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AJN The American Journal of Nursing. 108(11):60-68, November 2008
Between 50 to 80 percent of older adults will have experienced at least one traumatic event in their life – events that can affect their coping ability and overall wellbeing. The manifestations of post traumatic stress disorder (PTSD) are difficult to discern and may surface as physical complaints with no identifiable medical cause. Using the Horowitz Impact of Events Scale (revised) to evaluate for possible PTSD can help to identify underlying issues that, when addressed, can improve coping skills, provide relief from symptoms, and instill hope. This video demonstrates how to administer and interpret the Horowitz tool and involves an interdisciplinary team approach to helping the patient involved in the program to improve her quality of life.
For you, the thought of a warm bath or shower is probably a treat anticipated to provide comfort and relaxation. How unfortunate that for those with dementia, the bathing experience may be a painful, frightening, and humiliating procedure.
With planning and a process customized to address each person’s unique needs, or a person-centered approach, older adults with dementia can be spared a negative experience. This 30-minute program is based on the April 2006 New Look at the Old AJN article by Joanne Rader MN, RN, et al, titled: The Bathing Of Older Adults with Dementia. The video outlines cutting-edge research and presents best practices in bathing from researchers and practitioners, as well as guidance from the perspective of a state regulatory agency on what actually constitutes compliance with relevant standards of care.
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