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 ebook of the 12 months Winner! Like its well known predecessor, the hot version of Bathing with no conflict provides an individualized, problem-solving method of bathing and private care of people with dementia. at the foundation of in depth unique learn and medical event, the editors have constructed innovations and methods that paintings in either establishment and residential settings. Their strategy can also be acceptable for caregiving actions except bathing, comparable to morning and night care, and for frail elders now not struggling with dementia. For this moment version, the authors have integrated ancient fabric on bathing and considerably up to date the part on designated issues, together with: soreness skincare choosing the fitting point of counsel Transfers the surroundings An stronger ultimate part addresses how one can aid 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 adjustments to advertise person-directed care. a number of chapters contain particular insights and knowledge from direct caregivers.
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Extra info for Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing)
Everyone needs a friendly face and a kind word. Ruth Burt, CNA, Oxford Manor, Oxford, NC r Adjust your language to match the person’s abil- r r r r r r r r ity to understand (see chapter 6). Use verbal interventions with persons who can still talk, and pay special attention to nonverbal behaviors with persons who cannot talk. Follow the person’s lead. Talk if the person responds and is not overwhelmed. Sing if the person likes it. Be silent if that works best. Too much talking can increase agitation in some people.
1 illustrates how care planning is different when it is person-directed rather than institutionally focused. Here are some general guidelines to help you create person-directed bathing. These strategies apply to every individual and bath. r Focus more on the person than on the task. Meet- ing individual preferences and emphasizing the well-being of the person being bathed is more important than providing care in an efﬁcient manner. 1) may get the person clean, but the cost to both you and the other person is high.
The steps include: expression of an unmet need will open up a wide range of person-directed solutions. This approach requires a careful assessment of the person and of the behavior to uncover the trigger(s) or cause(s) of the behavior. Understanding the Person Knowing as much as you can about the person will help you understand why the behavior might be occurring as well as help you choose strategies to reduce it. 1 Steps in the person-directed approach. r Being nice is not enough! We observed many caregivers using a calm, gentle approach.
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