Symptoms and Types of Dementia (02:02)
Incidents of dementia increase after an individual turns 70. Symptoms include loss of problem-solving skills, judgment, abstract thought, and recent memory. Learn about vascular, frontal lobe, and Alzheimer's disease.
Special Care in Toileting (02:57)
Loss of bladder and bowel function occurs as dementia progresses. Do not shame, punish, or isolate the patient. Use the body's own rhythm to prevent accidents.
Special Care in Bathing (02:36)
CNAs need to bathe residents daily even if they are fearful. Know bathing habits from the past, inform the resident at each step, and maintain privacy and modesty.
Special Care in Dressing (03:13)
Dressing and grooming can become difficult; CNAs may be called upon to help adorn makeup, fragrances, and deodorant. Offer a choice of two clothing options and discourage family members from bringing earrings, necklaces, tie clips, or tie pins.
Eating: Observe and Report (02:35)
Chewing and swallowing becomes more difficult as dementia progresses. Each resident should have a diet card and plan of care. Record food intake at each meal and be alert to changes in behaviors.
Communication of Needs (02:36)
As dementia progresses, patients will not be able to clearly express desires. Pacing or wandering most likely comes from physical needs not being met. Take the resident to the bathroom, examine clothing, offer water or food, check his or her temperature, and inspect the bowel record.
Mental Activity (02:46)
Boredom can cause disruptive behaviors. Mitigate it by performing life review, incorporating music and dance, a trip to the beauty parlor, or exercise classes. Encourage but do not force or demand.
Resident Safety (02:55)
A special care unit is designed with safety needs. Follow procedure and remain vigilant against patient elopement. Chemicals, medication, and equipment must be kept out of sight or reach.
Effects of Environment (02:26)
People with dementia have difficulty ignoring environmental stimuli. Agitation and irritability result from overstimulation. Keep activities short, encourage residents to exercise,
Observation and Reporting (02:09)
The CNA plan of care contains each resident's baseline status. Watch for vital sign changes, weight fluctuations, level of independence, continence, and behavior alterations.
Credits: Dementia Care (00:06)
Credits: Dementia Care
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