INTRODUCTION TO TRAINING

Transcription

1 DEMENTIA TRAINING FOR CAREGIVERS BY LINDA THOMSON LPN/ ADMINISTRATOR ALF INTRODUCTION TO TRAINING IDENTIFY WHAT NEUROCOGNITIVE DISORDERS ARE STAGES HOW DO WE COMMUNICATE TO PERSON WITH DEMENTIA BEHAVIORS AFFECTING PERSON INTRO CONTINUED ABUSE MEET THE PERSON WHERE THEY ARE! BRAIN STORMING ABOUT ME GETTING AQUAINTED 1

2 MEMORIES FAMILY CONCENTRATION 2

3 ORIENTATION COMMUNICATION JUDGEMENT 3

4 VISUOSPATIAL NEUROCOGNITIVE DISORDERS ARE CLUSTER OF SYMPTOMS The Umbrella of Dementia ALZHEIMER S CVA PARKINSONS MEDICATION INDUCED LEWY BODIES DRUG/ALCOHOL 4

5 WHAT IS DEMENTIA? DEFINITION- DEMENTIA IS A GROUP OF SYMPTOMS AFFECTING INTELLECTUAL AND SOCIAL ABILITIES- SEVERE ENOUGH TO INTERFERE WITH DAILY FUNCTIONING- CAUSED BY A CONDITION OR CHANGES IN THE BRAIN SYMPTOMS MAY EXPERIENCE PERSONALITY CHANGES, BEHAVIORS SUCH AS AGITAION, DELUSIONS AND HALLUCINATIONS. MEMORY LOSS DOES NOT ALWAYS MEAN DEMENTIA- TO BE CALLED DEMENTIA IT MUST AFFECT TWO OR MORE BRAIN FUNCTIONS- MEMORY, LANGUAGE SKILLS, REASONING, THINKING, JUDGEMENT. TYPES OF DEMENTIA INCLUDE- CORTICAL DEMENTIA- PRIMARILY AFFECTS CORTEX OR OUTER LAYER OF BRAIN - CAUSE PROBLEMS WITH MEMORY, LANGUAGE, THINKING, REASONING AND SOCIAL BEHAVIORS. SUBCORTICAL cerebrum- AFFECTS PARTS BELOW CORTEX- CAUSES PROBLEMS WITH EMOTIONS AND MOVEMENT IN ADDITION TO MEMORY Cerebellum-coordinates balance 5

6 Progression of symptoms in Brain The Plague (beta amyloid) attaches to the Tangles (tau) causing Loss of connection for transmission (synapses) Inflammation- triggered by the immune system occurs in response to Brain Cell deathshrinkage of the brain PROGRESSIVE- GETS WORSE OVER TIME AMD GRADUALLY INTEFERS MORE AND MORE WITH COGNITION PRIMARY- SUCH AS ALZHEIMERS DOES NOT RESULTFROM ANY OTHER DISEASE TWO TYPES OF DEMENTIA REVERSIBLE IRREVERSIBLE 6

7 REVERSIBLE MEDICATION INFECTION FATIGUE DEPRESSION IRREVERSIBLE DEMENTIAS AD PARKINSON CVA ALL OTHER IRREVERSIBLE ALZHEIMERS-SLOW PARKINSONS-SLOW CVA- RAPID HUNTINGTONS LEWY BODIES- RAPID VERY SIMILAR TO AD CREUTZFELDT-JACOB RARE AND RAPID DRUG/ALCOHOL WERNICKE -AIDS 7

8 WARNING!! RULE OUT MEDICAL WARNING SIGNS MEMORY LOSS THAT DISRUPTS DAILY LIFE ONE OF THE MOST COMMON SIGNS IS MEMORY LOSS -ESPECIALLY FORGETTING RECENTLY LEARNED INFORMATION CHALLENGES IN PLANNING OR SOLVING PROBLEMS TROUBLE FOLLOWING FAMILIAR RECIPES, OR KEEPING TRACK OF MONTHLY BILLS- DIFFICULTY CONCENTRATING 8

