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Care Services > 00 eBooks > 01 Dementia Care Handbook

01 Dementia Care Handbook

Free Forms, caregiving nursing forms, policies, Licensing, Training, Management, Elder Care, Assisted Living, Alzheimer's, ALF

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Documents in 01 Dementia Care Handbook (103)

Activities that a resident with Dementia may do.

Excerpt:
The staff and volunteers of this facility interact as helpfully and meaningfully as possible with our residents with dementia, and provide social and recreational services, as opposed to medical therapy.  Our goals are as follows:

To provide opportunities for residents to engage in a program of socialization and activities in a supportive setting to maximize their remaining intellectual and social abilities;

To use trained and sensitive volunteers as program staff; ... Activities for Dementia Residents
This document includes a list of files that contain special care information for caring for residents with special needs. 

Excerpt:
The special care needs for your specific residents should be added to this section as you learn their needs.  Much of the information needs to be read before a person start working with residents.  The following files contain special care information, for caring for residents with special needs. Activity - Special Care
Summary of environmental factors and diversion techniques when dealing with residents who may have dementia or Alzheimer's. Good quick resource for caregivers. Agitation and Elopement Preventative Measures for Care Givers & Care Facilities
Free handbook by ABA on Alzheimer's and dementia resident assessments Alzheimers and dementia resident assessments
Overview of the symptoms, assessment of psychosis, warning signs and treatments for Alzheimer's disease. Alzheimer's Disease - General Overview
A form used by a care facility, or at a person's home to check areas of the facility for possible safety issues for residents with Dementia and/or Alzheimer's disease. Good for safety prevention measures for alzhimer's care. Alzheimer's Safety Check List for Nursing Homes, Residential Care Facilities, Home Care
The normal care standard is for the residential care home or assisted living facility to have an ongoing care plan.  Significant changes in a resident's physical, social, and mental condition need to be documented and brought to the attention of the attending physician, other health service providers and the responsible party so that the care plan adjusted accordingly to the resident's needs.  

All direct care staff involved with that resident should have access to the care plan.  Family members and the residents' responsible parties should participate in the Appraisal Needs and Service Plan, which specify what the plans of care are for that resident.

Excerpt:
Once we have completed the assessment process then we can create a plan of care.  

Care Plans:

Identity Resident Problems and Risk Factors

Create a plan to resolve the problem(s), and reduce the risk factor

List who would be responsible for implementing the solution or over seeing the plan..... Appraisal Needs and Service Plan
Form to record needs, plan and time frame. Appraisal Needs and Service Plan Form
This article addresses the importance of assessing residents' basic mental traits prior to admission in a Care Facility.  
Excerpt:
A small mental health section is included on the Pre-Admission Appraisal Assessment Form.  If the answers received indicate the prospective resident has some confusion or other mental problems, the Mental Assessment Questionnaire and Mini-Mental Worksheet should be completed.  These forms should give the person doing the assessment a basic history of the mental health of the potential resident as well as an idea of what kind of observation services the resident will need.  If the provider takes residents who are confused or who have some degree of mental illness this type of information is essential. 
Residents who have a history of being sexually inappropriate or assaultive are often difficult to place.  For this reason Assessing Basic Mental Traits
List of possible stressors, disruptive warning signs and indicators of illness leading to agitation in persons with dementia or Alzheimer's. Behavior Observation
Covers types of behavior and personality disorders associated with Alzheimer's disease and dementia. Behavior Problems
Form used to document a problem behavior for residents with Alzeheimer's disease, including time, place, who was involved, who was contacted. Behavior Report Form
Care giving ethics really is the root of all care services.  The heart and soul of a business is found in its values. Good values are essential to proper care giving.  ProvidersWeb's Caregiver Code of Ethics was created with the cooperation of residents, family members, assisted living staff, medical advisors and others. Care Giver Ethics
Examples of care planning for a resident's emotional needs. Care Planning for Emotional Needs - Help Documenting a Resident's Emotional Needs
Examples of care planning for a resident's or patient's functioning needs. Used by caregivers and care facilities. Care Planning for Functioning Needs for Care Facility Residents & Patients
Examples of care planning for a residents mental needs. Care Planning for Mental Needs for Residents in Care Facilities
Examples of care planning for a residents physical needs. Care Planning for Physical Needs for Residents in Care Facilities
Examples of care planning for a residents social needs. Care Planning for Social Needs
A individualize service plan or care plan form developed by ProvidersWeb.com to create a comprehensive care plan for a resident living in a care facility or this care plan can be used in a private home with home care.  This is a 9 page form which covers many areas.  This form work well with the Pre-Admission Appraisal Form and the Levels of Care form. Also, providers find the Care Conference form helpful to use when meeting with the resident's family of responsible party.  The form can be used by all types of care facilities to assist in planning for a resident's specific care. Complete Care Plan Form Planning Resident Care Needs in a Care Facility or Home Care
Free guidelines for development and maintenance of a Comprehensive Hydration Program in your nursing home facility. Components of a Comprehensive Hydration Program
Crushing medications can be deadly.  This important document discusses appropriate procedures to be followed in order to crush medications in a Residential Care or Adult Assisted Living Facility.

