Living with Alzheimer's (06:28)
A woman discusses behaviors her mother exhibited that indicated she had Alzheimer's disease, the progression of the disease, the move to an assisted living facility, and the difficulty of adjustment.
Confusion in the Elderly (02:49)
Len Jennings explains confusion; it can occur or worsen during a hospital stay or transition to an assisted living facility. A physical change or illness is often the reason for a change in mental status. A woman discusses a concerning incident that involved her mother.
Aging: a Syndrome of Deleterious Changes (03:42)
Jennings introduces topics to be discussed in this video, explains dementia, and examines normal brain function. As we age, we accumulate damage to informational molecules; genetics and environmental factors affect the aging process.
Plaques and Tangles (03:10)
Individuals with Alzheimer's disease have two abnormal lesions in their brains. Plaques disrupt neuron pathways and tangle clog neurons. Brain cells cannot be replaced once they die; Jennings provides examples.
Alzheimer's Disease (02:15)
Alzheimer's begins slowly and early signs are often confused with normal aging. Alzheimer's impairs the ability to create new memories. Learn symptoms that should be brought to the attention of a physician.
Late Onset Alzheimer's (03:12)
Sporadic Alzheimer's disease accounts for 90-95% of cases. Jennings discusses known and possible risk factors for developing this form of the disease as well as incident rates.
Problematic Symptoms (01:56)
Many conditions produce symptoms similar to Alzheimer's disease. Proper diagnosis is critical for treating memory deficits. Jennings lists several conditions that can lead to memory loss.
Alzheimer's Disease: Level One (03:48)
Alzheimer's develops slowly and is categorized into three stages. Level one, the forgetfulness stage, averages 2-4 years. See examples of common forgetful behaviors; a woman shares a story about her mother.
Alzheimer's Disease: Level Two (03:21)
The confusional stage is the longest stage of Alzheimer's disease and can last 2-10 years after diagnosis. See examples of common stage two behaviors; a woman shares a story about her mother's disease progression.
Alzheimer's Disease: Level Three (01:45)
The final stage usually lasts 1-3 years. Jennings lists dementia-like symptoms. Alzheimer's can last 20 years and not everyone exhibits the same symptoms; a woman shares a story about her mother's personality change.
Diagnosing Alzheimer's (05:00)
A single test can determine if a person has the most common form of Alzheimer's. Doctors use a systemic assessment to determine diagnosis and include medical history, mental status exams, physical exams, medical imaging, and psychiatric evaluation.
Three Areas of Treatment (01:30)
There is no cure for Alzheimer's but focusing on improving memory and daily function; addressing new and unusual behaviors; and focusing on other conditions can help with quality of life. Those with Alzheimer's may have other medical issues that can worsen symptoms.
Alzheimer's Symptom Progression Model (03:44)
The Global Deterioration Scale is commonly used and provides a seven stage guide to understanding abilities and changes throughout the course of the disease.
Alzheimer's Patient Care (03:00)
Jennings provides tips for resident care and how to handle challenging behaviors. As Alzheimer's progresses, residents need total assist with ADL.
Sensory Considerations and Communication (04:32)
Residents become more prone to infection as they lose their ability to communicate; be aware of nonverbal indications of pain. Jennings provides tips for communicating with residents in the later stages of Alzheimer's; better communication results in better healthcare.
Improving Communication with Alzheimer's Patients (06:10)
Be sure to have two-way communication with residents; learn tips for enhancing communication. Approximately 90% of our communication occurs through nonverbal cues. Nonverbal communication is particularly important for residents losing language skills.
Caregiver/Patient Interactions (03:04)
Employing validation techniques with individuals in the late stages of Alzheimer's has several benefits. Those with the disease need to feel respected and valued. Jennings provides tips for interactions.
Review and Preview (00:43)
Review the topics discussed in this film about Alzheimer's and caring for residents with the disease. See a preview of content discusses in Part Two of "Alzheimer's Disease for Assisted Living Facilities."
Grieving Process (05:46)
Hear an outline of the topics discussed in the second part of this video. Alzheimer's is stressful for the patient, family members, and caregivers. Individuals can experience a grieving process which includes: denial, anger, disappointment, guilt, despair, and acceptance.
Placing a Loved One in an Assisted Care Facility (01:58)
Family members may feel guilty and express anger toward caregivers. Jennings provides tips for helping family members adjust to their decision and for caregiver response to allegations of theft and mistreatment.
ALF Residents with Moderate Stage Alzheimer's (04:59)
Approximately 59% of residents with dementia wander. Jennings provides tips for helping new residents, as it relates to the environment, transition to living in an assisted living facility.
Ethical Principles (02:18)
Nursing is a moral enterprise. Jennings explains ethics and ethical decision making in the care of Alzheimer's patients.
Ethical Dilemmas (02:21)
See examples of ethical conflicts caregivers may see in an assisted living facility.
Credits: Alzheimer's Disease for Assisted Living Facilities - Level 1 (00:13)
Credits: Alzheimer's Disease for Assisted Living Facilities - Level 1
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