Peter V. Rabins, MD, MPH
$150 Purchase Price
Alzheimer’s Disease: Positive Solutions to Minimize Fearful Behaviors
This DVD, filmed in a nursing home, features Dr. Peter Rabins and nursing staff discussing steps to minimize fearful behaviors which often occur with Alzheimer’s disease.
The first step is developing a relationship with the Alzheimer’s patient, knowing about their life and the things they enjoyed doing when they were younger. This connection is very important to making the person with Alzheimer’s disease feel safe when they are receiving care.
Next, identify the situations which trigger catastrophic reactions and other fearful behavior in each resident with Alzheimer’s disease. Triggers may be simple things like: bathing; medical appliances; a change of staff; a new roommate; or even not being able to sit next to someone they like at mealtimes. Often outbursts or agitation happen because the person with Alzheimer’s disease no longer has the verbal skills to communicate the problem. These behaviors are disruptive to the care and the emotional well-being of Alzheimer’s patients, other residents and staff.
The nursing staff featured in this program suggests the following… When working with an Alzheimer’s patient, even if you regularly provide care, always remind the resident who you are and explain what care you will be providing both before and while you are doing it. They also stress the importance of using a positive, gentle tone of voice, and encouraging facial expressions to reassure the frightened the resident. Using distraction and talking to the resident about familiar things which give them pleasure is also beneficial. Never insist on providing care if a resident refuses the care or does not want to do something. This will escalate fearful outbursts or agitation. Come back later, or ask someone more familiar with the resident to help out. Most of all, find a way to enter into their world, accept their reality, understand their fears and take them to an emotionally safe place.
Topics: Fear, catastrophic reactions, communication, continuity of care
Audience: Nursing assistants and other staff in long-term care, assisted living and day care
This DVD is part of the “Alzheimer’s Disease: A World of Fear” series.
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