NURSING B29 Gerontology Community Nursing. UNIT 2 Care of the Cognitively Impaired Elder in the Community

Size: px
Start display at page:

Download "NURSING B29 Gerontology Community Nursing. UNIT 2 Care of the Cognitively Impaired Elder in the Community"

Transcription

1 NURSING B29 Gerontology Community Nursing UNIT 2 Care of the Cognitively Impaired Elder in the Community INTRODUCTION The goal of this unit is for the learner to be able to differentiate between delirium, dementia, and depression in the cognitively impaired older adult. An overview of essential assessment criteria which encompasses common changes in the older adult will be emphasized. Various standardized screening instruments will be explored to assess the older adult s environment, sleep patterns, functional status, mental status, and pressure ulcer risk. Based on a comprehensive Geriatric assessment, the learner will be able to integrate these findings in order to develop an appropriate nursing care plan for this vulnerable population, and their caregivers. The roles of provider of care, manager of care, and member of the profession will be emphasized to support participation in health promotion, disease prevention, and illness management for the Gerontological client and their families OBJECTIVES Upon completion of Unit 2, the student will be able to: A. Theory 1. Define cognitive impairment, differentiate between delirium, dementia, and depression in the elderly, and incorporate appropriate nursing strategies to optimize functional abilities. B. Clinical 1. Assess older adults mental status, and analyze their cognitive abilities and mood. 2. Incorporate data from various screening tools used in evaluating the cognitively impaired client s environment, sleep patterns, functional status, mental status, and pressure ulcer risk into the plan of care. 3. Implement appropriate nursing strategies to minimize the loss of independence associated with functional decline. 4. Maintain a safe environment for the cognitively impaired older adult. 5. Implement effective communication strategies when caring for elderly clients who are cognitively impaired. 6. Differentiate the type of cognitive impairment, delirium, dementia, or depression, in the clinical setting, and relate appropriate nursing interventions. GERI / COMM UNIT 2_ Fall 2009 CMG / TJH 1

2 Nursing B Gerontology Community Nursing UNIT 2 Care of the Cognitively Impaired Elder in the Community Column I Theory Objectives Column II Suggested Learning Activities Column III Clinical Objectives Column IV Clinical Activities (Expected Competencies/Skills) Objective 1 Define cognitive impairment, differentiate between delirium, dementia, and depression in the elderly, and incorporate appropriate nursing strategies to optimize functional abilities. A. Normal aging of the brain B. Cognitive Impairment 1. Definition, Etiology, & Risk factors. 2. Confusion 3. The three D s a. Delirium 1. Subtypes a. Hypoactive b. Hyperactive c. Mixed 2. Risk Factors 3. Assessment 4. Prevention &Treatment b. Dementia 1. Types a. Alzheimer Disease b. Vascular, c. Lewy Body Disease d. Creutzfeldt-Jacob e. Wernicke Encephalophathy f. Parkinsons Disease 2. Risk Factors 3. Assessment 4. Prevention &Treatment Required Reading Eliopoulos Ch 25, 32 & 33 Lecture / Discussion Care of the Cognitively Impaired Elder Internet Resources Alzheimer s Association Alzheimer s Caregiver Support Online Geriatrics Al-Alon Family Group Headquarters Study Guide 2.1 Interventions for Working with Older Adults with Cognitive Impairment Study Guide 2.2 Management of the client with Delirium Assess older adults mental status, and analyze their cognitive abilities and mood. Incorporate data from various screening tools used in evaluating the cognitively impaired client s environment, sleep patterns, functional status, mental status, and pressure ulcer risk into the plan of care. (See Unit 1: Environment Safety, Katz Index, MMSE, Moore s Functional Dementia Scale, Fulmer Spices, and Braden Scale Assessment. Implement appropriate nursing strategies to minimize the loss of independence associated with functional decline. Maintain a safe environment for the cognitively impaired older adult. Implement effective communication strategies when caring for elderly clients who are cognitively impaired Create and implement an appropriate plan of care for the cognitively impaired older adult. Study Guide 2.3 Assess a cognitively impaired client using Maslow s Hierarchy on Cognitive Impairment Worksheet GERI / COMM UNIT 2_ Fall 2009 CMG / TJH 2

3 Nursing B Gerontology Community Nursing Module 2 Care of the Cognitively Impaired Elder in the Community Column I Theory Objectives Column II Suggested Learning Activities Column III Clinical Objectives Column IV Clinical Activities (Expected Competencies/Skills) c. Depression 1. Risk Factors 2. Assessment 3. Prevention &Treatment 4. Summarize therapeutic nursing strategies used when working with the cognitively impaired elderly adult and the caregiver. a. Safety b. Consistency c. Redirection d. Communication e. Therapeutic activities f. Maximizing functional potential and independence. g. ADL s Differentiate the type of cognitive impairment, delirium, dementia, or depression, in the clinical setting, and relate appropriate nursing interventions. GERI / COMM UNIT 2_ Fall 2009 CMG / TJH 3

