Florida-Approved Alzheimer’s and Dementia Care – Manual

Price : $95.00

This specialized curriculum is approved by the Department of Elder Affairs (DOEA) through the University of South Florida Training Academy on Aging for a period of three years. SeniorLivingU’s curriculum is an eight-hour course covering Level I and Level II (four hours each).

This manual, with a copyright date of 2018, is fantastic if you are looking to take a deeper dive into learning about the related diseases of Alzheimer’s and will assist you in the care of the residents with these disorders.

Table of Contents

CHAPTER 1: UNDERSTANDING ALZHEIMER’S DISEASE AND RELATED DISORDERS ……………………… 1

Learning Objectives ……………………………………………………………………………………………………………………………………….. 3

What Is Dementia? …………………………………………………………………………………………………………………………………………. 3

About Reversible Symptoms of Dementia …………………………………………………………………………………………………. 9

The Dementia Brain Is Different…………………………………………………………………………………………………………………12

Neurofibrillary Tangles and Amyloid Plaques ………………………………………………………………………………………..13

The Most Common Cause of Dementia — Alzheimer’s Disease …………………………………………………………. 14

Alzheimer’s Disease: Commonly Asked Questions ………………………………………………………………………………..15

CHAPTER 2: CHAR ACTERISTICS OF ALZHEIMER’S DISEASE…………………………………………………………………. 19

Learning Objectives ………………………………………………………………………………………………………………………………………21

Dementia: It’s Different for Each Person…………………………………………………………………………………………………..22

The Stages of Alzheimer’s Disease ……………………………………………………………………………………………………….22

Review: The Stages of Alzheimer’s Disease………………………………………………………………………………………..29

Agnosia: A Difficult Symptom………………………………………………………………………………………………………………..31

Check Your Understanding……………………………………………………………………………………………………………………..33

CHAPTER 3: COMMUNICATING WITH RESIDENTS WITH ALZHEIMER’S DISEASE ………………………….35

Learning Objectives ………………………………………………………………………………………………………………………………………34

The Effects of Dementia on Communication……………………………………………………………………………………………35

Damage to the Brain………………………………………………………………………………………………………………………………………36

Communication with Residents Who Have Dementia …………………………………………………………………………..37

Verbal Communication Skills …………………………………………………………………………………………………………………38

Strategies for Improving Your Verbal Communication Skills…………………………………………………………39

Sensory System Changes Affect Communication Skills for Residents with Alzheimer’s Disease…………………………………………………………………………………………………………………………… 44

Non‐Verbal Communication Skills ……………………………………………………………………………………………………….46

Non‐Verbal Communication for Residents with Dementia…………………………………………………………….. 47

10 Strategies for Improving Non‐Verbal Communication Skills …………………………………………………… 47

Validation® Method and Its Use in Communicating with Residents with Alzheimer’s Disease…….53

Memory Loss and Confusion—Using Validation®……………………………………………………………………………53

Avoid These Communication Pitfalls……………………………………………………………………………………………………55

Strategies for Communicating with Residents Who Are………………………………………………………………………56

Non‐Communicative or Non‐Responsive………………………………………………………………………………………………….56

An Additional Resource …………………………………………………………………………………………………………………………..56

DVD: “Communicating with Residents Who Have Alzheimer’s Disease”…………………………………….56

Check Your Understanding……………………………………………………………………………………………………………………..57

CHAPTER 4: FAMILY ISSUES…………………………………………………………………………………………………………………………….59

Learning Objectives ………………………………………………………………………………………………………………………………………60

Who Are the Family Members of Assisted Living Residents? …………………………………………………………….. 61

Be Prepared to Meet New Residents and Their Families ……………………………………………………………………..62

