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Caring for the patient – through their eyes

Caring for the patient – through their eyes. Dr Chandini Sharma Geriatriccenteroftulsa@gmail.com. The Story. Dementia friendly community. Waterville WI The whole community is learning who to behave with members of community who have dementia

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Caring for the patient – through their eyes

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  1. Caring for the patient – through their eyes

    Dr Chandini Sharma Geriatriccenteroftulsa@gmail.com
  2. The Story
  3. Dementia friendly community Waterville WI The whole community is learning who to behave with members of community who have dementia Patients too are not resistant or hesitant in their acknowledgement. Businesses are learning, transport is learning
  4. Humor and dementia Spouse caregivers who had humor as a strategy to handle behaviors and day to day activity were 18% less likely to have stress. Humor and well-being in spouse caregivers of patients with Alzheimer's disease DNSc, RN, CS Martha D. Buffum
  5. Caregiver to wear a bracelet
  6. Social Relationships and Mortality Risk: A Meta-analytic Review 50% increased likelihood of survival for participants with stronger social relationships Julianne Holt-Lunstad, Timothy B. Smith, J. Bradley Layton, Department of Psychology, Brigham Young University, Provo, Utah, United States of America
  7. Socialization
  8. Laughter is the best medicine We have evidence
  9. Successful aging?
  10. Am I lying to the patient Moderately advanced dementia patients are removed from reality. Their world is different than ours Meet them half way in their world Since their reality is different its ok to fib, at times, to divert the situation Learn to forgive yourselves
  11. STM vs LTM In their moderate stages they may not even remember what their choices or preferences were…
  12. Glass half full The family and the patient always state how much function is spared….
  13. Hope for the best but prepare for the worst. Lowest score counts Structure Be the talking calender
  14. Recognize the difference between Dementia and Delirium…
  15. Apathy and depression
  16. Decision making capacity Take advantage of the early stage to get person to address advance directives As also to elicit a roadmap of the future QOL issues Try not to burden them with difficult decisions.
  17. Confabulation confounds…..
  18. Forget the word ‘Remember’
  19. ‘Felt like a fraud’
  20. Caregivers, keep your communication channels open Patient worries about how you are doing. So let them know you are OK They also worry about being left by their caregivers.
  21. Six sub stages of Caregiving Expectant caregiver Freshman caregiver Entrenched caregiver Pragmatic caregiver Transitioning caregiver Godspeed caregiver
  22. When repeating, keep the sentence structure the same.
  23. Being sure of anything is so difficult .
  24. They feel they are being judged
  25. What about self confidence
  26. Second childhood
  27. Geriatriccenteroftulsa@gmail.com
  28. Choose Humor For those who choose humor their patient does better
  29. Laughter may be good medicine for elderly dementia patients -- and best of all, it doesn't have side effects. Australian humor therapist Jean-Paul Bell was originally a clown doctor working with sick children, but now he makes the elderly laugh through a program called Play-Up. Bell was also the key humor therapist in a Sydney-based study into the impact of humor therapy on mood, agitation, behavioral disturbances and social engagement in dementia patients, a study that showed those who took part seemed happier. "The whole idea behind the Play-Up program and what we're doing at the Arts Health Institute is encouraging them to play more because we believe that they've got potential to keep playing right until you take your last breath," Bell said. He set up the Arts Health Institute to train aged-care staff in fostering playful relationships with their patients, particularly those with dementia. The study, called the SMILE study, took place over three years, involving 36 nursing homes and 400 residents. Dressed in a bright blue jacket with brass buttons and shoulder tabs, Bell uses a combination of games, jokes and songs -- accompanying himself on a ukulele -- to get the elderly to laugh. In addition to seeming more content, the dementia patients involved in the study seemed less agitated by 20 percent, said lead researcher Lee-Fay Low at the University of New South Wale's School of Psychiatry. "Twenty percent sounds like a small effect but it's about the same amount, the same effect as you would get if you gave them an antipsychotic medication -- medication you would use to treat schizophrenia, bi-polar disorder," Low said.
  30. Talk outline It is a dyad Weave thru the patient and caregiver perspective Share some insights into the world of the dementia patient
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