Like its popular predecessor, the new edition of Bathing Without a Battle presents an individualized, problem solving approach to bathing and personal care of individuals with dementia. Based on extensive original research and clinical experience, the authors have developed strategies and techniques that work in both institution and home settings. Their approach is also appropriate for caregiving activities other than bathing, such as morning and evening care, and for frail elders not suffering from dementia. For this second edition, the authors have included historical material on bathing; substantially updated Part II on special concerns such as pain, skin care, determining the appropriate level of assistance, transfers and the environment. An enhanced Part III addresses ways to support caregivers by increasing their understanding of the care recipient's needs and knowledge of interventions to improve care and comfort. It also emphasizes self care and system level changes to promote person-directed care. Several chapters include specific insights and wisdom from direct caregivers.
About the Author
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.
Read an Excerpt
Table of Contents
Part I: The Basics
• Understanding the Battle, Beverly Hoeffer, Joanne Rader, Ann Louise Barrick
• Temperatures of the Times: Fluctuations in Bathing Through the Ages, Mary Lavelle
• General Guidelines for Bathing Persons With Dementia, Ann Louise Barrick, Joanne Rader
• Assessing Behaviors, Ann Louise Barrick, Joanne Rader, Madeline Mitchell
• Selecting Person-Directed Solutions That Work, Ann Louise Barrick, Joanne Rader, Madeline Mitchell
Part II: Special Concerns
• Person-Directed Care: Sustaining Interactions Through Offering the Needed Level of Assistance, Carla Gene Rapp
• Managing Pain, Karen Amann Talerico, Lois L. Miller
• Care of the Skin, Johannah Uriri Glover, Kimberly Horton Hoffman, LouAnn Rondorf-Klym
• Transfer Techniques, Adele Mattinat Spegman, Theresa H. Raudsepp, Jennifer R. Wood
• The Physical Environment of the Bathing Room, Margaret P. Calkins
• Equipment and Supplies, Stacey Biddle, Phil Sloane
Part III: Supporting Caregiving Activities
• Bathing as a Vehicle for Change, Joanne Rader, Ann Louise Barrick, Darlene McKenzie, Beverly Hoeffer
• Interactive Approaches to Teach Person-Directed Bathing, Joyce H. Rasin, Joanne Rader, Ann Louise Barrick
• Taking Care of Yourself: Strategies for Caregivers, Joyce H. Rasin
Appendix A: Measuring Success: A Quality Improvement Program for Person-Directed Bathing
Appendix B: Behavior Rating Checklist
Appendix C: Caregiver Behavior Checklist