By Emile Franssen, Liduin Souren
A guide to supplying nursing care in the course of the sensible decline of Alzheimer's sufferers, emphasizing find out how to overview the sufferers' competence at every one degree and make allowance them to take as a lot care of themselves as attainable.
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Additional info for Broken Connections, Alzheimer's Disease, Part 2: Practical Guidelines for Caring for the Alzheimer Patient
Do up shoelaces . put belt through loops of trousers or skirt . g. not a bra with a front fastening if patient is used to a back fastening; avoid big divergence from style of clothes patient is used to √ allow the patient plenty of time to dress √ let him do as much as he can himself √ be present in the background √ give him sincere compliments on his clothes √ casually take over actions which confuse the patient √ avoid taking hold of the patient unexpectedly or roughly (this arouses resistance) √ lay the table for two people √ clear the table taking one thing at a time in both hands √ put vase of flowers and serving dishes on the table √ take account of table-companions √ continue acquired table manners √ serve himself during the meal √ pass a dish during the meal √ use table napkin to wipe off mouth, chin, fingers 47 48 CHAPTER 2 Remind and encourage patient to Intervene observe for and prevent Partial take-over Total take-over √ cut food into small pieces with a knife √ eat and drink without making a mess √ chew thoroughly √ whilst chewing notice something inedible and take it out of the mouth √ finish each mouthful completely √ move and pick up food with a fork √ dish out and dish up food with a spoon √ drink out of a cup, mug, glass √ suck liquid through a straw √ put food into the mouth with the fingers √ lick up something with the tongue √ take something to eat or drink if hungry or thirsty √ wear the necessary glasses, hearing aid and dentures during the meal √ perform all necessary actions described above when necessary √ drink at least three pints of liquid a day √ taking too hot or too cold food √ choking √ let him eat with his own familiar (solid) cutlery √ in a restaurant read out the menu and help in making a choice √ see that there is food which guarantees the daily need of carbohydrates, fats, proteins, vitamins and minerals √ vary the menus for the meals √ eat three times a day at set times √ be responsible for a comforable room temperature √ see that the food is served at the right temperature √ take the patient out to a restaurant √ look after use of medicines: SUPERVISION AND STIMULATION Attitude What the patient can do himself .
This avoids thickening and hardening of motions . regular meals . diet containing sufficient fat and fibers √ in the event of constipation massage above the buttocks and abdomen from the right-hand groin region via the upper abdomen to the left-hand groin region Outside his own home: √ check: . quick and easy access to toilet and if necessary accompany patient to toilet door . good light on the way to the toilet and absence of obstacles . presence of handrail along stairs if toilet is on another floor .
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.