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Care of Older Adults

SEXUALITY, INTIMACY, AND DEMENTIA IN RESIDENTIAL CARE SETTINGS

This 5-chaptered DVD brings forth a thoughtful, much needed exploration of sexuality, intimacy, and dementia, and the complex issues that impact residents, family members, and care staff. Through five 15- to 20-minute videos, the DVD looks at the relevant concerns of intimacy and sexuality on quality of life, freedom to express sexuality, capacity to consent, resident protections, and potential legal ramifications. It also touches on the needs of LGBT residents, how to address resident-to-resident and resident-to-visitor encounters, and how to find workable solutions with the support of family members.

The 5-DVD Chapters cover:
Part 1: The Effects of Dementia on Intimacy and Sexuality
Part 2: Responding to Sexual Expressions
Part 3: Consensual Intimacy and Sexuality
Part 4: Spousal and Family Responses
Part 5: Non-consensual Intimacy and Sexuality

This DVD poses many relevant questions, and is designed to equip care staff with a well-rounded understanding of the sensitive issues concerning intimacy, sexuality, and the rights of persons with dementia, as well as, how to respond to expressions of sexuality in a manner that promotes both resident dignity and safety.

DVD / 2017 / 78 minutes

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"BOB, I'M REALLY BUSY": THE IMPACT OF IMPERSONAL CARE ON THE WELL-BEING OF PERSONS LIVING WITH DEMENTIA

Through five short trigger scenarios involving assistance for a person living with dementia, this DVD presents care situations that will open up discussion on how best to provide resident-specific support and assistance. Each brief scenario is designed to demonstrate the impact of a caregiver's tone, actions, and level of sensitivity to the resident's needs. This up-close-and-personal look at caregiving will give caregivers a chance to dissect and analyze how they provide care, and foster a deeper understanding of how to interact positively with persons living with dementia.

DVD / 2015 / 12 minutes

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FEED HER WHILE SHE WALKS

When a resident won't sit long enough to eat, or insists on leaving, or wanders into potentially unsafe areas - what do you do?

This 20-minute DVD will help. Using real people and real situations, it offers thought-provoking insights into wandering behavior, and shows effective examples of providing person-centered care to residents who wander or insist on leaving. It also shows how an interdisciplinary approach to understanding and adjusting care to each resident's specific needs can promote independence and safety, and identifies environmental cues that can help deter wandering into unsafe or private areas (such as, another resident's room).

Includes strategies for:

Working with residents who wander at night

Working with residents who keep leaving the building

Working with residents who move items or get into things

Caregivers will be inspired to find creative, flexible ways to redirect and engage persons who wander or want to leave.

DVD / 2014 / 20 minutes

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"I'LL BE THERE FOR YOU" - PROVIDING PERSON-CENTERED DEMENTIA CARE

By Jett Jousma

Learn how person-centered care can positiviely impact each day for persons with dementia...

This DVD shows how to make a hands-on shift to person-centered dementia care that engages the whole person and creates a support system based on each resident's needs and preferences.

From natural wake-ups to music therapy, the DVD looks at the benefits of involving residents in their care as much as possible, finding ways to help them to "continue" living life the way they prefer, and engaging them in personalized activities that boost self-esteem and interaction. It also empowers nursing assistants to act upon (and communicate to other team members) their first-hand knowledge of each resident to ensure a better understanding of their care needs.

DVD / 2013 / 28 minutes

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PERSON-CENTERED DEMENTIA CARE: STORIES AND EXAMPLES

"Who is this person - without dementia? If we can tap into who this person is, we can help their adjustment, and the process that they go through." - from the DVD

Through hands-on stories and examples, this chaptered DVD shows the positive impact of person-centered care. When caregivers meet persons with dementia "where they are" and find creative and engaging ways to connect with each individual, based on their needs and preferences, life is better for both residents and staff.

The DVD includes the case study of Elaine, a resident who, for extended periods of time, attempts to leave the facility and go home. By pinpointing the importance of knowing the resident, it shows how her "exit-seeking" behavior is addressed and managed in the context of who she is and what she needs at that particular time.

The DVD also shows how to make life richer for the residents who have dementia by

personalizing their dining experience

encouraging use of remaining abilities

engaging them in creative activities

DVD / 2013 / 29 minutes

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HE WOULDN'T TURN ME LOOSE: THE SEXUAL ASSAULT CASE OF 96-YEAR-OLD MISS MARY

This DVD presents the real-life case of 96-year-old Miss Mary, who was financially exploited and later, sexually assaulted by her grandson. Miss Mary had been living with her grandson and his wife for five years during which financial abuse took place. Then, one evening, when his wife was out, the grandson sexually abused Miss Mary for several hours, leaving her bruised from head to toe.

