day 8 Flashcards
dementia
chronic and progressive memory loss - terminal
Alzheimer’s disease
most common form of dementia seen in LTC; progresses faster, takes away functioning, dementia is a symptom
behavioral intervention
plan to reduce undesired behaviors of a resident or patient
behavior
unusual action
paranoid
unrealistic distrust or feeling of being persecuted
signs and what to do for paranoia
restlessness, nervous, sudden movements, shifting gaze; we tell the nurse and don’t approach unless in immediate risk of harm
hallucinations
perceptions of having seen, heard, touched, tasted, or smelled something that wasn’t actually there
What do we do for hallucinations for a regular patient compared to one who has dementia?
when a patient without dementia has hallucinations you would NEVER reinforce those hallucinations; with dementia we DO - enter their reality : therapeutic fib
agitation
a state of anxiety or nervous excitement
how do we help with agitation?
try to orient, distract, bring to a quiet location, reduce stimulation, meet the basic needs (water, food, pain, bathroom)
passive protection
to protect yourself and the resident during moments of agitation
autonomy
freedom from external control or influence; independence
how is autonomy different in dementia care?
limited - they cannot make decisions and understand the full severity or outcome; Power of Attorney (POA) is in control
terminal illness
illness that is expected in death
stages of grief
denial, anger, bargaining, depression, acceptance