The Nurse Explains: Dementia, Alzheimer s Disease and Vascular Dementia This book is suitable for people with dementia, their relatives and for health
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| Nurse Explains: Dementia, Alzheimer's Disease and Vascular Dementia ... |
This book is suitable for people with dementia, their relatives and for healthcare professionals alike.
(Author) John David Baker RN MIfL Dip.RSA PGCE BSc DipHE Cert Man Care Cert Dementia Care LCGI
This book explains Dementia, Alzheimer's disease and Vascular Dementia.
This book is a bestseller. It previously reached the top spots for dementia books and psychiatric nursing books on the bestselling list on Amazon (during 2011).
Relatives that have read this book have said:
"I cried when I read this book. I never understood what had actually happened to my dad when he got dementia, until now"
"Now I understand what is happening to my mum and what to expect in the future"
"A book that I wish that I had read a long time ago, it is so helpful"
"I can see my granddad in this book. The things that this book talks about happened to him"
"Simple and clear English.....anybody can follow it...even me!"
Nurses and care staff that have read this book have said:
"I work in a hospital. We get many people in with dementia. Having read the book, I now understand this subject a lot better. I think I will be able to care for them a lot better"
"Very enjoyable"
"An excellent book for all nurses and carers working in hospitals and the community"
The book covers:
1. Overview of Dementia
2. What is dementia?
3. The Four Common Components of Dementia
4. Types of Dementia
5. Alzheimer's Disease
6. Vascular Dementia
7. The Stages of Dementia
8. Medication for people with dementia
9. Abuse within Care Homes and the NHS
10. The Social and historical context of dementia
The author of this book is a practicing Nurse Specialist in Dementia Care, Care of the Older Person and Nursing Home Practice. He is also a relative of a person that had Vascular Dementia before she died.
He has spent decades working with people with dementia. He understands the theories and the realities of dementia extremely well. The author lives and breathes the world of dementia; he does not live in an ivory tower of academia or practice without understanding the theories of the academic world.
The author presents his knowledge in a clear and understandable way for all to read and enjoy.
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Other books by John David Baker
RN MIfL Dip.RSA PGCE BSc DipHE Cert Man Care Cert Dementia Care LCGI
The Nurse Explains: How to Choose a Care Home
*****(To find this book click on the author's name at the top of this page or type "John David Baker" into the Amazon search box)*****
Published 2011, print page equivalent 32 pages (6,800 words).
Finding the best care home to live in can be one of the biggest decisions of your life. It can also be an extremely difficult one. Often people do not know where to start or what questions they need to ask.
Just how do you tell a good care home from a bad one?
This guide will answer this question, and much more, in just 32 precise pages.
This book is written by a Clinical Nurse Specialist in Care Home Practice. He understands all too well that when selecting a care home time is often of the essence, hence this invaluable quick reference guide. The book covers:
1. Things That People Need To Know Before Visiting A Care Home
2. Types and Categories of Care Homes
3. How to find a care home
4. How to Make Contact with the Care Home
5. Tips for visiting Care Homes
6. A checklist of questions to ask when visiting a care home, and things to lookout for and to reflect upon later
7. Useful Organisations
This book is suitable for people with dementia, their relatives and for healthcare professionals alike.
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| ... explains, "We now believe depression is a risk factor for Alzheimer's |
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| environments designed by experts in Alzheimers disease and dementia ... |
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| Behaviour Of Dementia Nursing Home Patient |
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| The Alzheimer's Brain |
Source : http://imentalhealth.net/mental-health-disorders/cognitive-disorders/the-nurse-explains-dementia-alzheimers-disease-and-vascular-dementia
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Commonly question about The Nurse Explains: Dementia, Alzheimer's Disease and Vascular Dementia
What s the best way to communicate with Alzheimer s patients?
I m an LPN at a nursing home. Many of our residents have Alzheimer s Disease. Some are mildly forgetful, others have "10 second Tom" symptoms (in reference to a character from the movie "50 First Dates") and forget what you just told them 10 seconds prior.We have one lady "Sara" (not her real name) who asks where her room is and what time she eats dinner literally 500 times per shift. We tell Sara the information she asks, and then, seconds later, she s asking again. You feel bad for her at first, but after the 30th time in 15 minutes, it gets to be annoying, and oftentimes you have to walk away from her. I ve heard some people telling Sara, "You just asked me a minute ago, leave me alone already". Obviously, this isn t the right thing to say and may even be classified as "abuse" with how strict nursing home regulations are.
