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Caring for Residents With Dementia

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Caring for Residents With Dementia

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Course Number:

This course will be discontinued effective October 1st, 2018. You will have until December 31st, 2018 to complete the course and print your certificate. The replacement course is located here.

This course is not approved by the California Department of Social Services (CDSS).

In this course you will learn about conditions that may co-exist with dementia, physical care considerations for persons with dementia, the importance of a thorough pre-appraisal of the resident, and factors that can lead to problems with ensuring good nutrition for our residents.

Course Information:
  • Online Training Course
  • Credit Hours: 1
  • Conditions That May Co-Exist With Dementia
  • Physical Care Considerations for Persons With Dementia
Helpful Instructions
 Purchasing Courses for Yourself Purchasing Courses for Yourself:

This Training course is delivered 100% online through our Online Campus. In order to enroll you in a course we will need to collect your First Name, Last Name and Email Address.

When you place your order we will create an account for you, or add the courses to your existing account if you are a return customer. Access to the Online Campus is based on your email address. If you are a return customer, please purchase using the same email address used previously to avoid creating a duplicate account.

The course(s) you purchase will be available within 10 minutes of purchase and your login information will be sent to the email address you provide.
 Purchasing Courses for Others Purchasing Courses for Others:

This Training course is delivered 100% online through our Online Campus. If you are purchasing for others or your employees, please make sure to provide the First Name, Last Name, and Email Address of the person who you are purchasing for.

IMPORTANT: Access to the Online Campus is based on email addresses. If you are purchasing for multiple people, each person must have a unique email address to access the Online Campus. DO NOT USE THE SAME EMAIL ADDRESS FOR DIFFERENT INDIVIDUALS!

When you place your order we will create accounts for each individual you are purchasing for. If you are a return customer, please purchase using the same email address used previously to avoid creating duplicate accounts.

Example: Jim is buying a course for Bob. Jim will provide Bob’s First, Last and Email before the course is added to cart. Jim then uses his personal information for the checkout process.

We understand no one likes to give out their information and that’s why we only require the course attendee’s First Name, Last Name and Email to add the course to your shopping cart.

The course(s) you purchase will be available within 10 minutes of purchase and each person’s login information will be sent to the email address you provide.


Course Objectives

By the end of this course participants will be able to:
  • Explain five common co-morbid medical conditions among elderly residents with dementia, including signs/symptoms, causes, and interventions.
  • Discuss the special physical and ADL needs and care considerations for persons with dementia.
  • Discuss the pre-appraisal assessment and service planning for a resident with dementia.
  • List five ways you can help a resident having problems with activities of daily living.
  • List five ways you can help a resident having problems with eating and nutrition.
  • List three interventions that should be followed by the caregiver when assisting the client with dysphagia to eat.
  • Name the causes of skin breakdown.
  • Name five ways you can help a resident maintain a good skin condition.
  • Discuss the causes of incontinence.
  • Name three interventions to keep a resident continent for as long as possible.
  • List five ways you can help a resident who is having problems with incontinence.
  • Describe why dementia residents may experience more falls.
  • Discuss ways to help prevent falls.

