This bundle includes the following guidelines:
- Bathing Persons with Dementia
- Oral Hygiene Care for Functionally Dependent and Cognitively Impaired Older Adults
Bathing Persons with Dementia [HERE]
When people require assistance with bathing the process is complicated by the culture, values, and expectations of people who assist with the bath. Seemingly simple concepts such as what is clean versus what is dirty and how one responds to what they perceive can trigger conflicts.
There is a large body of research and literature regarding all aspects of bathing practices including assessment, risk, practices for staff, training, antecedents to negative behaviors, environment, and administrative policies. The purpose of this evidence-based practice guideline is to provide strategies for minimizing fear, agitation, combative behavior, and development of secondary behavioral symptoms during and/or after personal hygiene. The goal is to reduce frequency and severity of negative bathing episodes in patients with chronic dementing illness. Includes guides for personal hygiene standards for people with dementia and helpful communication techniques along with instructions for thermal bathing and towel or bed baths.Written 1995; Revised 2004; 2013.
The purpose of this evidence-based practice guideline is to provide direction for identifying risk factors, conducting appropriate assessments, and implementing effective strategies for the prevention and treatment of delirium. Delirium is a common cause of morbidity and mortality and may lead to permanent cognitive impairment and dementia. It is estimated that delirium affects approximately 14% to 56% of older (i.e., > 65 years of age) hospitalized patients with 20% of the 12.5 million patients experiencing a complication during hospitalization because of delirium.
This guideline is intended for use by nurses and other healthcare disciplines that provide care for elderly hospitalized patients on general medical/surgical units. Some of the recommended interventions require physician management and interdisciplinary collaboration, while other interventions are independent nursing actions. Written 1999; Revised 2009; 2015.
Oral Hygiene Care for Functionally Dependent and Cognitively Impaired Older Adults [HERE]
Dental caries and periodontal disease account for most tooth loss experienced by Americans. The prevalence of tooth loss has decreased over the past 50 years and can be attributed to improved early detection and treatment of oral disease and more effective preventive measures, such as water fluoridation, increased use of fluoride toothpastes, and improved dental treatments.
This guideline provides practical information to assist healthcare providers with the provision and documentation of oral hygiene care for functionally dependent and cognitively impaired older adults to prevent plaque-related oral diseases. Written 2002; Revised 2011.
Wandering can be problematic for caregivers, as well as for the person with dementia. This occurs when wandering behavior disrupts the individual’s sleep, eating, socialization, safety, or the caregiver’s ability to provide care. Assessment of premorbid factors, the disease process, behavioral symptoms typical of dementia, medications and their side effects is important when individualizing interventions for wandering behavior. Other factors, such as environment and the knowledge and skill of the caregiver, should be considered when planning care for older adults with dementia who are at risk for wandering behavior.
The purpose of this evidence-based guideline is to assist caregivers in identifying and in dealing with wandering behaviors in community-dwelling or institutionalized older adults with dementia. Written 2002; Revised 2008; 2014.
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