After the attack and hopitalization, Miss Mary was placed in a nursing home under the name "Jane Doe" for safety reasons. Miss Mary's family refused to believe her and refused to support her; her primary social interactions were with staff and resisdnts of the nursing home, and the advocates she met after the assault. However, Miss Mary retained her strength of character, and fully participated in the subsequent trial and prosecution of her grandson.

Through interviews with Miss Mary, various professionals involved in investigating and trying the case, and with victim advocates who helped Miss Mary, the DVD reveals some of the dynamics involved in this case, and how it was successfully brought to trial and prosecution.

DVD (Closed Captioned) / 2012 / 28 minutes

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MORE THAN WORDS: A NEW CULTURE OF CARE AND COMMUNICATION WITH PERSONS WHO HAVE DEMENTIA

This culture-changing DVD demonstrates (though real interactions) how person-centered care and knowledge of the resident can reduce dementia-related episodes, such as, sundowning and aggressive-protective reactions when bathing, and wanting to leave.

As it pinpoints the crucial role of the CAN as caregiver and friend, it also shows the importance of communicating directly, and creating a true "relationship" with persons with dementia. Caregivers will learn valuable tips to redirect and lessen anxieties for persons with dementia while preserving their personal autonomy and dignity.

The DVD covers:

Building and maintaining a relationship

Dealing with difficult situations

Communicating to show respect

Accepting their reality

Respecting the person's preferences

Encouraging use of remaining abilities

DVD / 2011 / 25 minutes

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INTO THE OTHER LANE: DRIVING AND DEMENTIA

This two-part DVD presents a compassionate, yet realistic portrait of the many issues faced by persons with dementia, (and their caregivers) when a decision has to be made about giving up driving.

Part One
Stories shows the real stories of five persons with dementia, and the impact that no longer being safe to drive makes on the autonomy and self-esteem of the person with dementia, as well as, the effects on family relationships and life styles. The stories are four to eleven minutes long, and put a human face on how it feels to be told that you can no longer drive, and how it feels to be a caregiver in this emotionally-charged process.

Part Two
Related Issues includes helpful insights from healthcare and driving safety professionals on how Alzheimer's affects driving ability, how to initiate the conversation about driving cessation, transportation options, and what healthcare specialists can do to help facilitate the situation for both the person with dementia and the caregiver.

DVD / 2010 / 56 minutes

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IS IT THE RIGHT TIME? THE NURSING HOME DECISION

This follow-up DVD to More Than a Thousand Tomorrows (the story of Betty and Everett Jordan's struggle with Alzheimer's Disease) deals with the tough decision of nursing home placement, and how the Jordan family struggled with that decision.

In this DVD, Is it the Right Time? The Nursing Home Decision, several of Everett and Betty's children participate in a social worker-facilitated discussion of how that decision was made and how the communication regarding the decision might have been better handled. Their frank and honest questions and answers shed light on the importance of keeping open the lines of family communication around the timing of this very emotional and difficult decision.

DVD / 2010 / 13 minutes

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ASPIRATION IN OLDER ADULTS WITH DYSPHAGIA

Dysphagia, or difficulty in swallowing, can occur as a consequence of aging, or due to physical or cognitive changes. This DVD explains the 4 stages of swallowing, the warning signs of aspiration, and offers care techniques that can be used to reduce the risk of aspiration while hand feeding or tube feeding. The DVD also stresses the importance of good dental hygiene and denture care, body positioning when feeding, and how to select an appropriate risk-reduction intervention.

DVD / 2009 / 47 minutes

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ASSESSING FAMILY PREFERENCES FOR PARTICIPATION IN CARE IN HOSPITALIZED OLDER ADULTS

The involvement of family members in the care of the hospitalized older patient can provide tremendous benefits and boost recovery outcomes; not only do family members share vital care information, but they offer emotional and spiritual support to the older adult. The Family Preferences Index will enable caregivers to determine how much family members want to help, or the extent to which they are capable of helping. This collaborative effort can improve overall communication, and establish a more effective care plan. Suitable for hospital, skilled nursing, rehabilitative, and home health settings.