4 Unit 2 Care of the Cognitively Impaired Elder in the Community Study Guide 2.1 Interventions for Working with Older Adults with Cognitive Impairment NURSING ASSESSMENT: 1. Identify strengths / weakness in: Physical Cognitive Social Emotional Environmental Behavioral 2. Determine stage of dementia 3. Assess family / caregivers INTERVENTIONS: Nursing goal: maintain optimum health, protect from injury, and provide physical & intellectual stimulation. 1. Communication verbal & nonverbal strategies for stage of illness. Chart words and techniques that client responds to. 2. Sensory function: glasses, hearing aids, dentures 3. Reassure those who overreact to unfamiliar situations by speaking slowly, calmly (low pitched clear tone) & reducing environmental distractions. Explain and repeat instructions unless causes distress. 4. Offer support & recognize feelings as resident copes with continual losses. 5. Offer reassurance, convey warmth, and approach in relaxed, open, friendly manner. 6. Provide routine with consistency (including same caregivers), allow flexibility. 7. Depending on the stage of dementia, validate instead of re-orienting. 8. Use diversion to redirect gestures & repetitious conversation (distraction is effective intervention). 9. Provide physical activities/exercise (encourage relaxing activities in evening before bedtime). 10. Be alert for signs of depression. 11. Prompt to share stories. 12. Provide for nutritional/fluid needs. 13. Avoid chemical/physical restraints. 14. Keep things simple. 15. Use appropriate environmental cues (clock, calendar, daily schedule). 16. Avoid excessive questioning and confrontation. 17. Maximize environmental safety. 18. Prompt ADL s with memory aids and verbal cues. 19. Analyze behavior for meaning. 20. Refer family to community resources 4

5 OTHER STRATEGIES: 1. Pet therapy 2. Reality orientation 3. Validation therapy - involves responding to cues from person regarding feeling not focusing on fact or reality orientation. 4. Re-motivation meet to cover different topics 5. Reminiscence thinking about & reflecting on the past (Thanksgiving, pictures) 6. Life review structured reminiscence of life accomplishments using life stages recognizing that one has lived the best way one could (usually one-to-one, by mental health specialist) 7. Memory enhancement decrease anxiety by making lists, organizing 8. Enhancing personal choice wants to participate or not 9. Involvement gardening 10. Other stimulation crossword puzzles, reading, traveling EDUCATE CLIENT / CAREGIVER: 1. Disease & stage 2. Behavioral management & communication strategies 3. Community resources, ie., respite 4. Legal/financial issues 5. Advanced directives 6. Long term care options 7. Family/social support 8. Monitor for acute illnesses & effects of meds 9. Monitor for depression 10. Drug therapies 11. Specific interventions: Managing: wandering (allow to wander & hoard use ID bracelet) Eating, toileting, inappropriate behavior, correcting potential safety hazards Home safety: unplug stove, install locks, night lights, store firearms/chemicals out of reach, hand rails, supervised smoking, lock car steering wheel 12. Refer to Alzheimer s Association, 36 hour Day, respite, living will NURSING DIAGNOSES: Chronic confusion Self care deficit Feeding r/t altered cognition Toileting and /altered urinary elimination: Incontinence r/t altered cognition Risk for injury due to wandering, poor judgment secondary to altered cognition Altered nutrition: less than body requirements Sleep pattern disturbance Impaired Communication Interrupted Family Processes Caregiver Role Strain 5

6 Module 2 Care of the Cognitively Impaired Elder in the Community Study Guide 2.2 Management of the Client with Delirium The goal of nursing interventions is to establish a meaningful environment, help maintain body awareness, and help client to cope with confusion, hallucinations, illusions, and delusions. INTERVENTIONS: 1. Know baseline mental status, functional status, living conditions, medications 2. Correct underlying cause. 3. Compensate for sensory deficits: provide hearing aids, dentures, and glasses 4. Encourage fluids, avoid long periods of NPO 5. Avoid use of sleeping medications, instead use alternative measures like warm milk, herbal tea, soft music 6. Minimize use of catheters, restraints, or immobilizing devices. 7. Use least restrictive devices 8. Fall risk reduction like activate bed exit and chair alarms, volunteers to sit with clients, moving the client near nursing station for close observation. 9. Normalize the environment, providing familiar items, routines, clocks, calendars. 10. Place in front of window to see day and night 11. Minimize environmental changes 12. Allow to sit in chair for short periods to improve perception of environment 13. Avoid sudden body changes fever, pain, trauma, or acute onset of illness may cause confusion 14. If agitated / demonstrating unsafe behavior, ask in soft / calm voice what client needs are, reassure client will be safe 15. Safety measures to protect tubes hide tubes ie. Stockinette, or use intermittent infusion 16. Help with hallucinations, delusions, and illusions by verifying statements, identifying facts, and describing reality in slow/calm manner 17. Identify correctable factors that may cause confusion : fatigue, unmet toileting needs, increased noise, decreased light, sedatives and pain medication, fewer staff 18. Explain all treatments in simple language 19. Avoid awakening during night and use of physical/chemical restraints 20. When no longer confused, discuss episode 21. Do not argue with client, enter client s world, and meet need behind behavior 22. Support family/friends 6

7 Unit 2 Care of the Cognitively Impaired Elder in the Community Study Guide 2.3 Maslow s Hierarchy on Cognitive Impairment Worksheet Name Resident s initials and Location 1. From the data obtained with the MMSE, Moore s Functional Dementia Scale, Environmental Assessment, Fulmer Spices, Katz Index, Braden Scale, and your interactions with the resident, discuss the patient s needs according to Maslow s Hierarchy. Physiological Needs (Oxygenation, Elimination, Nutrition, Mobility and Activity, Comfort and Rest) Safety Needs (Environmental and Personal) Love and Belonging Needs (Communication, Spiritual and Sexual) 2. Identify the two priority nursing diagnoses for the resident using correct NANDA terminology. 7

Delirium. The signs of delirium are managed by treating the underlying cause of the medical condition causing the delirium.