What Can You Do to Help ……………………………………………………………………………………………………………………………..62

Family Members Experience Stress …………………………………………………………………………………………………………..64

Interacting with Frustrated Family Members …………………………………………………………………………………..65

Strategies for Assisting Frustrated Family Members………………………………………………………………………65

When Frustration Builds ………………………………………………………………………………………………………………………..66

How Can I Help Family Members Who Are Experiencing Stress? …………………………………………………67

Strategies for Involving Family Members ………………………………………………………………………………………………..68

Involving Families Who Do Not Live in Your Area ……………………………………………………………………………70

Grief and Loss………………………………………………………………………………………………………………………………………………….71

Coping With the Losses Caused By Dementia ……………………………………………………………………………………71

The Five Stages of Grief and Mourning………………………………………………………………………………………………..72

Attitudes Toward Loss and Death………………………………………………………………………………………………………… 74

Caregiver Response and Support in Each of the Five Stages ………………………………………………………….75

Check Your Understanding…………………………………………………………………………………………………………………….. 76

CHAPTER 5: MAINTAINING AN APPROPRIATE ENVIRONMENT FOR

RESIDENTS WITH ALZHEIMER’S DISEASE…………………………………………………………………………………………………..77

Learning Objectives ………………………………………………………………………………………………………………………………………79

Structure and Routine…………………………………………………………………………………………………………………………………..80

Dementia‐Capable Caregivers Must Be CREATIVE ………………………………………………………………………………..81

The Assisted Living Environment and Dementia …………………………………………………………………………………..82

Using Outdoor Space ………………………………………………………………………………………………………………………………..83

Resident Security: A Specialized Dementia Care Program in Assisted Living ……………………………….84

The Resident’s Right to a Safe Environment ………………………………………………………………………………………85

Three Common Causes of Resident Incidents…………………………………………………………………………………….85

Play it Safe: Form a Safety Committee ………………………………………………………………………………………………………89

Monthly Safety Rounds……………………………………………………………………………………………………………………………89

Incident Reports – Tracking and Trending ………………………………………………………………………………………………94

Using the Analysis to Improve Safety ……………………………………………………………………………………………………….94

Check Your Understanding……………………………………………………………………………………………………………………..95

CHAPTER 6: ETHICAL ISSUES AND ALZHEIMER’S DISEASE …………………………………………………………………..97

Learning Objectives ………………………………………………………………………………………………………………………………………98

The Philosophy of Assisted Living……………………………………………………………………………………………………………..99

What Does It Mean to Encourage Independence? …………………………………………………………………………. 100

What Does It Mean to Maintain Dignity?…………………………………………………………………………………………. 102

What Does It Mean to Promote Individuality?……………………………………………………………………………….. 104

Ethical Principles of Care …………………………………………………………………………………………………………………………. 105

ALZHEIMER’S & DEMENTIA CARE: FLORIDA EDITION LEVEL TWO…………………………………………………. 109

CHAPTER 1: BEHAVIOR MANAGEMENT ……………………………………………………………………………………………………. 111

Learning Objectives …………………………………………………………………………………………………………………………………… 112

Assessment: Problem‐solving Approach to Challenging Behaviors……………………………………………….. 113

Common Causes of Individual Problems ………………………………………………………………………………………… 114

What About the Caregiver …………………………………………………………………………………………………………………… 115

Challenging Behaviors Associated with Alzheimer’s Disease …………………………………………………………. 117

  1. 1. Thought Disturbances ……………………………………………………………………………………………………………………… 118
  2. 2. Emotional Difficulties………………………………………………………………………………………………………………………. 121

An Additional Resource DVD: “Agitation…It’s A Sign” ………………………………………………………………….. 122

  1. 3. Functional – Behavioral Problems………………………………………………………………………………………………… 123

Defining the Problem……………………………………………………………………………………………………………………………. 127

Strategies and Techniques for Dealing with Challenging Behaviors ……………………………………………… 128

Three Strategies for Changing a Resident’s Behavior…………………………………………………………………… 128

You Can Change the Environment …………………………………………………………………………………………………….. 132

Helpful Suggestions ………………………………………………………………………………………………………………………………. 134

Solutions for Difficult Behaviors ……………………………………………………………………………………………………….. 136

When a Resident Wanders………………………………………………………………………………………………………………………… 138

An Additional Resource DVD: “Wandering…Is It A Problem?” …………………………………………………… 139

