By Emile Franssen, Liduin Souren

A guide to offering nursing care throughout the practical decline of Alzheimer's sufferers, emphasizing how one can assessment the sufferers' competence at each one level and make allowance them to take as a lot care of themselves as attainable

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Extra info for Broken connections : Alzheimer's disease. Part II, Practical guidelines for caring for the Alzheimer patient

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Have an idea of the quantities needed . use the cleaning product in the proper fashion . use sandpaper . knock a nail in or pull it out 29 30 CHAPTER 2 √ begin on and complete activities √ wear glasses and hearing aid whilst working √ wear shoes instead of slippers or mules (in connection with slipping and falling) √ only dust or clean at eye level in case of dizziness √ give flowers fresh water √ properly clean forks with remains of food √ regularly put out clean washing up cloths, dishtowels, hand towels and dusters √ rinse out sponge and chamois leather √ clean inside of buckets Intervene √ physical incapability of performing supervise, assist and if necessary the activity prevent √ standing on a ladder or chair √ overtiredness; inclination to fall √ wet or slippery floors √ use of sharp objects √ proper use of cleansing agents and choice of right amount √ proper use of disinfectants such as bleach (keep an eye on the concentration) √ distinguishing between white and colored wash √ careful rinsing to get rid of soapsuds √ proper use of hammer, pincers, axe, scissors Partial take-over √ decide on what cleaning activities to do on which which day √ tidy up the room before the patient starts to clean √ cleaning of valuable, breakable and delicate objects √ help the patient when he loses the overall picture in performing an activity, such as rinsing thoroughly Remind and encourage patient to if necessary explain step by step SUPERVISION AND STIMULATION Total take-over Total take-over after a hand wash or folding up the wash √ before use by the patient check the contents of the spray can as given on the label √ put the materials and objects needed for an activity out ready √ maintenance of furniture, carpet and floors √ put away breakable objects √ see that the house is adequately lit √ see that windows on the top storey are always closed √ shut all windows out of precaution if patient is alone (only transoms open or windows with window guards) √ arrange the furniture so that the patient has enough room in which to move about (to prevent him from losing his balance) √ stick reflecting stickers on sharp corners and fittings √ remove poisonous indoor plants √ remove all spray cans with dangerous substances √ remove all inflammable, caustic or toxic cleaning products √ put away all substances which are dangerous if swallowed, or in contact with the eyes and skin √ clean windows √ do the ironing √ lower the temperature of the boiler √ replace or remove rugs with raised edges and rugs which slide easily or steady them with nonslip devices √ see that shelves in cupboards are firmly secured and remove heavy objects from top shelves √ make cupboards emptier and more surveyable; remove unnecessary objects and leave remainder in set places 31 32 CHAPTER 2 Attitude What the patient can do himself √ remove thresholds or paint the corners in a striking color √ stairs with two banisters √ safety device for power points (sockets) √ throw away all old medicines and lock away medicines to be used.

Know where cleaning products are kept . distinguish between some of the familiar cleaning products . have an idea of the quantities needed . use the cleaning product in the proper fashion . use sandpaper . knock a nail in or pull it out 29 30 CHAPTER 2 √ begin on and complete activities √ wear glasses and hearing aid whilst working √ wear shoes instead of slippers or mules (in connection with slipping and falling) √ only dust or clean at eye level in case of dizziness √ give flowers fresh water √ properly clean forks with remains of food √ regularly put out clean washing up cloths, dishtowels, hand towels and dusters √ rinse out sponge and chamois leather √ clean inside of buckets Intervene √ physical incapability of performing supervise, assist and if necessary the activity prevent √ standing on a ladder or chair √ overtiredness; inclination to fall √ wet or slippery floors √ use of sharp objects √ proper use of cleansing agents and choice of right amount √ proper use of disinfectants such as bleach (keep an eye on the concentration) √ distinguishing between white and colored wash √ careful rinsing to get rid of soapsuds √ proper use of hammer, pincers, axe, scissors Partial take-over √ decide on what cleaning activities to do on which which day √ tidy up the room before the patient starts to clean √ cleaning of valuable, breakable and delicate objects √ help the patient when he loses the overall picture in performing an activity, such as rinsing thoroughly Remind and encourage patient to if necessary explain step by step SUPERVISION AND STIMULATION Total take-over Total take-over after a hand wash or folding up the wash √ before use by the patient check the contents of the spray can as given on the label √ put the materials and objects needed for an activity out ready √ maintenance of furniture, carpet and floors √ put away breakable objects √ see that the house is adequately lit √ see that windows on the top storey are always closed √ shut all windows out of precaution if patient is alone (only transoms open or windows with window guards) √ arrange the furniture so that the patient has enough room in which to move about (to prevent him from losing his balance) √ stick reflecting stickers on sharp corners and fittings √ remove poisonous indoor plants √ remove all spray cans with dangerous substances √ remove all inflammable, caustic or toxic cleaning products √ put away all substances which are dangerous if swallowed, or in contact with the eyes and skin √ clean windows √ do the ironing √ lower the temperature of the boiler √ replace or remove rugs with raised edges and rugs which slide easily or steady them with nonslip devices √ see that shelves in cupboards are firmly secured and remove heavy objects from top shelves √ make cupboards emptier and more surveyable; remove unnecessary objects and leave remainder in set places 31 32 CHAPTER 2 Attitude What the patient can do himself √ remove thresholds or paint the corners in a striking color √ stairs with two banisters √ safety device for power points (sockets) √ throw away all old medicines and lock away medicines to be used.

Adjust body posture to alteration in form of garment whilst putting it on . pull the garment right on over the joint . put head, hands or feet through the appropriate opening . use a variety of fastenings: buttons, zippers, bows, snap fasteners, velcro, hooks and eyes . g. after working in the garden √ dress in front of the mirror √ dress and undress sitting down √ do up and smooth out clothing √ clean or polish shoes √ wrong combination of clothes; lack of variation √ carelessly worn clothes: wrinkles and pleats in tights and sleeves; fastenings done up wrong; underskirt showing √ indecisiveness in choosing clothes √ fatigue, tightness of the chest, wobbling or tendency to fall whilst dressing and undressing √ put out chair and stool of about 20 cm in height to put feet on whilst dressing and undressing √ open and close (intricate) fastenings √ check clothes for spots, tears, state of fastenings etc.

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