Delirium. The signs of delirium are managed by treating the underlying cause of the medical condition causing the delirium. Delirium Introduction Delirium is a complex symptom where a person becomes confused and shows significant changes in behavior and mental state. Signs of delirium include problems with attention and awareness,

More information

O: Gerontology Nursing

O: Gerontology Nursing O: Gerontology Nursing Alberta Licensed Practical Nurses Competency Profile 145 Competency: O-1 Aging Process and Health Problems O-1-1 O-1-2 O-1-3 O-1-4 O-1-5 O-1-6 Demonstrate knowledge of effects of

More information

Caring for Persons with Dementia during an Influenza Pandemic

Caring for Persons with Dementia during an Influenza Pandemic Caring for Persons with Dementia during an Influenza Pandemic PREPARED BY: Alzheimer s Association American Association of Homes and Services for the Aging American Health Care Association American Medical

More information

Release: 1. HLTEN515B Implement and monitor nursing care for older clients

Release: 1. HLTEN515B Implement and monitor nursing care for older clients Release: 1 HLTEN515B Implement and monitor nursing care for older clients HLTEN515B Implement and monitor nursing care for older clients Modification History Not Applicable Unit Descriptor Descriptor This

More information

Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections

Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections Non-pharmacological Interventions and Behaviours that Challenge in Dementia: Reflections Adrian Lewis, Senior Occupational Therapist, Department of Old Age Psychiatry, HSE Dublin South Central alewis@stjames.ie

More information

Assisted Living Nurse Competencies

Assisted Living Nurse Competencies Assisted Living Nurse Competencies Competencies Necessary for Nurses to Provide High-Quality Care to Older Adults in Assisted Living Residences 1. Recognize one s own and others attitudes, values, and

More information

Brain Injury: Stages of Recovery

Brain Injury: Stages of Recovery Brain Injury: Stages of Recovery Recovery after brain injury is a process that occurs in stages. Some people move quickly through the stages, while others make slow, but steady gains. The Rancho Los Amigos'

More information

Implementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar, PhD FallPrevent, LLC

Implementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar, PhD FallPrevent, LLC Implementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar, PhD FallPrevent, LLC This program was supported by a grant from Implementing a Fall Alarm Program to Reduce Fall Risk Rein Tideiksaar,

More information

Choosing a Memory Care Provider Checklist (Part One: Comparing Communities)

Choosing a Memory Care Provider Checklist (Part One: Comparing Communities) Choosing a Memory Care Provider Checklist (Part One: Comparing Communities) Before you choose a memory care community, it is helpful to have a tool to compare your options. We have created the chart below,

More information

Progression MIDDLE STAGE. What is Alzheimer s disease?

Progression MIDDLE STAGE. What is Alzheimer s disease? Progression MIDDLE STAGE This document is one in a five-part series on the stages of Alzheimer s disease and is written for the person with the disease, their family and caregivers. The middle stage of

More information

Caregiving Issues for those with dementia and other cognitive challenges.

Caregiving Issues for those with dementia and other cognitive challenges. Caregiving Issues for those with dementia and other cognitive challenges. Sue Maxwell, MSW Director of Gerontology Lee Memorial Health System Fort Myers, Florida August 2009 Goals & Objectives Understand

More information

Q: Rehabilitation Nursing

Q: Rehabilitation Nursing Q: Rehabilitation Nursing Alberta Licensed Practical Nurses Competency Profile 163 Priority: One Competency: Q-1 Apply the Rehabilitation Process Q-1-1 Q-1-2 Q-1-3 Q-1-4 Q-1-5 Q-1-6 Demonstrate knowledge

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased.

Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. This graph shows the percent of residents whose need for help doing basic daily tasks

More information

Certified Nursing Assistant Essential curriculum- Maryland Board of Nursing

Certified Nursing Assistant Essential curriculum- Maryland Board of Nursing Certified Nursing Assistant Essential curriculum- Maryland Board of Nursing Module I Orientation/Introduction A. Identify general information pertaining to the nursing assistant course B. List requirements

More information

NORTHEAST HOSPITAL CORPORATION

NORTHEAST HOSPITAL CORPORATION NORTHEAST HOSPITAL CORPORATION Title: Fall Prevention Program Date Effective: 9/02 Date Revised: 3/05, 7/08, 12/08, 2/11/10, 2/14/11, 5/14/13 Date Reviewed: 4/05 Joint Commission Chapter: Provision of

More information

Patients with dementia and other types of structural brain injury are predisposed to delirium (i.e., abrupt onset, temporary confusion caused by

