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 publication of the yr Winner! Like its well known predecessor, the recent variation of Bathing and not using a conflict provides an individualized, problem-solving method of bathing and private care of people with dementia. at the foundation of intensive unique study and medical adventure, the editors have constructed options and methods that paintings in either establishment and residential settings. Their method can be applicable for caregiving actions except bathing, comparable to morning and night care, and for frail elders no longer struggling with dementia. For this moment variation, the authors have incorporated historic fabric on bathing and considerably up to date the part on precise issues, together with: discomfort skincare deciding on the ideal point of suggestions Transfers the surroundings An improved ultimate part addresses how one can aid caregivers through expanding their figuring out 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. numerous chapters contain particular insights and knowledge from direct caregivers.
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Additional resources for Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing)
Reapproach later if necessary to ﬁnish washing critical areas. If you are unable to calm the person and make the bath more comfortable, you will need to shorten the bath. If the person is very aggressive, you will need to stop the bath. Wash only what is necessary for good health. If the person becomes so distressed that you must end the bath, try to end with something pleasant, such as offering a cup of coffee or a backrub. This may make it easier when you return. The next two chapters contain ideas to use when these general strategies do not reduce the stress of the bath.
R Try adding positive aromas such as potpourri or scented oil. Adapting the Organizational Environment Rigid policies and practices related to frequency and types of bathing will hamper your ability to provide person-directed care. Some possible ways to modify the organizational environment include: r Use consistent assignment of caregivers so there r r r r r is an opportunity to get to know the person and to establish a relationship. Encourage ﬂexibility in bath schedules. If a person prefers a bath in the evening, arrange to have it done then.
She did not remember that she had not had a bath, and she did not realize that she was dirty. Trying to convince her only made matters worse, and she would become more insistent that she had already taken a bath. Discussion: Several personal factors are triggering Mrs. Peters’s aggressive response. These include dementia-related factors and a need to feel a sense of control. To adapt to both, Paula avoided arguing with her. She approached Mrs. Peters before she had dressed and chatted with her about her farm duties, using information she knew about her personal history.
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