9 WARNING SIGNS 2 DIFFICULTY COMPLETING FAMILIAR TASKS AT HOME, AT WORK, OR AT LEISURE TROUBLE DRIVING TO A FAMILIAR PLACE CONFUSION WITH TIME OR PLACE LOSING TRACK OF DATES, SEASONS, FORGETTING WHERE THEY ARE WARNING SIGNS 3 TROUBLE UNDERSTANDING VISUAL IMAGES AND SPATIAL RELATIONSHIPS DIFFICULTY READING, JUDGING DISTANCE, UNDERSTANDING WHO THE PERSON IS IN THE MIRROR NEW PROBLEMS WITH WORDS IN SPEAKING OR WRITING MAY STOP MID SENTENCES AND NOT KNOW HOW TO CONTINUE, MAY REPEAT THEMSELVES MISPLACING THINGS AND LOSING THE ABILITY TO RETRACE STEPS WARNING SIGNS 4 WITHDRAWAL FROM WORK OR SOCIAL ACTIVITIES MAY AVOID BEING SOCIAL BECAUSE OF THE CHANGES THEY ARE EXPERIENCING CHANGES IN MOOD AND PERSONALITY MAY BECOME FEARFUL, SUSPICIOUS, ANXIOUS, EASILY UPSET AT HOME, WORK WHEN OUT OF THEIR COMFORT ZONE 9

10 WARNING 5 MAY AVOID BEING SOCIAL BECAUSE OF THE CHANGES THEY ARE EXPERIENCING CHANGES IN MOOD AND PERSONALITY MAY BECOME FEARFUL, SUSPICIOUS, ANXIOUS, EASILY UPSET AT HOME, WORK WHEN OUT OF THEIR COMFORT ZONE ALZHEIMER S DISEASE ALZHEIMER S CAUSES THE BRAIN TO DIE WITHIN THE NERVE CELLS PLAGUE ATTACKS THE NEUROFIBULLARY TANGLES CAUSING CLUMPS- THESE TANGLES ARE WHAT TRANSMIT MESSAGES IN THE BRAIN ALZHEIMERS AFFECTS EACH PERSON DIFFERENTLY NO TWO PEOPLE WILL HAVE THE SAME DISEASE 10

11 AD FACTS 5 MILLION AMERICANS HAVE THE DISEASE EVERY 67 SECONDS SOMEONE IS DIAGNOSISED AFFECTS MORE WOMEN THAN MEN 6TH LEADING CAUSE OF DEATH FACTS CONTINUED IN MILLION CARE GIVERS cost $226 billion AGE IS GREATEST FACTOR- by 2050 $1.1 trillion 60-80% OF ALL DEMENTIAS ARE ALZHEIMERS AT AGE 65 5% CHANCE OF HAVING THE DISEASE- AGE CHANCE 11

12 OWEN BYE HAVE YOU MET OH N BY THE WAY NOT ONLY DOES THE PERSON HAVE THE DISEASE OH AND BY THE WAY WE ARE GETTING OLDER AND LOSING OTHER FUNCTIONS WHAT IS OLD WHEN I AM OLD I WILL BE YRS OLD I WILL LIVE IN I WILL LIVE WITH I WILL HAVE $. I WILL BE ACTIVE Y N I WILL HAVE DISEASES. WILL VISIT ME OFTEN. SEX WILL BE IMPORTANT Y N MY MOST PRIZED POSSESSION WILL BE 12

13 ABUSE WHY DO WE NEED TO DISCUSS TYPES OF ABUSE-what are WHAT DO WE DO IF SUSPECTED Emotional abuse aka Psychological abuse this type of abuse is likely the most common. Emotional abuse consists of any behaviour designed to hurt another person mentally. Psychological abuse includes yelling, threats, shaming, humiliation and shaming, among other tactics. Financial abuse This type of abuse is often seen alongside other forms of abuse. Financial abuse is when one person restricts access to money from another. This type of abuse includes actions like cutting off access to bank accounts, controlling where someone is allowed to work and preventing access to financial information. Using the resident s money for your own. 13