Patients with dementia and other types of structural brain injury are predisposed to delirium (i.e., abrupt onset, temporary confusion caused by Dementia is the permanent loss of multiple intellectual functions resulting from neuronal death. Dementia afflicts 10% of individuals over the age of 65 and these patients survive approximately seven years

More information

Clinical Audit: Prescribing antipsychotic medication for people with dementia

Clinical Audit: Prescribing antipsychotic medication for people with dementia Clinical Audit: Prescribing antipsychotic medication for people with dementia Trust, team and patient information Q1. Patient's DIS number... Q2. Patient s residence: Home Residential Home Nursing Home

More information

Preventing Patient Falls

Preventing Patient Falls Preventing Patient Falls Patient Falls are the #1 cause of ALL sentinel events. All patients at Doctors Community Hospital are assessed for fall risk and, as appropriate, the Fall Risk Protocol is implemented.

More information

Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists

Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists Recommended Geropsychiatric Competency Enhancements for Nurse Practitioners Who Provide Care to Older Adults but are not Geriatric Specialists These recommended competency enhancement statements are not

More information

PARTNERING WITH YOUR DOCTOR:

PARTNERING WITH YOUR DOCTOR: PARTNERING WITH YOUR DOCTOR: A Guide for Persons with Memory Problems and Their Care Partners Alzheimer s Association Table of Contents PARTNERING WITH YOUR DOCTOR: When is Memory Loss a Problem? 2 What

More information

Understanding late stage dementia Understanding dementia

Understanding late stage dementia Understanding dementia Understanding late stage dementia About this factsheet This factsheet is for relatives of people diagnosed with dementia. It provides information about what to expect as dementia progresses to late stage.

More information

NHS Continuing Healthcare

NHS Continuing Healthcare NHS Continuing Healthcare Questionnaire In association with Questionnaire 1. Full name of patient 2. Home address (prior to transfer into care home if applicable) 3. Patient s Date of Birth 4. Patient

More information

MODULE I: COMMUNICATING WITH OLDER ADULTS

MODULE I: COMMUNICATING WITH OLDER ADULTS Navigator 2013: Module I: Communicating with Older Adults: Page 1 of 7 MODULE I: COMMUNICATING WITH OLDER ADULTS Summary This module focuses on communication between health care providers, patients, and

More information

Adult Foster Home Screening and Assessment and General Information

Adult Foster Home Screening and Assessment and General Information Office of Licensing and Regulatory Oversight Resident information Resident s name: Resident s current address: Resident s current living situation: Resident s current primary caregiver: Adult Foster Home

More information

How To Become A Personal Support Worker

How To Become A Personal Support Worker PROGRAM OBJECTIVES The Personal Support Worker program prepares students to deliver appropriate short or longterm care assistance and support services in either a long-term care facility, acute care facility,

More information

MY MEMORY BOOK. My Story IMPACT PROGRAM

MY MEMORY BOOK. My Story IMPACT PROGRAM MY MEMORY BOOK My Story IMPACT PROGRAM MY MEMORY BOOK My Story TABLE OF CONTENTS What is memory loss?... 1 About me... 6 My family history... 7 My story Education... 9 Awards and Recognition... 10 Work

More information

The Complete list of NANDA Nursing Diagnosis for 2012-2014, with 16 new diagnoses. Below is the list of the 16 new NANDA Nursing Diagnoses

The Complete list of NANDA Nursing Diagnosis for 2012-2014, with 16 new diagnoses. Below is the list of the 16 new NANDA Nursing Diagnoses The Complete list of NANDA Nursing Diagnosis for 2012-2014, with 16 new diagnoses. Below is the list of the 16 new NANDA Nursing Diagnoses 1. Risk for Ineffective Activity Planning 2. Risk for Adverse

More information

RESIDENT ASSESSMENT TOOL

RESIDENT ASSESSMENT TOOL RESIDENT ASSESSMENT TOOL To be completed by a physician, certified nurse practitioner, registered nurse, or physician assistant within 30 days prior to admission, at least annually, & within 48 hours after

More information

Initial Assessment & 24 Hour Management Plan

Initial Assessment & 24 Hour Management Plan Hospital Aide Specialing Documentation Initial Assessment & 24 Hour Management Plan Reading Package For Enrolled Nurses Purpose The information contained within this reading package for Enrolled Nurses

More information

Seniors Health Services

Seniors Health Services Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services

More information

Cancer-Related Brain Fog

Cancer-Related Brain Fog Cancer-Related Brain Fog Information for Cancer Patients and Caregivers about Cancer-Related Brain Fog Princess Margaret Also called Chemo-Fog, Chemo-Brain, or Cancer-Related Cognitive Dysfunction Please

More information

communication Tips for successful communication at all stages of Alzheimer's disease

communication Tips for successful communication at all stages of Alzheimer's disease communication Tips for successful communication at all stages of Alzheimer's disease Communication and dementia As the disease progresses, the communication skills of a person with Alzheimer's disease

More information

Progression LATE STAGE. What is Alzheimer s disease? The late stage - what to expect

Progression LATE STAGE. What is Alzheimer s disease? The late stage - what to expect Progression LATE STAGE This document is one in a five-part series on the stages of Alzheimer s disease and is written for the person with the disease, their family and caregivers. The late stage of the

More information

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF INTELIDENT SOLUTIONS, INC. Policy: 294446

More information

Behaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP.