DVD / 2009 / 36 minutes

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ASSESSING NUTRITION IN OLDER ADULTS

Due to any number of physical, social, medical or environmental factors, older adults are often at risk for poor nutrition. Developed to assess nutritional status in older adults, the two-part Mini-Nutritional Assessment (MNA) is a valuable resource to identify older adults that are at risk for malnutrition. This DVD demonstrates the assessment process, as well as, how to measure arm and leg circumferences, and compute body mass index. The DVD also documents specific risk factors for older adults, and offers an accurate, age-appropriate assessment that care providers can use to develop an effective nutritional plan for the patient.

DVD / 2009 / 34 minutes

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BEERS CRITERIA FOR POTENTIALLY INAPPROPRIATE MEDICATION USE IN OLDER ADULTS

Recently published studies confirm that inappropriate medication use remains a serious problem for older adults. This DVD provides a case study, using the BEERS criteria, for assessing and monitoring the multiple medications in an older adult patient. The DVD will help to train staff to be aware of the various safety and wellness issues involved when multiple medications are prescribed for older adults.

DVD / 2009 / 40 minutes

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BRIEF EVALUATION OF EXECUTIVE DYSFUNCTION: AN ESSENTIAL REFINEMENT IN THE ASSESSMENT OF COGNITIVE IMPAIRMENT

Understanding a patient's ability to safely and adequately care for himself/herself after discharge is critical in the ongoing safety and care management of older adults. This DVD covers the components of executive function: concept formation, flexibility, and self-monitoring, and discusses specific reasons to screen for executive dysfunction, which may not be readily detected in routine cognitive screening tests. Care providers will also find suggestions on how to secure the most accurate test results.

DVD / 2009 / 36 minutes

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COMMUNICATION DIFFICULTIES

Although dementia may reduce expressive and receptive abilities, persons with cognitive loss are still able to communicate long after language abilities and understanding diminish. This DVD discusses ways to assess the expressive and receptive skills of older adults with dementia or other medical conditions. It offers a number of interventions caregivers can apply, including the use of a 9-question assessment and intervention tool that promotes better overall communication and patient safety.

DVD / 2009 / 41 minutes

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DELIRIUM: THE UNDER-RECOGNIZED MEDICAL EMERGENCY

Despite its prevalence, delirium often goes unrecognized. Documenting two episodes of delirium—one in a patient with no underlying cognitive impairment, and one with some signs of memory loss—this DVD identifies the 4 key elements of the Confusion Assessment Method (CAM) for assessing delirium. The DVD also explains Delirium Superimposed with Dementia (DSD), distinguishes between hyperactive, hypoactive, and mixed delirium, and documents the factors that increase risks for delirium.

DVD / 2009 / 51 minutes

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EATING AND FEEDING ISSUES IN OLDER ADULTS WITH DEMENTIA

Older adults with dementia often have an added risk of poor nutrition and hydration, due to cognitive loss. The Edinburgh Feeding and Dementia Scale equips caregivers to observe the older adult for eating or feeding difficulties, and target specific interventions that increase nutritional intake.

Includes suggestions on when and how often to do an assessment to ensure accuracy. Caregivers will also find helpful insights on how an older adult's ability to eat is affected by late-stage Alzheimer's.

DVD / 2009 / 38 minutes

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ELDER MISTREATMENT ASSESSMENT

Elder abuse or mistreatment can take on various forms that often go undetected. The Elder Assessment Instrument (EAI) is designed to help caregivers identify possible abuse, neglect, exploitative, and abandonment indicators. The DVD encourages a team approach in incorporating elder abuse screening in the general older adult health assessment, and takes a realistic look at the potential challenges associated with an accurate assessment, such as patient restriction on sharing of information, and limiting caregiver presence during assessment.

DVD / 2009 / 39 minutes

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FALL RISK ASSESSMENT (HENDRICH II)

Falling can pose a serious health risk to older adults in acute, home, and institutional environments…Using the Hendrich II Fall Risk Model, this DVD demonstrates how to assess patients for strength and mobility, extrinsic and intrinsic fall risk factors, and cognition. It also stresses the importance of assessing risk factors when conditions change, as well as, how to reduce fall risks by properly interpreting the assessment, and applying appropriate interventions.

