Late-Stage Dementia Care: A Basic Guide

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Overview

People with mid-stage dementia are served by special care units in long-term care facilities, although as these residents deteriorate, they are transferred out of the unit and into a general nursing home unit. These nursing homes are not equipped to deal with palliative needs of end-stage dementia care. The book addresses those needs. With this in mind, Part One examines the stages of dementia end-stage in particular. Other chapters in this section provide background on the hospice movement and hospice concepts; the idea of maintaining personhood; and administration of a late-stage care unit. Part Two focuses on treatment approaches for common needs in end-stage dementia - medical and physical care; a supportive environment; the fundamentals of care; psychopharmacology; and therapeutic activities. Part 3 contains chapters on family-centred care; legal and ethical issues;
programme evaluation; and future opportunities.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Patricia E. H. Vermeersch, B.S., M.S., PhD., RN (Wright State University)
Description: This new book furnishes professionals in long-term care with suggestions to enhance care to persons with late-stage dementia. Based on the hospice model of palliative care, a variety of experts provide chapters on program development, treatment for common needs, and special issues.
Purpose: The purpose is to describe what the care of the person with late-stage dementia is "supposed to be like," that is, the needed perspective, physical environment, and programming. Chapters cover a wide range of topics, including administration, communication techniques, personal care, legal issues, and family concerns.
Audience: Although targeted for professionals in long-term care, caregivers and professional students in other settings will find this text helpful, especially when giving direct care to persons with late-stage dementia.
Features: Each chapter is written by an expert in that particular area and includes many practical care suggestions and at least one case example to illustrate specific points. When possible, the authors include research findings and actual assessment tools for the reader. References are timely and pertinent.
Assessment: This is a useful book for all professionals involved in the care of persons with late-stage dementia. For those in long-term care it clearly builds on other work, avoiding topics covered elsewhere in the literature and presenting only what applies directly to this special population of residents. In an era of increasing numbers of older adults with dementia, this book provides practical hope to caregivers in all settings.
From The Critics
Reviewer: Patricia E. H. Vermeersch, B.S., M.S., PhD., RN (Wright State University)
Description: This new book furnishes professionals in long-term care with suggestions to enhance care to persons with late-stage dementia. Based on the hospice model of palliative care, a variety of experts provide chapters on program development, treatment for common needs, and special issues.
Purpose: The purpose is to describe what the care of the person with late-stage dementia is "supposed to be like," that is, the needed perspective, physical environment, and programming. Chapters cover a wide range of topics, including administration, communication techniques, personal care, legal issues, and family concerns.
Audience: Although targeted for professionals in long-term care, caregivers and professional students in other settings will find this text helpful, especially when giving direct care to persons with late-stage dementia.
Features: Each chapter is written by an expert in that particular area and includes many practical care suggestions and at least one case example to illustrate specific points. When possible, the authors include research findings and actual assessment tools for the reader. References are timely and pertinent.
Assessment: This is a useful book for all professionals involved in the care of persons with late-stage dementia. For those in long-term care it clearly builds on other work, avoiding topics covered elsewhere in the literature and presenting only what applies directly to this special population of residents. In an era of increasing numbers of older adults with dementia, this book provides practical hope to caregivers in all settings.
Patricia E. Hadley Vermeersch
This new book furnishes professionals in long-term care with suggestions to enhance care to persons with late-stage dementia. Based on the hospice model of palliative care, a variety of experts provide chapters on program development, treatment for common needs, and special issues. The purpose is to describe what the care of the person with late-stage dementia is "supposed to be like," that is, the needed perspective, physical environment, and programming. Chapters cover a wide range of topics, including administration, communication techniques, personal care, legal issues, and family concerns. Although targeted for professionals in long-term care, caregivers and professional students in other settings will find this text helpful, especially when giving direct care to persons with late-stage dementia. Each chapter is written by an expert in that particular area and includes many practical care suggestions and at least one case example to illustrate specific points. When possible, the authors include research findings and actual assessment tools for the reader. References are timely and pertinent. This is a useful book for all professionals involved in the care of persons with late-stage dementia. For those in long-term care it clearly builds on other work, avoiding topics covered elsewhere in the literature and presenting only what applies directly to this special population of residents. In an era of increasing numbers of older adults with dementia, this book provides practical hope to caregivers in all settings.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781560325154
  • Publisher: Taylor & Francis
  • Publication date: 11/28/1996
  • Edition description: New Edition
  • Pages: 220
  • Product dimensions: 6.00 (w) x 8.90 (h) x 0.60 (d)

Table of Contents

Contributors
Preface
Acknowledgments
Ch. 1 Stages of Dementia: An Overview 3
Ch. 2 Palliative Care for Late-Stage Dementia 13
Ch. 3 Maintaining Personhood: Philosophy, Goals, Program Development, and Staff Education 25
Ch. 4 Administration of a Late-Stage Dementia Program in the Nursing Home Setting 45
Ch. 5 Medical Care During Late-Stage Dementia 59
Ch. 6 Treatment Approaches to Common Physical Care Needs 73
Ch. 7 Strategies for Eating, Swallowing, and Dysphagia 85
Ch. 8 A Supportive Environment for People With Late-Stage Dementia 101
Ch. 9 Communications and Fundamentals of Care: Bathing, Grooming, and Dressing 113
Ch. 10 Behaviors Associated With Late-Stage Dementia 127
Ch. 11 Psychopharmacology and Late-Stage Dementia Behaviors 143
Ch. 12 Therapeutic Activities for Low Functioning Older Adults With Dementia 157
Ch. 13 Working With the Family 171
Ch. 14 Making Change Work: Understanding Concepts and Strategies 189
Ch. 15 Legal and Ethical Issues 207
Ch. 16 Program Evaluation 221
Ch. 17 Future Challenges and Considerations 227
Index 233
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