Behaviour Management: Partnering To Bridge The Continuum. Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP. Behaviour Management: Partnering To Bridge The Continuum Presented by: Nancy Boaro, MN, CNN(C), CRN(C) Karey-Anne Fannon, BA, BST, RRP Objectives Review some of the behaviours exhibited by patients with

More information

Alzheimer s disease Guide for law enforcement

Alzheimer s disease Guide for law enforcement Alzheimer s disease Guide for law enforcement Law enforcement and Alzheimer s disease As our population ages, the number of people with Alzheimer s continues to grow as does the likelihood that you will

More information

adaptations whenever possible, to prevent or reduce the occurrence of challenging behaviours.

adaptations whenever possible, to prevent or reduce the occurrence of challenging behaviours. POSITION STATEMENT on Management of Challenging Behaviours in People with Dementia 1. AIM OF THE POSITION STATEMENT This position statement applies to people living in supported accommodation and those

More information

Continence in Dementia. Elizabeth Rand Manager, Cognitive Dementia & Memory Service (CDAMS) Caulfield Hospital

Continence in Dementia. Elizabeth Rand Manager, Cognitive Dementia & Memory Service (CDAMS) Caulfield Hospital Continence in Dementia. Elizabeth Rand Manager, Cognitive Dementia & Memory Service (CDAMS) Caulfield Hospital Continence Adequate stimulus to initiate voiding reflex Neuromuscular and structural integrity

More information

Test Content Outline Effective Date: October 25, 2014. Psychiatric and Mental Health Nursing Board Certification Examination

Test Content Outline Effective Date: October 25, 2014. Psychiatric and Mental Health Nursing Board Certification Examination Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine

More information

APPROVED: Memory Care Requirements for Nursing Care Center Accreditation

APPROVED: Memory Care Requirements for Nursing Care Center Accreditation APPROVED: Memory Care Requirements for Nursing Care Center Accreditation Effective July 1, 2014, The Joint Commission will implement new memory care requirements designed to help accredited nursing care

More information

Music Therapy: What It Is and Why It Works for Older Adults. Definition of Music Therapy. History of Music Therapy

Music Therapy: What It Is and Why It Works for Older Adults. Definition of Music Therapy. History of Music Therapy Music Therapy: What It Is and Why It Works for Older Adults May 8, 2013 LeadingAge Iowa Spring Conference West Music Company, Inc Rachel Miller, MT-BC Definition of Music Therapy Music Therapy is the clinical

More information

Falls Prevention Strategy

Falls Prevention Strategy Falls Prevention Strategy Policy of the Fall Season October-November 2011 Revised for CCTC By: Krista Shea RN, BScN, CNCC(C) Did you know In Canada: Falls are the 6th leading cause of death among older

More information

ASSESSMENT AND MANAGEMENT OF PSYCHOSIS IN PERSONS WITH DEMENTIA

ASSESSMENT AND MANAGEMENT OF PSYCHOSIS IN PERSONS WITH DEMENTIA ASSESSMENT AND MANAGEMENT OF PSYCHOSIS IN PERSONS WITH DEMENTIA Overview: Psychosis is a common clinical feature of dementia. Hallucinations and delusions are the two most common types of psychotic symptoms

More information

Curriculum Map Incorporating Recommended Competencies for Geriatric Nursing Care/ Clinical Experiences into Baccalaureate Nursing Programs

Curriculum Map Incorporating Recommended Competencies for Geriatric Nursing Care/ Clinical Experiences into Baccalaureate Nursing Programs Curriculum Map Incorporating Recommended Competencies for Geriatric Nursing Care/ Clinical Experiences into Baccalaureate Nursing Programs List Nursing Courses Topics Attitudes About Aging: Recognize one

More information

MULTIDISCIPLINARY COMPETENCIES IN THE CARE OF OLDER ADULTS AT THE COMPLETION OF THE ENTRY-

MULTIDISCIPLINARY COMPETENCIES IN THE CARE OF OLDER ADULTS AT THE COMPLETION OF THE ENTRY- ENTRY- LEVEL HEALTH PROFESSIONAL DEGREE Developed by the Partnership for Health in Aging Workgroup on Multidisciplinary Competencies in Geriatrics With Support from the American Geriatrics Society (AGS)

More information

PRINTED: 07/09/2013 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 0938-0391 (X2) MULTIPLE CONSTRUCTION A.

