Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition (Springer Series on Geriatric Nursing)

2008 AJN Book of the Year Winner! Like its popular predecessor, the new edition of Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institution and home settings. Their approach is also appropriate for caregiving activities other than bathing, such as morning and evening care, and for frail elders not suffering from dementia. For this second edition, the authors have included historical material on bathing and substantially updated the section on special concerns, including: Pain Skin care Determining the appropriate level of assistance Transfers The environment An enhanced final section addresses ways to support caregivers by increasing their understanding of the care recipient's needs and their knowledge of interventions to improve care and comfort. It also emphasizes self-care and system-level changes to promote person-directed care. Several chapters include specific insights and wisdom from direct caregivers. Contents......Page 12 Contributors......Page 18 Preface......Page 20 Acknowledgments......Page 22 Part I: The Basics......Page 24 Behavioral Changes in Dementia......Page 26 Prevalence of Behavioral Symptoms During Bathing......Page 27 When Does the Battle Begin?......Page 28 Addressing Myths About Bathing......Page 30 The Impact of the Battle......Page 31 Conclusions......Page 32 Introduction......Page 34 Summary......Page 38 3. General Guidelines for Bathing Persons With Dementia......Page 40 General Strategies for Stopping the Battle......Page 41 4. Assessing Behaviors......Page 45 Appendix......Page 54 5. Selecting Person-Directed Solutions That Work......Page 58 Summary......Page 84 Part II: Special Concerns......Page 86 Facilitating Activities of Daily Living: Selecting a Level of Assistance......Page 88 Facilitating Activities of Daily Living: Strategies......Page 91 Appendix......Page 94 7. Managing Pain......Page 98 Pain Assessment Tailored to People With Dementia......Page 99 Behavioral Symptoms......Page 102 Interventions to Minimize Pain During Bathing......Page 103 Conclusion......Page 107 8. Care of the Skin......Page 109 Approaches to Skin Care to Prevent Skin Problems......Page 113 Conclusion......Page 114 Issues Surrounding Transfer Techniques......Page 115 The Basics of Body Mechanics......Page 116 Summary......Page 127 10. The Physical Environment of the Bathing Room......Page 128 Tactile Environment......Page 132 Conclusions......Page 133 11. Equipment and Supplies......Page 135 Summary......Page 143 Part III: Supporting Caregiving Activities......Page 146 Creating Value-Based Practices in Institutional Settings......Page 148 Transforming Bathing Care: Key Concepts......Page 151 Transforming Bathing Care: Continuity of Caregivers......Page 154 How to Change the Culture of Care in Your Facility......Page 156 Bathing at Home......Page 159 Conclusion......Page 160 Appendix......Page 162 Creating A Supportive Learning Environment......Page 165 Components of Clinical Teaching......Page 166 Summary......Page 168 Appendix......Page 169 The Stresses of Caregiving......Page 184 Appendix......Page 189 Appendix A: Measuring Success: A Quality Improvement Program for Person-Directed Bathing......Page 192 Appendix B: Behavior Rating Checklist......Page 196 Appendix C: Caregiver Behavior Checklist......Page 198 B......Page 200 C......Page 201 I......Page 202 P......Page 203 S......Page 204 W......Page 205

2008 AJN Book of the Year Winner!

Like its popular predecessor, the new edition of Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institution and home settings. Their approach is also appropriate for caregiving activities other than bathing, such as morning and evening care, and for frail elders not suffering from dementia.

For this second edition, the authors have included historical material on bathing and substantially updated the section on special concerns, including:

Pain

Skin care

Determining the appropriate level of assistance

Transfers

The environment

An enhanced final section addresses ways to support caregivers by increasing their understanding of the care recipient's needs and their knowledge of interventions to improve care and comfort. It also emphasizes self-care and system-level changes to promote person-directed care. Several chapters include specific insights and wisdom from direct caregivers.

2008 AJN Book of the Year Winner!

Like its popular predecessor, the new edition of Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institution and home settings. Their approach is also appropriate for caregiving activities other than bathing, such as morning and evening care, and for frail elders not suffering from dementia.

For this second edition, the authors have included historical material on bathing and substantially updated the section on special concerns, including:


• Pain
• Skin care
• Determining the appropriate level of assistance
• Transfers
• The environment
  
  

  An enhanced final section addresses ways to support caregivers by increasing their understanding of the care recipient's needs and their knowledge of interventions to improve care and comfort. It also emphasizes self-care and system-level changes to promote person-directed care. Several chapters include specific insights and wisdom from direct caregivers.

  Understanding the battle / Beverly Hoeffer, Joanne Rader, Ann Louise Barrick Temperatures of the times : fluctuations in bathing through the ages / Mary Lavelle General guidelines for bathing persons with dementia / Ann Louise Barrick, Joanne Rader Assessing behaviors / Ann Louise Barrick, Joanne Rader, Madeline Mitchell Selecting person-directed solutions that work / Ann Louise Barrick, Joanne RaDer, Madeline Mitchell Person-directed care : sustaining interactions through offering needed level of assistance / Carla Gene Rapp Managing pain / Karen Amann Talerico, Lois L. Miller Care of the skin / Johannah Uriri Glover, Kimberly Horton Hoffman, LouAnn Rondorf-Klym Transfer techniques / Adele Mattinat Spegman, Theresa H. Raudsepp, Jennifer R. Wood The physical environment of the bathing room / Margaret P. Calkins Equipment and supplies / Stacey Biddle and Phil Sloane Organizing care within the institution or home / Joanne Rader ... [et al.] Interactive approaches to teach person-directed bathing / Joyce H. Rasin, Ann Louise Barrick, Joanne Rader Taking care of yourself : strategies for caregivers / Joyce H. Rasin. "Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institutional and home settings."--Résumé de l'éditeur "Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institutional and home settings."--Jacket Provides an approach to providing person-centered, problem-focused solutions to reduce anxiety about and improve comfort during bathing. This book offers suggestions on assessment, interventions, care products and equipment, training, and organizational changes required to implement person-directed care.