DVD / 2009 / 34 minutes

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FULMER SPICES: AN OVERALL ASSESSMENT TOOL FOR OLDER ADULTS

Developed by Terry Fulmer, PhD, RN, FAAN, at New York University College of Nursing, Fulmer SPICES is an efficient tool designed to guide critical thinking and overall assessment in the approach to care for older adults. This preventive-minded resource can be used in home and professional settings, and analyzes six specific areas of concern:

1. sleeping problems
2. problems with eatting and feeding
3. incontinence
4. confusion
5. evidence of falls
6. skin breakdown

DVD / 2009 / 20 minutes

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GERIATRIC DEPRESSION SCALE (GDS)

This training DVD demonstrates the importance of improving quality of life by assessing and treating depression in older adults. It provides potential ways to treat the depression, as well as, how to recognize the range of symptoms, and properly interpret the assessment (even when dealing with severely withdrawn or hesitant persons). The DVD also discusses how multidisciplinary staff can communicate and adapt these findings toward an effective Plan of Care.

DVD / 2009 / 28 minutes

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HOROWITZ IMPACT OF EVENT SCALE: AN ASSESSMENT OF POSTTRAUMATIC STRESS IN OLDER ADULTS - REVISED

Post-traumatic Stress Disorder (PTSD) can affect an older adult's coping ability and sense of well-being; it is often difficult to discern, and may surface as a physical complaint with no immediately identifiable medical cause. The DVD shows how to apply the revised Horowitz Impact of Events Scale to measure response to trauma so underlying issues can be addressed. The DVD also documents how to identify risk factors, and establish appropriate treatments--including cognitive behavioral, exposure, and solution-focused therapies.

DVD / 2009 / 40 minutes

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HOSPITAL ADMISSION RISK PROFILE, THE (HARP)

Continued activity is crucial to maintaining basic functioning. Ideally performed upon admission, the Hospital Admission Risk Profile (HARP) assessment can help caregivers to recognize older adults who may be at risk for functional loss so they can provide appropriate interventions to reduce basic ADL decline during hospitalization. The DVD outlines the importance of movement to patient recovery, provides strategies to keep patients active, and explains the age, cognitive, and functional parameters that help to determine risk.

DVD / 2009 / 43 minutes

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KATZ INDEX OF INDEPENDENCE IN ACTIVITIES OF DAILY LIVING

The Katz Index is a direct-observation assessment tool that measure a patient's ability to independently perform six basic activities of daily living in the following areas:

bathing

dressing

toileting

transferring

continence

feeding

This DVD encourages maximizing the person(s) functional status, while evaluating their actual capabilities to safely perform these daily tasks. It also identifies multiple factors that can affect older adult functioning, and discusses limitations in performing ADL's in community and instituational settings.

DVD / 2009 / 28 minutes

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LAWTON INSTRUMENTAL ACTIVITIES OF DAILY LIVING SCALE, THE

Used to assess independent living skills that are considered more complex than the six basic Activities of Daily Living, the Lawton Instrumental Activities of Daily Living Scale (IADL) gives care providers a reliable tool to objectively evaluate an older adult's ability to live and function independently and safely. The IADL measures skils in the following areas:

telephone use

shopping

food preparation

housekeeping

laundry

transportation

medication management

financial management

DVD / 2009 / 40 minutes

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MENTAL STATUS ASSESSMENT (MINI-COG)

Using the case of an 89-year-old woman who is experiencing mild cognitive impairment after a fall, this DVD discusses when and how to administer and interpret the Mini-Cog to screen for potential causes. The DVD also explains the difference between delirium and dementia, and addresses ongoing safety and lifestyle issues that can improve quality of life for older adults.

DVD / 2009 / 31 minutes

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MODIFIED CAREGIVER STRAIN INDEX, THE

Caring for a family member can bring on a gamut of emotional and physical strains that affect the health of the caregiver and the quality of care they are able to provide. The Modified Caregiver Strain Index (CSI) is an assessment tool designed to both measure the stress of caregiving, and to highlight areas that the family caregiver should address. It explores the 4 Domains of Caregiving – physical, psychological, financial, and personal, and provides a framework in which care professionals can help family caregivers to acknowledge and address these specific areas.

DVD / 2009 / 32 minutes

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OLDER ADULT SEXUALITY: A CONTINUING HUMAN NEED

This timely DVD provides an effective training tool caregivers can use to assess the sexual needs and issues that affect older adults. It offers sensitive ways to ask necessary questions, and help the older adult to overcome hesitations about expressing their needs or concerns. The DVD also discusses changes associated with aging for both men and women, and encourages an open, but non-assuming approach to communication that will enable care providers to establish supportive care plans that allow older adults to continue the healthy expression of sexual desires.

