1 / 36

Caring for those with Dementia

Caring for those with Dementia. Sheryl Bagshaw , MBA, SSW, CVW Certified Dementia Practitioner Cognitive Interventionist. Dementia questions most often asked:. How do I deal with his/her behavior? How do I get through to him/her? What is the trick to understanding dementia?.

hoyt-solomon
Télécharger la présentation

Caring for those with Dementia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Caring for those with Dementia Sheryl Bagshaw, MBA, SSW, CVW Certified Dementia Practitioner Cognitive Interventionist

  2. Dementia questions most often asked: • How do I deal with his/her behavior? • How do I get through to him/her? • What is the trick to understanding dementia?

  3. In other words: • How do I communicatewith someone with dementia? • How do I deal with behaviors?

  4. Let’s start by talking about BEHAVIORS

  5. Behavior Management and why it does NOT work: • Managing negative behavior using a learning behavior model that includes triggers, behaviors, and consequences (reinforcement or punishment) • Relies on manipulating triggers, setting boundaries, and providing reinforcements • May affect identity and self-esteem • Assumes specific cognitive abilities such as awareness, judgment and reasoning

  6. Questions to ask ourselves: • Is the demented person aware of his/her behaviors? • Can the person with dementia manipulate his/her own behaviors? • How disruptive is the behavior? • Is it ok to allow the individual to be demented? • And, most importantly…

  7. Whose Behavior Needs to be Managed? OURS!!!

  8. Primary External Cause of Agitation: Caregiver Approach • Not listening • Impatience – the more you hurry, the more time it’s going to take • Arguing – Join their journey • Not explaining • Expecting them to act/behave a certain way (Allow them to be demented) (They are not in our world – we are in THEIRS) • Trying to get them to do something that is not their idea

  9. So what approaches to behaviors DO work? Need-Driven Behavior Approach And Validation

  10. Need-Driven Behavior Approach • Normal needs + abnormal conditions = disruptive behavior • Uses the environment and individual strengths/preferences to meet and prevent unmet needs • Assumes that behaviors are not abnormal, deliberate, or good/bad • Behaviors do not need to be resolved, needs do and then behaviors will cease BASICALLY…

  11. ALL Behavior = Communication NEEDS! Look for the NEED and you will know how to respond to the behavior!

  12. Maslow’s Hierarchy of Needs:

  13. Medical Needs: Care Needs: • PAIN • Constipation • Infection • Oxygen • Blood Sugars • Sleep Disturbances • Med Interactions • Hot/Cold • Hungry/ • Thirsty • Continence • Tired • Over/Under- Stimulation • Movement

  14. Safety/Security Needs: • Looking for a family member • Thinking they are being poisoned • Thinking people are stealing • Want to go home • Hiding things • Feeling unsafe/paranoid • Unsure of others • Locking/barring doors • Elopement risk

  15. Love/Belonging Needs: • Space invaders • Use a lot of physical touch • Sexually inappropriate • In the middle of everything

  16. Esteem Needs: • Looking for something to do • Ask if they can help • Pick up familiar items • In the middle of everything • Negative self-statements

  17. Self Actualization Needs: • Looking for something to do • Ask if they can help • Pick up familiar items • In the middle of everything • Negative self-statements

  18. Bridging the Behavior/Communication Gap: Validation Empathy Reminiscence

  19. Validation:- Is a method for communicating with those with dementia- Uses listening skills, empathy, reminiscing- Helps individuals with dementia to feel heard and validated- Gives demented individuals a sense of esteem/worth- Shows that another’s feelings/ communications are acknowledged and respected- Sees behavior as a form of communication of needs

  20. Validation Method:- Ask questions – who, what, when, where (stay away from why)- Reflective listening – repeat back what they say in the form of a statement or a question- Ask the extremes – “what’s the worst thing about ______”- Ask the opposite – “what if (the opposite) were true”- Use ambiguity – s/he, they, it- Empathize – “that must be _____” (name that emotion)- Reminisce – “has there ever been a time when ____”- Match/mirror emotions/actions (non-verbal)- Use eye contact/touch

  21. The best way to explain VALIDATION is by using examples of some of our communication failures with demented individuals and showing how we can use validation to improve them.

  22. 1. Arguing with themExample: Day of the weekValidation: Don’t Argue!“WE are in THEIR world” – it only frustrates them when we try to bring them back to ours. Method: Ask questions

  23. 2. We approach them wrong and/or don’t communicateExample: Moving a residentValidation: Approach is everything.“Be on their level.” Method: Eye contact, Empathy

  24. 3. Reassure them/don’t let them express emotions (sympathy vs. empathy)Example: Patient wanting to leave (blocking the entryway)Validation: Allow them to safely express emotions. “The cat ignored becomes the tiger.” Method: Empathy, Need

  25. 4. We assume we know the problem and how to fix itExample: Resident angry about his money.Validation: Look deeper“Look for the need.” Method: Reflective listening, Ask the extremes

  26. 5. We fail to see the world from their view.Example: Patient who needs a brief change.Validation: Perception is reality.“It has to be his/her idea.” Method: Look for the need

  27. 6. We lie to them Example: “Where is my husband?”Validation: Therapeutic Lies are harmful“Demented individuals have it within themselves to solve their own issues.” Method: Ask ?’s, Reminisce

  28. 7. We bombard them with informationExample: Doctor’s appointmentValidation: Keep it simple, overstimulation is not good“Overstimulation, like boredom, causes anxiety.” Method: Matching, ambiguity

  29. 8. We expect them to remember thingsExample: “You remember…”Validation: Keep self-esteem intact.“Has there ever been a time when...” Method: Reminisce

  30. 9. We don’t stimulate themExample: HenryValidation: All individuals have worth and deserve our attention.“Music is to the soul what words are to the mind.” Method: Reminisce, music

  31. Henry

  32. 10. We don’t listen to the non-verbalExample: GladysValidation: Communication is 70% non-verbal.“Please hear what I’m not saying.” Method: empathy, music, touch, eye contact

  33. Gladys

  34. Communicating with someone with dementia is about:1. Accepting their realities2. Listening3. Validating their experiences4. Sharing their emotions5. Simplifying your communications6. Looking for the need7. Asking for their input8. Providing appropriate stimulation9. Reminiscing10. Being honest/truthful with them

  35. If you want to learn more about communication, Validation, and other dementia issues, you can access my website:www.dementiaassist.com(You can also find dementia assist on Facebook)

More Related