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AJN The American Journal of Nursing. 108(8):62-71, August 2008
Measuring risk for decline using the Hospital Admission Risk Profile (HARP) allows nurses and team members to identify and stratify risk, and to implement strategies to prevent new disabilities and reduce the likelihood that institutionalization will be the next step for older adult patients. In this program, a staff nurse and nursing student demonstrate the use of the HARP on a patient newly admitted for pneumonia. Using critical thinking skills and a wide range of expertise, the interdisciplinary team unfolds a plan of care designed to help this patient return to home, or at least to shorten any interim institutional care that might be needed first.
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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