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AJN The American Journal of Nursing. 107(12):62-71, December 2007
Nurses can use a very brief and simple screening tool, called the Mini-Cog, to evaluate memory and executive function in their patients and to determine if further evaluation for dementia is indicated. While the tool is not diagnostic, it gathers useful information to inform the probability of an underlying dementia - information critical to determining care, addressing safety and improving outcomes. Equally important to patients and families, positive results in the screening provides an opportunity for the healthcare team to educate about the need to address a range of safety, legal and personal issues in order to improve quality of life and sustain independence following discharge and to coordinate follow-up diagnostic evaluation.
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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