By Emile Franssen, Liduin Souren
A guide to supplying nursing care through the practical decline of Alzheimer's sufferers, emphasizing find out how to overview the sufferers' competence at each one level and make allowance them to take as a lot care of themselves as attainable
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Extra resources for Broken connections : Alzheimer's disease. Part II, Practical guidelines for caring for the Alzheimer patient
See that pets do not run or fly away . put on a flea collar . cut nails . g. g. g. g. Mikado: 26 colored sticks are mixed up in a pile or in a row packed closely together; the players have to pick up a stick each time with a hook without moving the others √ join with the patient in singing, making music, dancing, swimming etc. √ planning vacations √ find out which of his senses and which functions are the best developed and make use of this, eg: counting up, conversation, humor, manual skill, music and dance, sports & games √ do not urge the patient to undertake activities if he is not familiar with them or does not enjoy them √ regularly do recreational activities with him; realize that he himself lacks the initiative, the concentration or the motivation to perform structurized activities SUPERVISION AND STIMULATION What the patient can do himself Remind and encourage patient to Intervene observe and if necessary prevent √ emphasize doing things together and experiencing activities together, being involved in something, not having to be on his own in an increasingly confusing world √ use the shared experiences as a topic of conversation √ the patient must be given every opportunity to express his experiences in words or gestures √ if people listen to him attentively, he feels important and safe again √ if he has difficulty in expressing what he is experiencing, he must be helped √ experiences which cannot be shared make for a lonely world; this applies both to the patient and to the caregiver √ use most words in the daily spoken language √ put the emphasis correctly on the right part of the word (through difference in pitch, strength, duration) √ be guided by concrete causal thinking √ follow his own train of thought √ follow someone else’s train of thought if it is sufficiently concrete √ play the broken word connection game.
Encourage regular meal times etc. √ make appointments with dentist to prevent dental and digestive problems (at least twice a year), in stage I the patient can still cooperate with the dentist; in later stages this becomes SUPERVISION AND STIMULATION Attitude What the patient can do himself Remind and encourage patient to if necessary explain Intervene supervise and if necessary prevent increasingly more difficult if not impossible √ purchase proper requisites for oral care, including four times a year a soft nylon toothbrush with a sturdy handle √ realize that the mouth is an important means of expression and communication √ provide the opportunity of cleaning teeth three times a day √ realize the importance of good oral and dental care for health in general and for digestion in particular and act accordingly √ recognize his reflection in the mirror √ wash and dry his/her hair, face, neck and ears √ apply soap, cream and lipstick √ take out of own bathroom cupboard: comb, brush, shaver, soap, skin care products, shampoo √ comb/brush hair √ shave himself in the familiar way √ go to the local hairdresser/ beautician/barber √ blow his/her nose √ take toilet requisites out of the cupboard √ rub cosmetics into the skin √ wash hands after rubbing in colored cream or powder √ clean facial skin at end of day and rub in cream √ wash hair, at least once a week √ comb and part hair √ shave √ go to the hairdresser and, if accustomed, to the beautician √ use of the right amount of cosmetics, protective creams etc.
Put garbage can outside . put flowers in a vase . wash up, dry up and put away . do the hand-wash (not washing machine) . hang the washing up with clothespins . fold up the washing and put things on coat hangers . take clothes to dry cleaners in the neighbourhood . use a spray can . adjust faucets for the right water temperature . fill bucket to desired level . know where cleaning products are kept . distinguish between some of the familiar cleaning products . have an idea of the quantities needed .