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AJN The American Journal of Nursing. 108(4):52-62, April 2008
The Lawton Instrumental Activities of Daily Living (IADL) Scale video program features a case study of an anxious older adult admitted to the hospital after being found disoriented by neighbors, and very aware that the results of this assessment might mean the end of living in her own apartment. While the challenges of measuring the activities included in the Lawton, such as housekeeping, money-management and transportation, are fairly significant when a patient is hospitalized and not in a home-like environment, those challenges can be eclipsed when patients are reluctant to cooperate. This program provides viewers with expert interviewing and assessment techniques which can be applied in their own practice.
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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