Tips and advice on how to deal with patients

1. Check the own behavior


As I see one with dementia?


Often dementia is equated with hopelessness and it is believed that the disease destroys the nervous system and the identity of the patient. This view destroyed any confidence and psychological needs of the patient are not detected during the maintenance. Thus promoting and encouraging atmosphere must be created by the nurses for the sick. Even people with dementia should not be constantly supervised, so be oversupplied. People should feel can be given that they are needed! It should not be taken any decisions! The dementia should be seen as a partner, he should be asked in decisions and you let him take this too! Do people with dementia is not an object! This often happens from time pressure, impatience, ignorance, etc.

Avoid patronizing, even if the sick person can not make without the help of some decisions in life. Do you trust the people with dementia something, even if those acts take longer, they do not succeed at first attempt or "something goes wrong."


The daily routine?

Most people with dementia do not need a rigid and strong steered daily routine, as is often assumed. It should prevail a care in the individual rituals also have their place! Time pressure, for example, when eating, is not conducive and overwhelmed with dementia often. Even the forced feeding should be rejected. The solution is that a separate Dish return can help to equalize the pressure!

This includes eating and drinking habits. For the sufferer will often decide when and how often he has to take food and fluid intake. But this should respect the individual drinking habits of patients are included! Even people with dementia can be animated well often when nurses sit down at the table and himself a drink or eat. Disconnect the actions of dementia with demand, whether you can disturb. Otherwise, the dementia patients are disturbed in their works, that they consider important. The actions should be considered important, as they like to sufferers and for his well-being are important.

Avoid white lies in dealing with people with dementia. These are often used to speed up the maintenance operation, for example when the medications. Talk to the doctor about this situation and avoid the white lies, because they are inconsistent with a good quality of care.

Pay attention to expressions of emotion! Often patients are on expressions and emotions do not adequately respond and dementia is skipped. In the worst case, a non-esteem takes place! Respond very sensitive and try the discomfort of the patient to the bottom of it!


2. Communication with dementia


Use eye contact and sign language, watch your language and gesture! It is crucial for the quality of life of people with dementia that is communicated with them. Keep eye contact and assess whether the message was added to the patients and we respond. If the sick person says something, show by visual contact interest and appreciation.

The language often needs to be adjusted so that the sick person understands you. It is important to clearly, slowly, and often speak louder. Sentences should be rather short. The non-verbal language is important to support the spoken. Facial expressions and gestures should match what has been said and underline it. In return, the caregiver must gestures and facial expressions of the patient, read 'can, to respond to its needs. Pay special attention to negative gestures, because it recognizes the sick and can disturb his well-being.


Treat the patients also his rest!


Touches: touches create self-esteem and provide orientation! Use to reduce the handshake to the feeling of alienation. To quickly create a pleasant atmosphere. Watch out though still on the signals of nurses and to over throw 'Do not use with touch. The touches are adapted to the current condition of the patient.

The language of the patient: Avoid open-ended questions like "How was your childhood?" Or something similar. Often people with dementia can activate any images or ideas on the subject. Use photos from the past of the patient, or ask specific questions, eg. The favorite of the patient or for the name of your best friend.

On one hand, people with dementia are often removed all the decisions, but on the other hand also overwhelmed with a decision. Thus, they may be able to the question of the dinner not answer because they lack the notion of food. It should be the sufferers then make suggestions and try going to awaken the memory.

Do not be annoyed if the sick person tells the same stories from his past again and again. Go to the stories one, because the sick feeling in this matter competently and activates positive emotions. Again, different materials such as photos and newspaper clippings helpful.

Not correct it, even if the stories, inconsistencies have '. Listen and take part in the narrative. Let the sick his own truth, in which he feels comfortable.


3. The environment


Not find enuresis and the toilet: Often people with dementia are applied prematurely diapers because they do not find the toilet to bedwetting or urinate inappropriate 'places. Here, in a bit of support to the sick of the way to the toilet can be made easier. Often the man lost on the way to the toilet, because all the doors look the same. Toilet doors should therefore distinctive features that can be easily identified. For example, the door could be made of wood and decorated with a heart in his face height. Often the toilet itself is not recognized as the loo because all too modern 'look or you can not find the flush button. One solution is to equip the toilet in ancient art, which corresponds to the generation of the patient. The environment should be as familiar as possible.

Bed and escape grid: For security reasons, the beds of the sick often equipped with bars, night to avoid Escape from the bed. Here are cause falls such measures even sometimes necessary, but often has the Escape from the bed other reasons that are sometimes biographically to explain or spring lifelong habits of the patients. You should discuss the temporal structures of humans and also in the evening the people have a job.   

