Use your Sleuthing Skills for the Second Step of the DICE Model

Hello everyone, In last week’s tidbit, we discussed the DICE process for assessing and managing behavioral issues in residents with BPSD. We focused on the “D”—describing a resident’s behavior with specific details that provide important clues about the cause of the behavior. This week we focus on the “I”—Investigate. Once we have a detailed description of […]

Using “DICE” to Assess and Manage Challenging Behaviors

Hello everyone, This week we are introducing “DICE,” a tool you can use to assess and manage behavior change in people with dementia. DICE stands for: Describe the behavior Investigate the influence of things like cognitive status, environment, caregiver approach, physical/medical disorders, and psychiatric symptoms Create a person-centered plan to address the behavior Evaluate if the plan works (Kales, Gitlin, Lyketsos, 2014, […]

Wandering Worries

Hello everyone, Wandering is common for many people with dementia, and can sometimes be frustrating and nerve-wracking for caregivers. DailyCaring.com has an article about wandering this week. The article describes some reasons why people with Alzheimer’s disease might wander: Fear or stress: they might not recognize where they are, the environment is overstimulating, or a loud noise or […]

Breaking Down Language Barriers

Hello everyone, If you’ve ever traveled to a foreign country where you don’t speak the language, you know how difficult it can be to get directions to a museum or order a meal.  Imagine how frightening and depressing it would if everyone around you spoke a different language, but instead of being on vacation, you […]

Wisdom from Experienced GNAs

Hello everyone, A good rule to follow when teaching (especially when time is limited) is to first determine what your audience already knows. This way, you can meet them where they are and not only save time, but clarify misinformation and learn what to focus on and expand upon. As one of the nurse facilitators […]

Success Stories on Managing Apathy

Hello everyone, A few weeks ago, we asked you to share some of your strategies for helping residents with apathy become more involved in activities. Gina Gentilini-Borzilleri, the Activities Director at Lorien Elkridge in Maryland, sent us a few wonderful examples of things she has tried with residents where she’s has had success! We thought we’d […]

Does One Hand Know What the Other is Doing?

Hello everyone, Last week we highlighted the importance of communication between caregiving staff and people with dementia. We are also learning about another challenge you face: improving communication between your nursing assistants. While nurses have a change of shift report to update the incoming nursing staff about medical issues with residents, CNAs rarely have the […]

Pay Attention to Apathy

Hello everyone, “The squeaky wheel gets the oil” is a well-known proverb. In terms of challenging behaviors, the man running down the hall naked or the woman crying loudly at lunch generally get our attention more quickly than the quiet lady in room 101 who likes to keep to herself and “isn’t any trouble.” In […]

The Power of Positivity

Hello everyone, This week, we invite you to read an article written by one of our colleagues, Nina Flanagan, PhD, GNP-BC, APMH-BC. It recently appeared on the website, caringfortheages.com. The article is about the Power of Positivity—something it helps to be reminded of during stressful days at work! Take a look and try some of the simple suggestions […]