Course Outcomes

Hour One
  • I. Co-Morbidity
  • In the context of this course, co-morbidity is defined as other medical conditions that are existing simultaneously, but independently, with the resident’s diagnosis of dementia.
  • a. Respiratory infection
  • I. Signs and Symptoms
  • 1. Thick green sputum
  • 2. Cough
  • 3. Fever
  • 4. Fatigue
  • 5. Behavior changes
  • ii. Interventions and Prevention
  • 1. Deep breathing exercises
  • 2. Frequent ambulation
  • 3. Change of position
  • 4. Avoid contact with other residents
  • 5. Contact physician
  • b. Urinary tract infection
  • I. Signs and Symptoms
  • 1. Frequent requests to void
  • 2. Restlessness
  • 3. Painful urination
  • 4. Refusal to urinate
  • 5. Strong urine odor and deep color of urine
  • 6. Blood in urine
  • 7. Fever
  • 8. Confusion
  • 9. Etc.
  • ii. Interventions
  • 1. Always maintain a supply of clean catch supplies
  • 2. Develop a relationship with a lab for easy MD analysis ordering
  • 3. Test early
  • 4. Encourage fluids
  • 5. Wipe front to back
  • c. Dysphagia and aspiration
  • I. Definitions
  • 1. Dysphagia: difficulty swallowing
  • 2. Aspiration: inhaling food or liquids into the lungs
  • ii. Swallowing mechanism
  • 1. Diagram of swallowing mechanism
  • iii. Signs and Symptoms
  • 1. Coughing and choking while eating
  • 2. Drooling or spilling food out of the mouth
  • 3. Pocketing food in the cheek
  • 4. Some residents may aspirate without any obvious symptoms
  • 5. Watch for signs of respiratory infection
  • iv. Interventions
  • 1. Maintain a relaxed pace
  • 2. Instruct resident to not talk for a few seconds after swallowing
  • 3. Cut food into small bite-sized pieces
  • 4. Instruct resident to swallow twice after every bite
  • 5. Do not “wash down” food with liquids
  • 6. Allow the resident to sit up or stand for 15 minutes after completing a meal or snack
  • d. Skin breakdown
  • I. Pressure Ulcer: an area of skin that breaks down when the skin and soft tissues are squeezed between the bones and the surface that is in contact with the body
  • ii. Factors that contribute to skin problems
  • 1. Poor nutrition
  • 2. Dehydration
  • 3. Lack of ability to ambulate or move about easily
  • 4. Inability to turn in bed or from side to side in a chair
  • 5. Decreased sensation
  • 6. Poor circulation
  • 7. Etc
  • iii. Areas most prone to skin breakdown
  • 1. Bony prominences of the body
  • 2. Parts of the body where skin is in contact with skin
  • 3. Body parts with poor circulation
  • iv. Most common causes of pressure sores
  • 1. Pressure
  • 2. Friction
  • 3. Shear
  • 4. Graph showing the areas prone to pressure sores due to pressure, friction, and sheer
  • v. Interventions include
  • 1. Inspection
  • 2. Keep skin clean
  • 3. Keep skin properly moisturized
  • 4. Prevent chaffing and excessive wetness
  • 5. Encourage mobility and movement
  • 6. Provide incontinent care
  • 7. Report and document skin problems
  • II. Physical Care of Residents with Dementia
  • a. Purpose(s)
  • I. Determine the needs of this specific individual
  • ii. Determine if my facility is the best environment for care
  • iii. Verify there are no prohibited health conditions
  • iv. Consider risk management
  • v. Develop a plan for appropriate care
  • b. Physical Care Needs of Person with Dementia
  • I. Bathing and hygiene
  • ii. Dressing
  • iii. Toileting and continence
  • iv. Transferring/ambulation
  • v. Feeding
  • III. Pre-Appraisal
  • a. Setting the environment for the pre-appraisal
  • I. Provide adequate space
  • ii. Meet with the family and responsible party
  • iii. Minimize noise and distractions
  • iv. Plan the appraisal for a time of day the person will not be exhausted
  • v. Make sure your tone of voice and body language convey you are unhurried
  • vi. Use good listening
  • vii. Allow for silence
  • b. Appraisal of Activities of Daily Living
  • I. Location
  • ii. Timing
  • iii. How much assistance needed
  • iv. Special equipment or tools needed
  • v. Previous daily routine and schedule
  • vi. History of techniques for refusal or challenging behaviors
  • c. Creation of the Service Plan
  • IV. Fundamentals of Activities of Daily Living
  • a. List of some fundamental concepts associated with care delivery
  • I. Rely on pre-appraisal information
  • ii. Be organized
  • iii. Know the resident
  • iv. Utilize task breakdown as needed
  • v. Utilize prompting and cueing
  • vi. Do not overreact
  • vii. Make sure environment is ready
  • b. Categories of Fundamentals of ADL Care
  • I. Dressing
  • ii. Grooming
  • iii. Bathing
  • iv. Nutrition and eating
  • V. Incontinence Care
  • a. Key Goals related to Resident Incontinence
  • b. Fundamentals of incontinence care
  • c. Different types of urinary incontinence
  • d. Suggestions to help keep a resident continent as long as possible
  • I. Always protect the resident’s dignity
  • e. Tips to help maintain resident’s dignity
  • f. Suggestions for caring for skin of the incontinent resident
  • VI. Falls
  • a. When caring for persons with dementia, falls are a significant concern
  • b. Factors associated with dementia vs. Implication for falls
  • c. Other medical conditions for falls
  • d. How falls can be prevented
  • e. Do physical restraints help prevent falls?

Instructor: Josh Allen, RN

Josh Allen is a Registered Nurse with over 20 years of experience in senior living. As the Director of InTouch at Home, Josh oversees all aspects of business development, care, services, and operations for the organization. As a part of the SRG Senior Living family of companies, InTouch at Home delivers personalized care and services to clients living in senior living communities as well as private residences across three states.

Josh also serves on the board of the American Assisted Living Nurses Association, and represents AALNA on the boards of the Center for Excellence in Assisted Living and Coalition of Geriatric Nursing Organizations. Josh has previously served as President and CEO of Care and Compliance Group, a leading training solutions provider.

Additional Information

Canonical Link No
Course Type Online Course

Caring for Residents With Dementia