talking WITH the person Starting with what is IMPORTANT to the person Health and safety are addressed in context of the person’s WISHES and CHOICES Power is SHARED OTHERS are “in charge” r r r r r Meet personal needs.
Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing) by Ann Louise Barrick PhD, Joanne Rader RN MN PMHNP, Beverly Hoeffer DNSc RN FAAN, Philip D. Sloane MD MPH, Stacey Biddle COTA/L