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Bathing Without a Battle: Person-Directed Care of Individuals with Dementia, Second Edition / Edition 2

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This book provides a practical approach to providing person-centered, problem-focused solutions to reduce anxiety about and improve comfort during bathing. It contains specific suggestions on assessment, interventions, care products and equipment, training, and organizational changes required to implement person-directed care.

Key features:
• Evidence-based practice
• Simple, practical approach
• Techniques for reducing agitation, aggression, and discomfort
• Specific exercise for training staff
• Outcome measures for bathing

Changes in the new edition:
• Line drawings replaced with photographs
• A chapter on the history of bathing by Mary Lavelle
• Updated chapter on equipment and supplies
• An interactive training chapter
• Revised organizational chapter to include concepts related to adoption of evidence-based bathing practices in long-term care
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Product Details

  • ISBN-13: 9780826101242
  • Publisher: Springer Publishing Company, Incorporated
  • Publication date: 3/10/2008
  • Series: Springer Series on Geriatric Nursing
  • Edition description: Second Edition
  • Edition number: 2
  • Pages: 208
  • Sales rank: 835,756
  • Product dimensions: 8.50 (w) x 11.00 (h) x 0.52 (d)

Meet the Author

Ann Louise Barrick, PhD, is a Clinical Professor at the University of North Carolina-Chapel Hill, Department of Psychology, and director of psychology at John Umstead Hospital, Butner, NC.

Joanne Rader, RN, MN, is currently an independent consultant. She has worked in the field of long term care for 30 years. She has worked on funded projects to reduce the use of physical restraints, inappropriate psychoactive medications, and defensive, self-protective behaviors during bathing and morning care for persons with dementia. She is the author of a 1996 AJN Book of the Year titled Individualized Dementia Care: Creative, Compassionate Approaches.

Dr. Beverly Hoeffer is professor and associate dean emerita, School of Nursing, Oregon Health and Science University in Portland, Oregon.

Philip Sloane, MD, MPH, is Elizabeth and Oscar Goodwin Distinguished Professor of Family Medicine at the University of North Carolina at Chapel Hill. A geriatrician, he has served as medical director of several long-term care facilities and has co-authored Primary Care Geriatrics, Dementia Units in Long-Term Care, and the Alzheimer's Association's Key Elements of Dementia Care. Dr. Sloane is nationally known for his work on the management of persons with Alzheimer's disease and related disorders.

Stacey Biddle, COTA/L, has combined her creative talents with degrees in art therapy and occupational therapy by providing direct services for 15 years to seniors in skilled, long term assisted living, outpatient, home health care, and healthcare travel assignment. She has extensive experience adapting and modifying the environment to enhance the quality of life and daily living activities of older adults.

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Table of Contents

  1. Contributors



    Part I: The Basics

  2. Understanding the Battle, Beverly Hoeffer, Joanne Rader, Ann Louise Barrick
  3. Temperatures of the Times: Fluctuations in Bathing Through the Ages, Mary Lavelle
  4. General Guidelines for Bathing Persons With Dementia, Ann Louise Barrick, Joanne Rader
  5. Assessing Behaviors, Ann Louise Barrick, Joanne Rader, Madeline Mitchell
  6. Selecting Person-Directed Solutions That Work, Ann Louise Barrick, Joanne Rader, Madeline Mitchell
  7. Part II: Special Concerns

  8. Person-Directed Care: Sustaining Interactions Through Offering the Needed Level of Assistance, Carla Gene Rapp
  9. Managing Pain, Karen Amann Talerico, Lois L. Miller
  10. Care of the Skin, Johannah Uriri Glover, Kimberly Horton Hoffman, LouAnn Rondorf-Klym
  11. Transfer Techniques, Adele Mattinat Spegman, Theresa H. Raudsepp, Jennifer R. Wood
  12. The Physical Environment of the Bathing Room, Margaret P. Calkins
  13. Equipment and Supplies, Stacey Biddle, Phil Sloane
  14. Part III: Supporting Caregiving Activities

  15. Bathing as a Vehicle for Change, Joanne Rader, Ann Louise Barrick, Darlene McKenzie, Beverly Hoeffer
  16. Interactive Approaches to Teach Person-Directed Bathing, Joyce H. Rasin, Joanne Rader, Ann Louise Barrick
  17. Taking Care of Yourself: Strategies for Caregivers, Joyce H. Rasin
  18. Appendix A: Measuring Success: A Quality Improvement Program for Person-Directed Bathing

    Appendix B: Behavior Rating Checklist

    Appendix C: Caregiver Behavior Checklist


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