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Content

Dementia Care


Dementia Care



COMMUNICATING WITH PERSONS WITH DEMENTIA

Communication is a fundamental component of human relationships. It is important for everyone to be able to communicate their needs and the choices that they are making, as a way to preserve our sense of identity. Particularly with people with dementia, communication can be challenging, but it is important to realize how critical the communication aspect is in maintaining the resident's quality of life.

After viewing the program, the learner will be able to:
  • Recognize the difficulties of communicating with a person with dementia
  • Identify the factors that may affect a person with dementias ability to communicate
  • Indicate how to adjust your approach in communicating with a person with dementia
  • Determine how body language affects a persons communication
  • Describe the importance of social groups for a person with dementia
  • Identify common communication problems in dementia residents and learn interventions for each problem


  • DVD (Closed Captioned) / 2018 / 17 minutes

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    DEMENTIA BEHAVIOR MANAGEMENT

    It is common for problem behaviors to occur among older adults in the long term care setting, and these behaviors can negatively impact the resident's health and quality of life. It doesn't stop there, however, because the effects of problem behaviors are also felt by caregivers and other residents within the facility. It is pertinent for nurses and all healthcare workers to identify problem behaviors, as well as how to promptly intervene.

    After viewing the program, the learner will be able to:
  • List four reasons why disruptive behaviors may occur
  • Identify the 5 Rs to prevent problem behaviors
  • Indicate how acute medical problems affect behavior
  • Recognize four stressors that have an impact on behavior
  • Name three symptoms of Sundowners syndrome
  • Explain what a catastrophic reaction is and what provokes it
  • List six ways to defuse and de-escalate potential danger


  • DVD (Closed Captioned) / 2018 / 29 minutes

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    DEMENTIA CARE

    Nursing Assistants have a great responsibility in administering care that supports optimal function, maintains safety, and provides quality of life to those who have lost the ability to determine their own course in life. The skills required to work with residents with dementia include exceptional levels of observation, discernment, and patience. Nursing staff must work closely with other disciplines and departments to ensure a safe and pleasant environment for all residents is maintained.

    After viewing the program, the learner will be able to:
  • Identify types and symptoms of dementia
  • Identify changes in toileting and continence
  • State potential health risks that result from functional decline
  • Identify safety considerations associated with Activities of Daily Living
  • Identify approaches for effective care in bathing, dressing, and eating activities
  • State how activities and stimuli affect residents with dementia
  • Identify focused observations which must be reported
  • State how resident needs may be communicated


  • DVD (Closed Captioned) / 2018 / 27 minutes

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    PROMOTING INDEPENDENCE FOR PERSONS WITH DEMENTIA

    Caregivers have a great responsibility in administering care to residents with dementia. The disease itself causes loss of judgment, reasoning, memory, and communication skills that can lead the resident with dementia into risk and danger if not properly managed. Activities of daily living can often be affected with the onset of dementia as well. Exceptional levels of observation, discernment, and patience are needed when working with residents with dementia, and workers in long term care facilities must be equipped with these skills.

    After viewing the program, the learner will be able to:
  • Apply the principles of independence and dignity while assisting with ADLs
  • Identify what needs to be done at each stage of AD and related dementias
  • Recognize personal care strategies for dressing
  • Recognize personal care strategies for bathing
  • Recognize personal care strategies for eating
  • Know options to encourage a resident to improve their eating habits
  • Recognize personal care strategies for grooming
  • Recognize personal care strategies for toileting


  • DVD (Closed Captioned) / 2018 / 18 minutes

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    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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    NURSING ASSISTANT, THE: DEMENTIA CARE, PART 1

    Dementia is a brain disorder resulting in memory loss and a decline in thinking abilities. It's a condition that is known to grow worse with time and is associated with changes in behavior and personality. Individuals often become confused, fearful and withdrawn. Communication also becomes more difficult. In some cases they may become combative and resist care. As mental and physical functioning declines, so does their ability to care for themselves.

    The purpose of this revised and updated program is to examine how dementia affects behavior and the challenges it poses for caregivers. The program is divided into three parts:
  • Dementia & mental decline
  • Common types of difficult behavior
  • Final notes on dementia, lawsuits and job loss

  • After completing this course, the learner should be able to:
  • Describe how a decline in mental functioning can contribute to difficult behavior
  • Give 4 examples of changes in mental function brought on by dementia
  • Give 4 examples of difficult behaviors
  • Give a general definition of dementia and list 3 causes
  • Describe actions you can take when a resident becomes agitated and resists care
  • List four triggers that can make a dementia resident agitated


  • DVD / 2014 / 21 minutes

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    NURSING ASSISTANT, THE: DEMENTIA CARE, PART 2

    Dementia is a brain disorder involving the loss of memory and thinking abilities as well as physical functioning. As victims decline mentally, their ability to perform activities of daily living is also affected. The damage caused by dementia leads to a loss of brain tissue that cannot be replaced. Dementia is a condition that typically grows worse with time. An estimated 50% of nursing home residents suffer from some form of dementia. The most common cause is Alzheimer's disease followed by strokes. Reporting and documenting a decline in physical functioning is an important step in getting a resident the help he or she needs. It may even be the first step in preventing a potential lawsuit charging a facility with incompetence or neglect.

    This revised and updated program will examine dementia and focus on three types of physical decline:
  • Decline in mobility
  • Unwanted weight loss & dehydration
  • Decline in bowel & bladder control

  • After completing this course, the learner should be able to:
  • Give a definition of dementia and describe the pattern of physical & mental decline
  • Describe 3 signs that indicate a decline in mobility
  • Give 3 examples of how dementia can affect food & fluid intake
  • Describe what can happen as a result of inadequate food & fluid intake
  • Give 3 examples of how dementia contributes to loss of bowel & bladder control
  • Describe 2 types of problems that can result from loss of bowel & bladder control


  • DVD / 2014 / 20 minutes

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    NURSING ASSISTANT, THE: DEMENTIA CARE, PART 3

    Understanding what triggers a certain behavior will put you in a better position to address the problem in a positive way. In some cases it may even allow you to prevent it from occurring. It is also important to remember that disruptive or unusual behavior may be a resident's way of trying to reach out to you - to tell you something that he or she cannot express verbally.This revised and updated program provides an understanding of why difficult behaviors may occur in residents with dementia and what can be done to manage them. To do this, the following topics will be covered:

  • Understanding difficult behavior
  • Being aware of triggers
  • Redirecting & distracting
  • Communication tips
  • Reporting difficult behavior

  • After completing this course, the learner should be able to:
  • Give 3 examples of how dementia contributes to personality & behavior changes
  • Define difficult behavior & give 3 examples
  • Define triggers & give 3 examples
  • Describe 4 actions you can take to manage & calm an agitated resident
  • Give 4 examples of distracting or redirecting
  • Give 4 examples of communication tips
  • Explain why reporting difficult behavior is important


  • DVD / 2014 / 30 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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    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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    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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    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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    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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    ALZHEIMER'S DISEASE AND DEMENTIA

    Presenters: Robert G. Nixon, BA, EMT-P; Jerry Douglas, MD; Ramona Stanfill, RN

    This program will feature experts giving presentations on how to understand Alzheimer's disease and its effects. This program is designed to educate emergency medical professionals and nurses on the care of the patient with Alzheimer's disease, as well as dementia. This program will increase the viewer's awareness of Alzheimer's signs and symptoms, differentiate dementia from senility and focus on how to care for the patient with Alzheimer's disease.


    DVD / 60 minutes

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