One woman, "Jean" (not her real name) is 95 years old, but believes she is 31, recently married, and has a baby at home with no one to look after it. Jean often has episodes of crying and pleading iwth us, "Just let me go home and get my baby and I ll come back". She s a sweet little old lady, with the kindest, most gentle personality, and it breaks my heart that she doesn t realize that she s not 31, that her "baby" is an adult who put her in a nursing home and refuses to come visit her. Someone offered her a realistic baby doll to perhaps help her with the longing for her baby, and she looks at us, and says, "You ve got to be kidding me, this is a doll, what do you think I m stupid?" Other times, she ll tell us, "This is a cute baby (the doll), but she s not mine, I know my baby and this isn t her, just let me go home and take care of my baby!"
We have another lady, "Betty" (not her real name) who has had multiple falls and therefore is unable to be left alone in her room, she is brought out to the nurse s station for the entire shift, until she goes to bed at night. This woman has a memory that lasts for about an hour, she ll repeatedly ask for her son, and why did he leave her there, and when can she go home, and why are we holding her prisoner. Sometimes we go along with Betty s dementia and tell her the roads are closed and she can go home tomorrow, and other times we ll call her son and he explains to her that she lives at the nursing home and cannot come home. Sometimes a nurse or aide will explain to Betty that she is at the nursing home for therapy and can go home once she s better (obviously, we know she ll never be well enough to go home). We ve tried to explain to her about her past history of falls (she s fallen three times in the last 4 months), and she denies that she s ever fallen. And she denies that she needs therapy. Last night, Betty was at the nurse s station for 6 hours yelling, being combative, verbally abusive, she almost fell twice while getting up out of her chair. Betty was telling other Alzheimer s residents that its not right that they re being held captive and that they should get up out of their wheelchairs and try to leave
Another resident, "Irene" (not her real name) has many of the same behaviors and verbal outbursts as Betty, and got up out of her wheelchair and almost fell 5 times in 10 minutes because Betty was telling her to get up and walk around!!!
Obviously, after Betty s behavior last night, its best to separate her from other Alzheimer s residents, but, is there an effective way of communicating with someone who is so confused? Do you play into their reality or try to explain to them how things really are? Is it best to call the family? (Sometimes these families just create additional problems, some will come in for 5 minutes to see the resident, then leave and the resident is left wondering when they re coming back, others refuse to talk to their "loved one" because they know the confusion they re going to have to deal with, and still others, such as Betty s son, will tell them "No, you re not coming home, you re not safe at home, and we sold your house to help pay the bills" which obviously creates a lot of trauma for the resident).
I ve asked supervisors and administration on how to best speak with someone with such intense confusion, and no one seems to have any good answers. Some say to go with their reality, others say that we MUST reorientate them to reality.
Any input would be greatly appreciated. Thank you.
Many years ago I worked as a CNA in a nursing home and had one client in particular with Alzheimer s. Each night I would come in and each night he would greet me with "is it true?" And each night I would have to tell him the sad news. Each night this patient repeated the moment when he first learned his wife had been killed by a street car. To me, this is the definition of Hell, to have to relive this moment every day for the rest of your life (they were married about 15 years).
By all means do not enter their fantasy life and do constantly bring them back to reality. One thing that worked for this guy, and I really don t know why, but I invented a little fantasy life of my own. A life filled with dilemmas that required seeking his advice. The nightly inquiry of "is it true?" decreased markedly as I allowed this client to contribute his own experience to my "made-up" dilemmas. There s something about feeling needed or "valuable" that has amazing medicinal properties. Let me know how this works for you.
99 year old grandma that needs a lot of care?