Excerpt:
A good example would be a diabetic medication.  In cases such as these, before the medication can be crushed and put into food or drink, the following things must occur: Crushing Medications
Article which addresses having a delayed egress system in a residential care facility to retain residents who may wander.

Excerpt:
There are many different types of systems on the market that are designed to delay egress through perimeter exit doors and gates.  They are generally used to help retain residents who may wander or are slightly confused.

The state licensing agency may require.... Delayed Egress
A great poster to be placed on all doors and gates which have a delayed egress system in place. Delayed Egress Door Poster
This glossary supplements the Dementia Care Handbook. Dementia Care Glossary
Cover for the ProvidersWeb Dementia Care Handbook. Dementia Care Handbook Cover
This Dementia Care Handbook will assist you and your staff in giving person centered care to residents with dementia or Alzheimer's. 

Excerpt:
The caregiver needs to create care management techniques for each Resident's needs, circumstances, conditions and risks.  The first part of this book gives an overview of Alzheimer's and Dementia Care.  The rest of the book is divided into groups of tools to assist you in each area.  This handbook is divided into the following eight areas:  

~Environment
~Assessment
~Care Plan
~Care Services
~Medications
~Activities
~Dietary
~Caregiver Training

The tools are essential to use when planning to provide care for someone suffering from dementia or Alzheimer's. We can diminish some of the symptoms of the disease and even prevent injuries if we plan right.

This book is a good start... Dementia Care Handbook eBook - ISBN 1-889226-24-6
Publication page for the ProvidersWeb Dementia Care Handbook. Dementia Care Handbook Publication Page
Table of Contents for ProvidersWeb Dementia Care Handbook. Dementia Care Handbook Table of Contents
Preface for the ProvidersWeb Dementia Care Handbook. Dementia Care Preface
A check off list to insure that your facility is completing and/or using the Dementia Care Program correctly. Dementia Care Program Check Off
Test given to staff to assess their knowledge of the symptoms of Alzheimer's disease and how to handle residents with Alzheimer's disease. Dementia Care Staff Test
Free resource links for information on residents with verbally and physically aggressive dementia or Alzheimer's. Dementia Solutions
Link to training for disaster situations involving residents with dementia. Disaster Situations & Dementia Care
This great document covers basic medical information regarding the types, use and effects of psychoactive medication on residents of a Care Facility.  Great staff training tool.

Excerpt:
The intention of the law is to allow for each person to reach and maintain his/her highest possible state of well being in an environment that prohibits the use of chemical restraints for discipline or staff convenience, and limits the use of chemical restraints to circumstances in which the resident has medical symptoms that warrant the use.  Psychoactive medications should only be used when... Effects of Behavioral Medications
Form used by residential care and assisted living care staff to document the use of a physician prescribed behavior medication for a resident. Facility - Physician Plan for Behavior Medication Use
Fall prevention and safety check list to audit your facility. Fall Prevention and Safety Check Off List
Links to FDA Food sites, or sites about dietary. FDA Food Links
The Food Guide Pyramid was designed to help healthy people stay well. The pyramid contains information about food intake that is useful to many people of all age groups.  This free article is a great overview of the pyramid. Food Pyramid
When an accident occurs, a basic head to toe survey should be conducted.  This document exlains how to assess an emergency situation or injury by doing a head to toe survey of the body. This is a useful tool for all caregivers.  

Excerpt:
First Aid Provider Physical Assessment
When EMS is readily available and an initial assessment has been completed (ABCs), the First Aid Provider may wait for the EMS to perform the physical assessment. This is acceptable and may be desirable. The physical assessment is designed to identify signs and symptoms of illness or injury. Head to Toe Survey
Incontinent Care Policies and Treatment Guidelines.  This information is useful for training and inservices on incontinent care for residential care facilities.  The basic problem and treatment for each type of incontinence is described and link to other Policies Procedures for Residential Care & Assisted Living Facility staff. 