PRINTED: 07/09/2013 FORM APPROVED CENTERS FOR MEDICARE & MEDICAID SERVICES OMB NO. 0938-0391 (X2) MULTIPLE CONSTRUCTION A. CENTERS FOR MEDICARE & MEDICA SERVICES OMB NO. 0938-0391 (X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: (X3) SURVEY NAME OF PROVER OR SUPPLIER (X4) FINAL OBSERVATIONS LICENSURE VIOLATIONS: 300.610)a) 300.1210)a)

More information

Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes

Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes Alzheimer s Association Campaign for Quality Residential Care Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes Building consensus on quality care for people living

More information

Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes

Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes Alzheimer s Association Campaign for Quality Residential Care Dementia Care Practice Recommendations for Assisted Living Residences and Nursing Homes Building consensus on quality care for people living

More information

UNCG S.O.N. Nurse Practitioner Competency Metrics

UNCG S.O.N. Nurse Practitioner Competency Metrics Yes Module on Clinical Prevention in Long-Term Care that students complete Assessment of Health Status: Obtains a relevant health history, which may be comprehensive or focused. Post test on Clinical prevention

More information

First Unum Life Insurance Company 666 Third Avenue New York, New York 10017 (212) 953-1130 LONG TERM CARE INSURANCE REQUIRED DISCLOSURE STATE

First Unum Life Insurance Company 666 Third Avenue New York, New York 10017 (212) 953-1130 LONG TERM CARE INSURANCE REQUIRED DISCLOSURE STATE First Unum Life Insurance Company 666 Third Avenue New York, New York 10017 (212) 953-1130 LONG TERM CARE INSURANCE REQUIRED DISCLOSURE STATE FOR THE EMPLOYEES OF NEW YORK MEDICAL COLLEGE #222373 Group

More information

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF OREGON EDUCATORS BENEFIT BOARD

More information

Collaborative Care Plan for PAIN

Collaborative Care Plan for PAIN 1. Pain Assessment *Patient s own description of pain is the most reliable indicator for pain assessment. Pain intensity to be assessed using the ESAS (Edmonton Symptom Assessment Scale) Use 5 th Vital

More information

How to identify, approach and assist employees with young onset dementia: A guide for employers

How to identify, approach and assist employees with young onset dementia: A guide for employers How to identify, approach and assist employees with young onset dementia: A guide for employers What is dementia? Dementia involves the decline of cognitive functions. Young Onset Dementia, also known

More information

Common Outcomes/Competencies for the CCN Nursing Web Page

Common Outcomes/Competencies for the CCN Nursing Web Page Common Outcomes/Competencies for the CCN Nursing Web Page NURS 120: Foundations of Nursing This course introduces concepts related to the practical nurse s roles and responsibilities in today s society.

More information

The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia

The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia The Environmental Skill-building Program: A Proven Home-based Occupational Therapy Intervention for Families and Individuals with Dementia Laura N. Gitlin, Ph.D. Director, Jefferson Center for Applied

More information

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF TOTAL SYSTEM SERVICES, INC.

More information

Occupational Therapy in Cognitive Rehabilitation

Occupational Therapy in Cognitive Rehabilitation Occupational Therapy in Cognitive Rehabilitation Connie MS Lee Occupational therapist Queen Mary Hospital Hong Kong Cognition Cognition refers to mental processes that include the abilities to concentrate,

More information

Guidelines for the Diagnosis and Management of Acute Confusion (delirium) in the Elderly

Guidelines for the Diagnosis and Management of Acute Confusion (delirium) in the Elderly Guidelines for the Diagnosis and Management of Acute Confusion (delirium) in the Elderly Author: Madeleine Purchas (SpR Care of the Elderly) Consultant Supervisor: Dr Neil Pollard Date: 16 th Dec 2005

More information

Registered Charity No. 5365

Registered Charity No. 5365 THE MULTIPLE SCLEROSIS SOCIETY OF IRELAND Dartmouth House, Grand Parade, Dublin 6. Telephone: (01) 269 4599. Fax: (01) 269 3746 MS Helpline: 1850 233 233 E-mail: mscontact@ms-society.ie www.ms-society.ie

More information

Dementia Friendly Health Care Setting

Dementia Friendly Health Care Setting Dementia Friendly Health Care Setting Health care professionals play a key supportive role for people with dementia and their care partners. They can promote early diagnosis and provide ongoing medical

More information

Test Content Outline Effective Date: February 6, 2015. Gerontological Nursing Board Certification Examination

Test Content Outline Effective Date: February 6, 2015. Gerontological Nursing Board Certification Examination Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine

More information

DEMENTIA EDUCATION & TRAINING PROGRAM

DEMENTIA EDUCATION & TRAINING PROGRAM The pharmacological management of aggression in the nursing home requires careful assessment and methodical treatment to assure maximum safety for patients, nursing home residents and staff. Aggressive

More information

Copywrite - Eric Freitag, Psy.D., 2012

Copywrite - Eric Freitag, Psy.D., 2012 Diagnosis, Intervention and Care for Patients With Cognitive Impairment Eric J. Freitag, Psy.D, FACPN Diplomate, American College of Professional Neuropsychology Mt. Diablo Memory Center Founder/Executive

More information

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF SARASOTA COUNTY GOVERNMENT #123354-004

More information

Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging

Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Definition from the Greek word, iatros,, meaning healer, iatrogenesis means brought forth by a healer

More information

Depression: Facility Assessment Checklists

Depression: Facility Assessment Checklists Depression: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a

More information

7/1/2014 REGISTERED NURSE CONSULTATION PURPOSE & KEY TERMS OBJECTIVES

7/1/2014 REGISTERED NURSE CONSULTATION PURPOSE & KEY TERMS OBJECTIVES REGISTERED NURSE CONSULTATION June 2012 DHS Office of Licensing and Regulatory Oversight 1 PURPOSE & KEY TERMS The purpose of this section is to assist the learner in understanding the role of a Registered