14 Physical abuse This form of abuse shows the most outward signs. Physical abuse is also known as domestic abuse or domestic violence when it occurs within intimate relationships. Physical abuse is any physical act or threat of a physical act designed to harm another person physically. This type of abuse includes actions like slapping, punching, hair-pulling and kicking. Physical evidence such as bruises need not exist for the act to be physical abuse. Sexual abuse This type of abuse is often perpetrated against women although men can be victims of sexual abuse too. Sexual abuse includes any unwanted sexual act forced on the victim. This form of abuse is also often known as sexual assault or rape. Sexual abuse can include anything from unwanted touching to forced intercourse or forced sexual contact with another person. Can include sexual harassment Verbal abuse Verbal abuse is generally a form of psychological abuse. This type of abuse occurs when an abuser uses words and body language with the intent to hurt another person. Verbal abuse includes put-downs, name-calling and unreasonable criticisms. Threatening the resident 14

15 NEED TO KNOW WHERE THE PERSON IS IN THE DISEASE TO BE ABLE TO CARE FOR THEM- ALLEN COGNITIVE SCALE USED BY OUR TEAM- GO TO DOCTOR FOR DIAGNOSIS STAGES PRE DX- MILD COGNITIVE IMPAIRMENT EARLY- STILL AT HOME MIDDLE- NEEDS 24HR CARE LATE- TOTAL DEPENDANCE COMMUNICATION COMMUNICATION INVOLVES THE SENDING AND RECEIVING OF MESSAGES LISTENING AND SPEAKING PERSON WITH AD HAS DIFFICULTY FINDING WORDS MAY HAPPEN WITH MILD COGNITIVE IMPAIRMENT BEFORE OFFICIAL DIAGNOSIS 15

16 TYPES VERBAL EXAMPLE NON-VERBAL EXAMPLE STRATEGIES FOR COMMUNICATION MEET THE PERSON WHERE THEY ARE RULE OF 7/7 BE PATIENT ALLOW TIME FOR RESPONSE LOOK FOR FACIAL/FEELING 16

17 HOW WOULD YOU WANT TO BE TREATED RECOGNIZE YOUR IMPACT OUR APPROACH HOW WE ASK DID WE CALL THE PERSON BY NAME USE MORE THAN WORDS WHY WE DO WHAT WE DO! 17

18 BEHAVIORS NEGATIVE POSITIVE BEHAVIORS ARE UNMET NEEDS - THE PERSONS ACTION OR REACTION TO SITUATION IT IS THEIR REALITY NEVER ARGUE- AGREE DON T TELL THEM THEY ARE WRONG- CHANGE THE SUBJECT DON T ASK THEM TO REMEMBER- REMINISCE DON T REMIND THEM A LOVED ONE IS DEAD- UNLESS THEY ASK YOU DON T TALK ABOUT THING THAT MAY UPSET THEM- REDIRECT TO ANOTHER TOPIC 18

19 THE 3 P S PREPARE BE PRESENT PREVENT WHAT ARE THEY TRYING TO SAY WHAT IS THE REASON BEHIND THE BEHAVIOR WHAT DO THEY NEED REDIRECT REPEATING STORIES FOCUS ON STRENGTHS WHAT CAN THEY STILL DO USE THE 5 SENSES BE WITH THE PERSON WHERE THEY ARE 19

20 EVERYONE HAS THEIR OWN STORY FORGET ME NOT WORDS WHAT IS ONE THING THAT WOULD DRIVE YOU CRAZY OR MAKE YOU HAVE A BAD DAY IF IT DID OR DIDN T HAPPEN? 20

21 CARE PLAN USE FORGET ME NOT WORDS ALONG WITH PHOTOS WORDS TO JOG A MEMORY USE STATION ACTIVITIES FOOD- WEIGHT LOSS PREVENTION MEDICATION SHOULD BE LAST RESORT HAVE YOU TRIED EVERYTHING ELSE!!!!! 21

22 MY FORGET ME NOTS CAMPING/FISHING COFFE AT 6AM SOFTBALL CHAMPS FAMILY MOVIES/NO COMEDY NO EGGS SQUASH OR LIVER RED IS MY COLOR The BEACH MY DOGS EDISON & CASIE NO SHOES /SOX S IN THE HOUSE GRANDKIDS ALL 14!! ENGLAND 22