Handling Inappropriate Sexual Behaviors……………………………………………………………………………………………. 140

The Right to Be Free From Restraints or Seclusion……………………………………………………………………………. 141

Diversional Activities as an Alternative to Restraints …………………………………………………………………. 142

Suggestions for Diversional Activities ……………………………………………………………………………………………… 143

Check Your Understanding………………………………………………………………………………………………………………….. 144

CHAPTER 2: ASSISTANCE WITH ADLS FOR RESIDENTS WITH ALZHEIMER’S DISEASE ……………… 145

Learning Objectives …………………………………………………………………………………………………………………………………… 146

Using Personal Care Strategies to Manage Resistance To Care……………………………………………………….. 147

Assisting with ADLs for Residents with Alzheimer’s Disease …………………………………………………………. 148

Another Resource DVD: Resisting Care…Putting Yourself in Their Shoes ……………………………… 156

Check Your Understanding………………………………………………………………………………………………………………….. 157

CHAPTER 3: ACTIVITIES FOR RESIDENTS WITH ALZHEIMER’S DISEASE ………………………………………. 159

Learning Objectives …………………………………………………………………………………………………………………………………… 160

The Purpose of Activities………………………………………………………………………………………………………………………….. 161

The Value of Activities……………………………………………………………………………………………………………………………….. 162

The Therapeutic Nature of Activities …………………………………………………………………………………………………….. 162

Anything Can Be a Great Activity ……………………………………………………………………………………………………… 164

What Activities Should Not Be …………………………………………………………………………………………………………… 165

Small Groups for the Memory‐Impaired ……………………………………………………………………………………………….. 166

Individual Activities…………………………………………………………………………………………………………………………………… 168

Stage‐Related Activities ……………………………………………………………………………………………………………………………. 169

Listening to Meet the Residents’ Needs ………………………………………………………………………………………………… 172

Check Your Understanding………………………………………………………………………………………………………………….. 173

CHAPTER 4: STRESS MANAGEMENT FOR THE CAREGIVER ……………………………………………………………….. 175

Learning Objectives …………………………………………………………………………………………………………………………………… 176

Taking Care of Yourself ……………………………………………………………………………………………………………………………… 177

About Self‐Care ………………………………………………………………………………………………………………………………………. 178

Examples of Self‐Care …………………………………………………………………………………………………………………………… 179

Five Things to Do for Yourself ……………………………………………………………………………………………………………. 180

What Happens If You Do Not Take Care of Yourself ?…………………………………………………………………….. 184

Check Your Understanding ………………………………………………………………………………………………………………… 185

CHAPTER 5: MEDICAL INFORMATION ………………………………………………………………………………………………………. 187

Learning Objectives …………………………………………………………………………………………………………………………………… 188

Medications Used to Treat Alzheimer’s & Related Dementias ………………………………………………………… 189

Treating Behavioral Symptoms ………………………………………………………………………………………………………………. 191

Medication and Its Effects ………………………………………………………………………………………………………………………… 195

The Importance of Good Nutrition …………………………………………………………………………………………………………. 196

Observing, Encouraging, Reporting, and Suggesting ………………………………………………………………………… 197

The Importance of Drinking Fluids………………………………………………………………………………………………………… 199

Water as a Nutrient……………………………………………………………………………………………………………………………….. 199

What Does Hydration and Dehydration Look Like? ……………………………………………………………………… 201

Your Role in Resident Fluid Intake ……………………………………………………………………………………………………. 202

Observing, Encouraging, Reporting, and Suggesting …………………………………………………………………… 202

Check Your Understanding………………………………………………………………………………………………………………….. 204

ANSWER KEYS FOR THE “CHECK YOUR UNDERSTANDING” REVIEWS ……………………………………………. 205

Additional information

Weight 1.5 lbs
Dimensions 11 × 9 × 1 in

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