Excerpt:
Bowel and bladder control are essential to the well being of the body.  Control aids with normal functioning in daily activities of living, maintenance of an independent life style, and continued social interaction.

Withholding fluids is NOT good for the resident or their urinary track system, therefore is not recommended.  In fact you can usually... Incontinence Care and Treatment Policy Procedure Residential Care Assisted Living
Form used to review individual resident's progress with activities. Includes sections such as current participation level, social interactions, challenges, and goals. Individual Activity Plan Review
Links to the Kingston Assessments for residents with dementia. Kingston Assessment Links
This Levels of Care Assessment Form was designed to assist the caregiver or admission coordinator to help determine the level of care a resident may need.  This form is simple to use - any assisted living staff could complete it.  Upon admission, the resident will be assessed for the Level of Care Service that needs to be provided.  After admission, if there are increases or decreases in the Level of Care this form can be updated and the corresponding Level of Care Rate can be applied. Levels of Care Assessment Form
List of long-term care services.

Excerpt:
The following long-term care services for the elderly are available in various areas of the State.  The local Area on Aging has the telephone numbers, address and service information for many of these organizations.
 
When a resident shows signs of needs, which must be met by outside community agencies, the following list should be utilized. Long Term Care Community Based Services Checklist
A good form used to help staff assess a resident's mental capacity and potential behavior problems prior to admission to a residential care or assisted living facility. Mental Assessment Questionnaire
The resident has the ability to make decisions about his/her care and supervision needs, unless the resident has been legally declared by a court to be incompetent.  This document deals with assessing a resident's mental capacity or lack of mental capacity to make informed decisions.

Excerpt:
If the resident is not under guardianship, and doesn't have a conservator and the resident is able to truly process the information, the resident has the right to make decisions for him/herself. If the resident chooses to claim their Right of Refusal, and the risk of personal harm to the resident has increased, a Refusal of Treatment needs to be documented and the responsible party and attending physician notified. Mental Capacity to Make Informed Decisions
This form is used by community-based care facilities to help assess a resident's mental status.  It is a layman's tool only and it is not to be used to make a medical diagnosis. Mini-Mental Worksheet
A form to be used for a resident who is reported missing. Missing Person Report
A form to keep track of maintenance checks and services. Monthly Maintenance Check and Service
A form used in a Care Facility to chart a residents moods and behavior through observation and direct quotes. Mood and Behavior Log
Learning how to use and read non-verbal communication when dealing with residents who have dementia or Alzheimers. Non-Verbal Communication - The Key Factor in Communication
Extensive article from the FDA providing information on causes of poor dietary intake in older adults. Nutrition and Older Adults
Free resource links on nutrition. Nutrition Links
A form used by a community-based care facility to assess a resident's nutritional intake.  List of areas to monitor, medical problems related to eating and nutrition, and common signs of malnutrition. Nutritional Assessment Form
Residents with Alzheimer's or Dementia have special nutritional needs. Nutritional Needs - Dementia Care
A Mission Statement for a Dementia Care Program.  

Excerpt:
Philosophy
We believe that interactive activities, good food, well-trained staff, and ensuring the safety and well-being of our mentally impaired residents is of utmost importance.  Our aim is to provide an environment that ultimately enriches their lives.

Mission Statement... Our Dementia Care Program
A form used in a Care Facility to monitor an individual resident's level of pain. Pain Level Report - Medication Effects
The importance of pain management in residents with Alzheimer's or Dementia.  

Excerpt:
According to the Alzheimer's Association  Pain Management with Dementia Care
A free form used to assess a resident's pain through non-verbal communication.  Great form for residential care homes for dementia. PAINAD Assessment
A form used along with the PAINAD Assessment to determine a residents level of pain using non-verbal communication. PAINAD Form
A free article on the importance of Care Planning with each individual resident in mind.  

Excerpt:
To know another's language and not his culture is a very good way to make a fool of one's self.  ~ Winston Brembeck

It is essential that we take into consideration the person as an individual when we try to Person Centered Care
Plan for daily activities for a resident with Dementia.