My grandma is 99 years old and going to be 100 this December. She has a great deal of dementia, possibly alzheimer s. My mom takes care of her at the home as I got married a year ago and live with my wife an hour away. My grandmother raised me since I was 2, with my mom so she is a parent to me. Lately she had been falling down and we didn t know why. we had her admitted to the hospital and it was mini strokes. So we arranged for a home care nurse to come everyday. but now we are worried that won t help as she has fallen two times in the two days she has returned home. My mom and I don t know what to do except to have her re-admitted to the hospital. Last week when she was there I took off of work and spent all day and night in the hospital with her explaining where she was and where her dead family was. I can t keep that up as I have a rather demanding job. What do we do now, is a nursing home the only answer? How do I deal with this, I m so upset? I feel like I m betraying her, but it is taking a huge toll on my mother s life. she is stressed, worried and cries a lot due to gram s constant care needs. I don t want to have to sell my new house and move in with her and I don t think my wife would do that. Any ideas or similar experiencesI took care of my Grandmother the last five years of her life. She died at the age of 96. She had dementia and the last couple of years of her life she did not even know who I was except I was the lady that took care of her. She actually called me lady. She was getting ready for bed one night when she fell and when I went into her room and found her on the floor I tried to get her up and saw that her leg was broken. I called for an ambulance and they took her to the hospital. Then the doctor showed me what happen. He said that she did not fall and break her leg that her leg broke and then she fell. Her bones were just so brittle that she twisted her leg and the bone just snapped like a chicken leg bone. She was on a blood thinner so they could not do surgery until her blood thickened which was about a week to 10 days. Then they did surgery and put a pin in her leg. After about another week in the hospital they had to move her to a nursing home. I could not bring her home because all or our bedrooms were on the second floor and I could not handle her. I hated putting her in a home but I had no choice. She lived one night in the home and died the next day. I to looked at my Grandma like a Mom because we lived next door to her while I was growing up and I was with her every day so I know how you must feel. It is very hard and I am so sorry that you have to experience this. I can only tell you that you can only do what you can do. Your Grandma has had a very long life and she can t live forever. It is time for you and your Mother to live your lives. You have just married and you need to give your marriage and your job your time now. Your Grandma would want it that way. Your Mother needs to take care of her health. You sound like such a caring man. Your wife and Mother are lucky women. Put your Grandma in a nice nursing home and visit when you can. You and your Mother can take turns. Her life is coming to an end and yes that is sad but you have your whole life ahead of you and you need to be concentrating on that. I don t mean to sound harsh but your Grandma would want you to have a nice long life like she has and for you Mother too. You have done all you can do. Now you need to turn it over to God. Don t be sad. Be happy that you got to spend so many years with your Grandma. Your not betraying her.
Elderly grandma and I m heartbroken, help?
My grandma is 99 years old and going to be 100 this December. She has a great deal of dementia, possibly alzheimer s. My mom takes care of her at the home as I got married a year ago and live with my wife an hour away. My grandmother raised me since I was 2, with my mom so she is a parent to me. Lately she had been falling down and we didn t know why. we had her admitted to the hospital and it was mini strokes. So we arranged for a home care nurse to come everyday. but now we are worried that won t help as she has fallen two times in the two days she has returned home. My mom and I don t know what to do except to have her re-admitted to the hospital. Last week when she was there I took off of work and spent all day and night in the hospital with her explaining where she was and where her dead family was. I can t keep that up as I have a rather demanding job. What do we do now, is a nursing home the only answer? How do I deal with this, I m so upset? I feel like I m betraying her, but it is taking a huge toll on my mother s life. she is stressed, worried and cries a lot due to gram s constant care needs. I don t want to have to sell my new house and move in with her and I don t think my wife would do that. Any ideas or similar experiences?A huge combination has to all come together in order for a person to be able to be tended to sick loved one, at home..There has to be a person who is not responsible for a job elsewhere, they have to have the physical/mental health for it, Financially stable etc...As unfortunate as it is, most people do not have all that it takes to be able to tend to a sick loved one--no matter how hard they want too..
Grand mother is just worn out-- it s that simple..Her body has had 100 years, and it s just tired.That is why she falls often, that is why she is deteriorating. If your mother can not give her the care the needs and deserves then it s time to call in some outside help.. Does she qualify for home health? Look into that..If not then it s time to look for places where she will get incredible great care-- and believe me they are out there..NOT ALL nursing homes are the terrible disaster you read and hear about. Investigate any nursing home that you may be interested in, look around at the residents there, is the place clean, does it smell, do you see people just sitting around in wheel chairs unattended-- look for those things and more.. If a nursing home is where she recieves the best care, then make sure she has family visiting constantly, this makes the transition easier for her, and also tells the staff that you are aware of what is goingon with your grandmother, and her care is very important to the family. Many many times the sick person is "dropped off" and hardly get a visitor, nobody is around to monitor what type care they recieve....Do NOT feel guilty if this is the route that is in the best interest of all people involved in grandmothers care and herself... Best wishes...:)
**EDIT** If you are from the south Al, TN, etc.... I may know the "reputation" of some of the nursing homes you would interested in, if not I possibly know people who would know..Let me know....:)
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