More information

2013/2014 Alberta Long-Term Care Resident Profile. June 2015

2013/2014 Alberta Long-Term Care Resident Profile. June 2015 2013/2014 Alberta Long-Term Care Resident Profile June 2015 Table of Contents Introduction 3 Methodology 4 Demographic Profile 7 Health Profile 10 Care and Intervention 23 For Further Information 30 List

More information

The JOURNEY OF ELDERCARE

The JOURNEY OF ELDERCARE The JOURNEY OF ELDERCARE ELDERSPEAK Glossary Terms commonly used by Professionals in Aging Acute v. Chronic Acute - care delivered in a hospital that is usually shortterm and recuperative. Chronic - condition

More information

Emergency Room Treatment of Psychosis

Emergency Room Treatment of Psychosis OVERVIEW The term Lewy body dementias (LBD) represents two clinical entities dementia with Lewy bodies (DLB) and Parkinson s disease dementia (PDD). While the temporal sequence of symptoms is different

More information

Behavioral Health Best Practice Documentation

Behavioral Health Best Practice Documentation Behavioral Health Best Practice Documentation Click on the desired Diagnoses link or press Enter to view all information. Diagnoses: DSM-5 and ICD-10 Codes Major Depressive Disorder Bipolar Disorder Eating

More information

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF CHEROKEE BOARD OF COMMISSIONERS

More information

APPENDIX D GLOSSARY OF COMMON LONG-TERM CARE TERMINOLOGY

APPENDIX D GLOSSARY OF COMMON LONG-TERM CARE TERMINOLOGY APPENDIX D GLOSSARY OF COMMON LONG-TERM CARE TERMINOLOGY Activities of Daily Living (ADLs) Everyday functions and activities individuals usually do without help. ADL functions include bathing, continence,

More information

The Rehab Professional s Role in Dining for Persons with Dementia. By: Bonnie Saunders PT, MPA, CDP

The Rehab Professional s Role in Dining for Persons with Dementia. By: Bonnie Saunders PT, MPA, CDP The Rehab Professional s Role in Dining for Persons with Dementia By: Bonnie Saunders PT, MPA, CDP There have been many advances that have brought about an increased understanding of the etiologies and

More information

For Mental Health and Human Services Workers in Major Disasters

For Mental Health and Human Services Workers in Major Disasters Page 1 of 5 Home Programs Mental Health Topics Newsroom Publications Resources This Site Search For Mental Health and Human Services Workers in Major Disasters POTENTIAL RISK GROUPS Online Publications

More information

MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER S DISEASE/DEMENTIA CARE UNIT

MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER S DISEASE/DEMENTIA CARE UNIT MINIMUM STANDARDS OF OPERATION FOR ALZHEIMER S DISEASE/DEMENTIA CARE UNIT: GENERAL ALZHEIMER S DISEASE/DEMENTIA CARE UNIT Title 15: Mississippi State Department of Health Part 3: Office of Health Protection

More information

LONG TERM CARE ASSISTANT Course Syllabus

LONG TERM CARE ASSISTANT Course Syllabus 6111 E. Skelly Drive P. O. Box 477200 Tulsa, OK 74147-7200 LONG TERM CARE ASSISTANT Course Syllabus Course Number: THRP-0010A OHLAP Credit: No OCAS Code: 9324 Course Length: 75 Hours Career Cluster: Health

More information

When You Are More Than Down in the Dumps Depression in Older Adults

When You Are More Than Down in the Dumps Depression in Older Adults When You Are More Than Down in the Dumps Depression in Older Adults Revised by M. Smith (2006) from K.C. Buckwalter & M. Smith (1993), When You Are More Than Down in the Dumps : Depression in the Elderly,

More information

Lori Nisson Waldberg, LCSW. Robin P. Bonifas, PhD, MSW. Regulatory Guidelines. Objectives 3/5/2014

Lori Nisson Waldberg, LCSW. Robin P. Bonifas, PhD, MSW. Regulatory Guidelines. Objectives 3/5/2014 Non pharmacological Approaches to Managing Challenging Behaviors in Dementia Presented by Lori Nisson Waldberg, MSW, LCSW Robin P. Bonifas, PhD, MSW This webinar series is made possible through the generous

More information

Good end of life care in care homes

Good end of life care in care homes My Home Life Research Briefing No.6 This briefing sets out the key findings of a research review on good end of life care in care homes undertaken by Caroline Nicholson, in 2006, as part of the My Home

More information

NURSE S ASSISTING ADDENDUM 4/06

NURSE S ASSISTING ADDENDUM 4/06 NURSE S ASSISTING ADDENDUM 4/06 To: Health Occupations Educators Date: April 11, 2006 From: Subject: Patricia Hodgins, Supervisor Career and Technical Education Nurse s Assisting Addendum This addendum

More information

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211

Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 Unum Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 QUALIFIED LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR THE EMPLOYEES OF MULTNOMAH COUNTY OREGON - #094319

More information

Occupational Therapy Treatment for People with Cognitive Limitations: Position paper

Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Occupational Therapy Treatment for People with Cognitive Limitations: Position paper Background The purpose of a position paper is to present the professional stance regarding a given topic. The Senior

More information

UNDERSTANDING THE REPORTS

UNDERSTANDING THE REPORTS 3 UNDERSTANDING THE REPORTS KEY CONCEPTS AND TERMS...2 A QUICK GUIDE TO THE QIS/QMS...3 CHRONIC CARE MEASURES...4 POST-ACUTE CARE (PAC) MEASURES...9 COMPARISON OF OLD AND NEW RECORD SELECTION METHODS FOR

More information

Music-Based Interventions and the Resilience of Persons with Dementia

Music-Based Interventions and the Resilience of Persons with Dementia Music-Based Interventions and the Resilience of Persons with Dementia Music, Dementia, Caregivers, and the Research: A Crescendo in Resilience Presenters: Jan Maier RN, MPH James Powers MD RTI International

More information

Rehabilitation Integrated Transition Tracking System (RITTS)

Rehabilitation Integrated Transition Tracking System (RITTS) Rehab Criteria The patient must have a physical impairment requiring rehabilitation OR have a known cognitive impairment requiring ongoing rehabilitation support or services. The patient is medically stable:

More information

Heads Up for Healthier Living

Heads Up for Healthier Living Help for today. Hope for tomorrow... Heads Up for Healthier Living For people with Alzheimer s disease and their families Living with Alzheimer s disease can be challenging. Whether you have the disease

More information

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization)

LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF. FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring Organization) UNUM Life Insurance Company of America 2211 Congress Street Portland, Maine 04122 (207) 575-2211 LONG TERM CARE INSURANCE OUTLINE OF COVERAGE FOR EMPLOYEES OF FLORIDA INSTITUTE OF TECHNOLOGY (the Sponsoring

More information

Quality of Life The Priorities of Older People with a Cognitive Impairment

Quality of Life The Priorities of Older People with a Cognitive Impairment Living in a Nursing Home Quality of Life The Priorities of Older People with a Cognitive Impairment Compiled by Suzanne Cahill PhD and Ana Diaz in association with Dementia Services Information and Development

More information

Is It Time for In-Home Care?

Is It Time for In-Home Care? STEP-BY-STEP GUIDE Is It Time for In-Home Care? Helping Your Loved Ones Maintain Their Independence and Quality of Life 2015 CK Franchising, Inc. Welcome to the Comfort Keepers Guide to In-Home Care Introduction

More information

Dehydration in Long Term Care: The Nurse s Role in Guiding the Interdisciplinary Team

Dehydration in Long Term Care: The Nurse s Role in Guiding the Interdisciplinary Team Dehydration in Long Term Care: The Nurse s Role in Guiding the Interdisciplinary Team Welcome to the Elizabeth McGown Training Institute Cell Phones and Pagers Please turn your cell phones off or turn

More information

Standardised care process (SCP): depression

Standardised care process (SCP): depression Standardised care process (SCP): depression Topic Identifying and responding to symptoms of depression Objective To promote evidence-based practice in how staff identify and respond to symptoms of depression

More information

Falls Prevention and Management

Falls Prevention and Management Falls Prevention and Management Best Practices Initiative Ministry of Health and Long-Term Care Presentation Prepared By: Hazelynn Kinney Regional Best Practice Coordinator - Central East Region Based

More information

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE

STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE Urinary incontinence related to loss of ability to identify and respond to need to urinate; involuntary bladder contractions, increased nightly urine production, difficulty communication need to urinate

More information

Medication for Dementia (Acetylcholinesterase Inhibitors)

Medication for Dementia (Acetylcholinesterase Inhibitors) Older People s Mental Health Service Medication for Dementia (Acetylcholinesterase Inhibitors) August 2011 ^ ãéãäéê çñ `~ãäêáçöé råáîéêëáíó eé~äíü m~êíåéêë What are they? A group of medications used to

More information

FUNDAMENTAL CARE FOR PEOPLE WITH DEMENTIA

FUNDAMENTAL CARE FOR PEOPLE WITH DEMENTIA A PRACTICAL GUIDE TO FUNDAMENTAL CARE FOR PEOPLE WITH DEMENTIA Introduction Knowledge and skills, along with your compassion and reasoning, will help you in your work with people with dementia, and their

More information

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression.

Who We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Serve Adults with severe and persistent mental illnesses such as schizophrenia, bipolar disorder and major depression. We Do Provide a comprehensive individually tailored group treatment program in

More information

Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease.

Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Steps to getting a diagnosis: Finding out if it s Alzheimer s Disease. Memory loss and changes in mood and behavior are some signs that you or a family member may have Alzheimer s disease. If you have

More information

Traumatic Brain Injury and Incarceration. Objectives. Traumatic Brain Injury. Which came first, the injury or the behavior?

Traumatic Brain Injury and Incarceration. Objectives. Traumatic Brain Injury. Which came first, the injury or the behavior? Traumatic Brain Injury and Incarceration Which came first, the injury or the behavior? Barbara Burchell Curtis RN, MSN Objectives Upon completion of discussion, participants should be able to Describe

More information