Addressing Resident-to-Resident Aggression

Hello everyone, “That Myrtle woman…she’s sitting in my chair! That’s where I sit for lunch. Get up you stupid woman. Get out of my chair!!” Sound familiar? Many older adults who move into long term care communities are moving from a home where they either lived alone or with a spouse. Suddenly, they are put […]

Rest Easy

Hello everyone, We know that evening hours can sometimes be difficult for people with dementia, so this week we have a few ideas for how to help residents relax and get to sleep more easily. Have a staff or a family member give the person a gentle hand or back massage using a lightly scented […]

Delayed Onset PTSD in People with Dementia

Hello everyone, This weekend, as we honor the sacrifices of the thousands of soldiers killed in wars fought on behalf of our country, we are also reminded of the living soldiers who must still deal with the aftermath of battle, many of whom suffer from post-traumatic stress disorder, or PTSD. In a review published a […]

The Power of Laughter

Hello everyone, Think about the last time you had a really good laugh. A tears-flowing, belly-aching, almost-pee your pants laugh. Remember how you felt after that laugh? It should be no surprise then that a recent study found that exercise programs that included laughter as a core element benefited older adults. The study found “significant […]

Tips for Integrating Person-centered Approaches into Care Plans

Hello everyone, Many of you are working on integrating more person-centered approaches into your care plans, and looking for ways that GNAs and other staff can easily access information about the social histories and preferences of residents, which is critical information when caring for people who have dementia. Those “golden nuggets” of information can help […]

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 […]

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 […]

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 […]