Excerpt:
ProvidersWeb strongly recommends that care providers use the link below to learn the appropriate method for designing activities for residents with dementia including: ... Personal Daily Activities for Residents with Dementia
A great form that is completed by the resident's physician prior to admission to a Residential Care Facility.  This form is more detailed than the usual state's form, and most likely will help the care provider better assess the resident's potential for admission. Physician's Report (Form)
Information and many useful links on information you must know when planning to accept Dementia residents at your facility.  

Excerpt:
The research and experts concur that the first step in prevention is Person-Centered Care, which is care tailored to the abilities and changing needs of each resident. 

Make sure you know a residents complete medical history before admitting him/her to your facility.   YOU MUST DO A MEDICAL BACKGROUND CHECK, YOU MUST FIND OUT ABOUT THE RESIDENT'S CARE NEEDS.  Many, many lawsuits stem from providers trying to take care of someone beyond their training.  Remember, if you Planning for Dementia Care
A free body chart that you can print and laminate.  May be used by residents that are unable to communicate (due to dementia or other cognitive impairments) his/her pain location. Point to Where You Hurt (Body Chart)
Reading body language and posture as a form of non-verbal communication involving residents.  

Excerpt:
It is said that the brain gives voice to all its feelings through the contraction of muscles.   It is certain that we could not non-verbally communicate if our muscles couldn't move. 
Body movement is called Positive & Negative Body Language & Posture
Reading eye contact as a form of non-verbal communication involving residents.

Excerpt:
When we want to be observant, we use our eyes.  Eye contact conveys that you are listening to the person.  You are giving respect to the person when you listen with your eyes.  Eye contact can be deep and long when two people are in love.  Eye contact demonstrates intimacy, attention and social influence.   It is said the person with the most superiority will look away last.

Eyes can reveal... Positive & Negative Eye Contact
Reading facial expressions as a form of non-verbal communication involving residents.  

Excerpt:
Research by Psychologist Paul Ekman and others has shown that many main facial expressions are universal among cultures.  Universal facial expressions include: 
Anger, Disgust, Doubt, Fear, Happiness, Neutral, Sadness and Surprise.

Facial expressions tend to appear in cooperation with... Positive & Negative Facial Expressions
Reading hand gestures as a form of non-verbal communication involving residents.  

Excerpt:
Cultural & Other
Hands on hips - readiness or aggression
Hands in pockets - dejected or maybe its just cold
Playing with hair can indicate... Positive & Negative Hand Gestures
Reading voice tones as a form of non-verbal communication involving residents.  

Excerpt:
The more threaten an animal becomes the lower its voice gets.   

The softer the pitch the more friendliness we feel.  Silence can also be used to emphasis.  Silence can be used for positive or negative results.  It often provides a link between sentences.  It can create tension, or a spiritual atmosphere.  Silence is often used by judgmental people to give them time to discern favor or disfavor.

Para-language includes:... Positive & Negative Voice Tones
A resident can get confused and wander away at anytime. This Potential Wanderer Risk Assessment Form is used to help evaluate the potential for a resident to wanderer away from a community-based type care facility. Potential Wanderer Risk Assessment Form
One of the most important forms to complete prior to accepting a resident for care.  This form works well for all types of care facilities.  This form has been developed over a 20 year period of time, with great updates added.  This form is a great tool for assisted living staff assessment and residential care facilities to help evaluate and assess a resident's health and care service needs prior to admittance to the facility.  

We cannot stress enough how important it is to assess a potential resident correctly, prior to accepting them for admission.  Facilities need to make sure they can handle all the resident's care needs.

This multi-page detailed form is an excellent tool for caregiving staff to assist in the pre-admission process. See Levels of Care Form.  Skilled Nursing Facilities typical follow Medi-Care criteria. Pre-Admission Appraisal Assessment Form
Document on how to help prevent falls with special attention to safety issues and how to handle these issues. Preventing Falls
Consent Form used to document information and side effects to watch for when a doctor prescribes psychoactive medication. Psychoactive Medication Consent
This form is a check list for quarterly elopement drills.  Elopement drills are used to train staff on what to do in case a resident is missing.  It is not uncommon for residents with dementia or Alzheimer's to wander off.  Missing residents should be a considered a life threatening emergency. Quarterly Elopement Drill
Form used to plan and set goals for each residents activities.