DVD / 2009 / 37 minutes

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PAIN ASSESSMENT IN OLDER ADULTS

Chronic pain is often a concern for older adults. Using a variety of assessment tools, this DVD will help caregivers to evaluate the presence and severity of pain, whether the patient is able to verbalize it or not. This DVD demonstrates how to assess for pain in older adults, using these four tools: the Faces Pain Scale, the Verbal Descriptor Scale, the Numeric Rating Scale, and the Pain Assessment in Advanced Dementia Scale. The DVD goes further to document how to assess and re-evaluate the effectiveness of the applied interventions, as needed.

DVD / 2009 / 64 minutes

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PITTSBURGH SLEEP QUALITY INDEX, THE

The lack of adequate sleep can have adverse effects on an older person's health and overall sense of well-being. The Pittsburgh Sleep Quality Index (PSQI) is a valuable aid to investigate areas that can affect the quality and quantity of sleep. It includes a careful measurement of bedtime, time to get to sleep, wake-up time, hours of sleep, barriers to getting or staying asleep, and the use of sleep medications. The results gathered from the assessment can help care providers to start a dialogue that leads to an effective care plan with appropriate, individualized interventions. This assessment test can be self-administered or completed through an interview process.

DVD / 2009 / 32 minutes

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PREDICTING PRESSURE ULCER RISK (BRADEN SCALE)

This DVD shows how to administer and interpret the Braden Scale for predicting pressure sore risks in home, hospital, and long-term care environments. Encouraging a visual-and-touch skin assessment in conjunction with the Braden scale, it specifies what to look for, how to prevent pressure ulcers, and how to assist patients with maintaining skin integrity after discharge. Covers the 6 dimensions of the Braden Scale: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

DVD / 2009 / 39 minutes

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RECOGNITION OF DEMENTIA IN HOSPITALIZED OLDER ADULTS

The prevalence of dementia among hospitalized older adults is estimated at about 25%, with the dementia often going undetected during a hospital stay. This DVD shows how to use the Recognition of Dementia In Hospitalized Older Adults screening tool to identify any signs of dementia. Care providers will also learn how to recognize behavior triggers, how to address risks associated with dementia, and how to formulate an ongoing plan of care.

DVD / 2009 / 30 minutes

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SHORT MICHIGAN ALCOHOLISM SCREENING TEST, THE - GERIATRIC VERSION (SMAST-G)

Screening for alcohol abuse can often be overlooked in a general health assessment for older adults, due to other physical or more visible conditions.

The Short Michigan Alcoholism Screening Test (SMAST-G) is a practical tool to help care providers recognize early warning signs of alcohol abuse. The DVD provides information on the effects of alcohol on the aging body, and factors that often lead to an abuse or dependence on alcohol. Also shows how to apply motivational interviewing skills that sensitively help older adults to recognize the existence of unhealthy behavior patterns, and/or come to terms with a potential need for treatment.

DVD / 2009 / 41 minutes

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TRANSIENT URINARY INCONTINENCE IN OLDER ADULTS

Failure to identify transient urinary incontinence may result in established urinary incontinence, a problem which affects over 17 million adults, and puts older adults at risk for further complications, such as, skin breakdown, falls, and placement in long-term care settings. Using an actual case study, this DVD demonstrates the best practices for assessing and treating transient urinary incontinence, a skill which all healthcare providers can develop and apply within their practice setting.

DVD / 2009 / 40 minutes

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WANDERING IN HOSPITALIZED: OLDER ADULTS WITH DEMENTIA

This DVD shows caregiver staff how to integrate best practices in the prevention of wandering and elopement (wandering away), specifically in older adults with dementia. Potential triggers for these behaviors are outlined, along with proper screening of patients for risk factors. Emphasis is placed on preventive aids to reduce wandering, and the importance of understanding why patients tend to wander. The DVD provides an informative discussion on staff awareness of relevant security and HIPAA policies, if an elopement should occur.

DVD / 2009 / 42 minutes

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WORKING WITH FAMILIES OF HOSPITALIZED OLDER ADULTS WHO HAVE DEMENTIA

The benefits of improving care of hospitalized older adults who have dementia, by tapping into the wealth of information family members can provide, is shown in this pre-admission screening. The DVD shows the importance of identifying normal behavior patterns, individual preferences, and ADL capabilities, with the ultimate goal of preventing avoidable problems, and improving outcomes. How hospitalization can affect patients is also discussed, along with delirium prevention and fall prevention protocols.

DVD / 2009 / 32 minutes

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