Room Amenities: The rooms should suit the taste of the resident! Comfort and security often arise only when the device remember the past. A suitable environment should always have a challenging character, which invites you to deal in the room. Cabinet doors can be opened.

Watches: Important are clearly visible and veritable watches! Watches are a good tie point to start a conversation with other people with dementia.

Appealing activities: Avoid to involve people with dementia in occupations that are often reminiscent of a child's birthday or an hour of tinkering for children. From experience, it is clear that many people with dementia to find such employment no interest, given that their Biography such activities in the previous life does not take place. Consider what was important in the past life of the person and adjust the activities. Most are everyday activities in which people with dementia enjoy.

Sippy Cup: Avoid feeding cup, even if sometimes goes wrong while drinking. The dementia connects with her a heavy illness and he does not see himself. He also recognizes in the cup not the drink because he has never drunk from sealed cups. You should use 'normal' cups and mugs!


4. Biographical Works


Do not correct the stories with dementia sometimes tend to rhyme things together. Make it no detective work and do not try to find the "truth" convulsively. Often the life lies are coping strategies. Respond to the little stories of patients and try to understand him and to accompany him emotionally. It's a good feeling to feel understood!

Questioning: Avoid questioning of patients, especially when it happens in a public atmosphere. Create a pleasant atmosphere and tell yourself something. Deal with the issues of people with dementia. He also talked about will be discussed as deeply into the topics decides.


5. Food and Hygiene


The daily washing: People with dementia need not be washed daily if they do not want it. Often it is because of old habits, it has not often washed earlier or you do not want to expose themselves in front of others. Sometimes it is also due to the lack of insight or will. The most important thing is not the facade, the exterior of the patient, but the inner well-being.

Food refusal: Feeding and "plug" the patients not if he does not want to! Try to fathom eating behavior biographically. War of dementia before as well skinny, so it needs to be nourished in response to the current situation. Often, a food refusal also have the reason that he did not know the preparation of the food and found the food to him scary. Try to find out the reason for the rejection. Tolerate Also, if the patient has dementia cravings! Maintain his personality rights.

Drinking: Obtain the sufferers in the preparation and dispensing beverages with a. Here, too, the drink seem so familiar as possible to people with dementia. Drinking should take place in a social gathering because of ill it may so knew from his previous life. Forcing you basically do not have to constantly drink it.

PEG tube: In the higher stage of dementia often occur lack of appetite or swallowing disorders. Proposes the normal "feeding" fails, artificial nutrition is often hastily arranged via a PEG tube. It has been found that PEG does not lengthen life, and sometimes the quality of life even declined. There is a chance that the patient is suffering from pneumonia due to the artificial diet. Although the oral feeding is tedious, the PEG should be seen as a last resort! Check with a doctor or speech therapist, whether the swallowing reflex is still available or if the patient can cope with being swallowed by expectoration.

Tablets: Disconnect the medication of food intake and make sure their own space. The issue of drugs should be done before or after meals and be a solid, completed action. The dementia patients should stop taking the drugs comprehend and understand the meaning of it.


6. Difficult behavior of a dementia


Bowel movements: Sometimes it happens that bowel movements with dementia and in addition the smear excrement in bed and room. In response to hastily overalls, arranged a kind of "adult onesies", which prevents access to the genital area. Try to fathom why the dementia behaves so. Often it can be kept for a different reason.

The night becomes day: People with dementia are often driven by an inner restlessness and can not sleep at night. Then sometimes sleep during the day and can not participate in the meals in a nursing facility. This can lead to a bad impression on the establishment, which would not pursue their behalf. Fathom why the sick person can not sleep at night. Sometimes it is quite "banal" reasons: hunger, thirst or urination or a need for warmth, affection, etc. But try to accept the rhythm of the patient!

Running away: It seems sometimes the impression that dementia patients want to run away. But you run the most "selective" it, that is, they want to go home or go to work or the like. Often the patients are confined to their benefit. Search here for the reasons why he does not consider his new environment than worth staying.


The calling of names: Often people with dementia call constantly, mostly "Hello!" Or names. Go here the causes to the bottom and find out who he is calling and what this person had in his life a meaning. Sometimes it is a signal lack of affection, fear or uncertainty.


Based on: king, Jutta and Zemlin, Claudia: 100 error when dealing with people with dementia and what you can do about it. Schl├╝tersche Publishing Company, 2008. ISBN 978-3-89993-464-9 Hannover

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