Excerpt:
Personal Orientation and Relationships:	
Distinguishes Between Past & Present Events
Is Over Concerned With Self
Aware Of Surroundings
Accepts Personal Limits
Desires Recognition ... Resident Activity Goal Plan Review
Form used by resident's to indicate their preferred activities. Resident Activity Interest Form
Form used in assessing residents level of activity. Resident Activity Record Form
A form used to document falls, injuries, unusual incidents, home health visits, etc. in a Residential Care or Adult Assisted Living Facility.  Information documented should only include direct quotes, factual symptoms, etc. Resident Care Service Notes
This great ProvidersWeb form is used to document details of a resident's fall and how often the falls occur. Resident Fall Tracking Record
A form used by a Care Facility to follow-up on any unusual incidents, accidents, or even wandering away which involves a resident of the residental care facility. Resident Incident Follow Up Report for Care Facilities and Care Businesses
Form used to list resident's personal social data. Resident Personal Social Data
Form for documenting a resident's vital signs in a care facility. Resident Vital Signs Record
Form used to record an individual resident's visitation. Resident's Individual Visitation Record
Covers the use of medical devices such as geri-chairs and restraints and state laws regarding their use.  

Excerpt:
Restraints and Geri-Chairs are termed  Restraints
An important check off list for a resident's sensory care issues. Sensory Care Check Off
Supportive care for  residents with sensory loss can go unattended simply because the caregiver(s) is not educated about sensory loss.   The six Sensory Care subjects included in this document were developed to give those who work with seniors some basic knowledge and skills to assist those with sensory losses.

Excerpt:
Supportive care for these residents with sensory loss can go unattended simply because the caregiver(s) is not educated about sensory loss.   The following six Sensory Care files were developed to give those who work with seniors some basic knowledge and skills to assist those with sensory losses. Sensory Care Introduction
Sensory losses for older adults include Hearing, Vision, Taste, Smell, Muscle Motor Loss, and Loss of Touch.  Supportive care for these older adults and understanding their impairments is essential.

Excerpt:
Sensory losses for older adults include Hearing, Vision, Taste, Smell, Muscle Motor Loss, and Loss of Touch.    Supportive care for these older adults and understanding their impairments is essential.  The following six Sensory Care files were developed to give those who work with seniors some basic knowledge and skills to assist those with sensory losses. Sensory Care Training
A free checklist to see if a resident is showing signs of dehydration. Signs and Symptoms of Dehydration Checklist
This is an excellent document which covers essential skin care information.  Tips on caring for the skin when someone is incontinent, bedridden, overweight, dehydrated, etc. are explained. Skin Care Policy
It's important for residents with Alzheimer's and Dementia to be involved in Activities. This great document provides access to:
Customizable Activity Program
Resident Activity Assessments
Personalized Activity Plans
Resident Participation
Activity Communication
Activity Training Psychosocial Care 
Quality Assurance Social Engagement
A great document which covers the many requirements and concerns in caring for a resident with dementia or Alzheimer's with links to related forms and plans. Special Care for Persons with Dementia - Example Facility Plan
A Staff Training Check off - Dementia Care
This document covers similarities that occur consistently enough that it is possible to describe the disease in three major stages: early, middle and late. Stages of Alzheimer's Disease
Signs and symptoms of a resident who experiences Sundowning
Chart of serving sizes, daily serving requirements, what counts a a serving and selection tips. The Food Portion Guide
A group activity game. The Handy Dandy Game
A Free Activity Game used to describe person's characteristics. Unique Game
Free poster that allows the resident to visually point out the amount of pain he/she is in. Visual Pain Intensity Scale
This document explains the terminology for missing residents, supervisory guidelines, and procedures for care facility staff and caregivers to follow if a resident has wandered, is missing, or tries to leave the facility.

Excerpt:
This facility does not normally accept people who wander, or have a history of elopement or being missing.  We may however, have residents who have a diagnosis of Alzheimer's or Dementia.   These residents function just fine at our facility, and do not have a history of wandering or elopement. Yet, the caregivers need to realize that at any time any resident can get confused, and try to leave the facility, whether or not they have the diagnosis of Alzheimer's or Dementia.  Physical illness such as dehydration or a urinary tract infection can cause a person to get confused. Wandering, Elopement or Missing Resident Procedures
Introduction and detailed description of the ProvidersWeb Dementia Care Handbook. Welcome to ProvidersWeb's Dementia Care Handbook
Bacteria that cause disease are called pathogens. When certain pathogens enter the food supply, they can cause foodborne illness. Most cases of foodborne illness can be prevented. Here's a free document on how. What is Foodborne Illness?
A fun two part group activity game. What We Know
 
   
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