In which Stage will a person with dementia require complete assistance?Reversible stageEarly stageMiddle stageLate stage

During which of the following stages of Alzheimer's can the person still complete daily self-care tasks?Early stageMiddle stageLate stageIntermittent stage

What is a factor in successful activities for a person with dementia?DignityBoredomDangerInflexible

A resident frequently strikes out at you by shouting, slapping, and kicking. What stage of dementia is this person MOST likely showing symptoms of?Reversible stageEarly stageMiddle stageLate stage

Which of the following is TRUE about the stages of dementia?They are easy to determine and clear-cut.Residents will only show signs of a single stage.Residents may sometimes seem to move between stages.Over time, fewer symptoms will develop.

Watkins et al, 2019IrelandAppreciative inquiry:discovery phaseTo generate insightsabout what mattersand is valued by familySingle site, large EDPhase 1: data analysisFamily members (15)EDPhase 1: data analysisFamily members (15)Older people withdementia did not take24Caring for an older personwith dementia in theemergency department(ED): An appreciativeinquiry exploring familymember and ED nurseexperiencesmembers of olderpeople with dementiain the ED and tocapture theexperiences of EDnurses looking afterolder people withdementia in anepisode of careED nurses (12)Participant observation(30 hours)Semi-structuredinterviewsThematic analysisED nurses (12)Participantobservation (30 hours)Semi-structuredinterviewsThematic analysisTwo themes:what matters to familymembers; challengesfor family membersand nurses in ED. Beingtriaged quicklyenhances experiences.Triage nurse underpressure to seeeverybody as fast aspossible. Priority hasto be given to heartattacks/strokes.Cubicle space offerssanctuary. Familymembers fear wayolder person withdementia mightbehave in a chaoticenvironment. Risk ofbecoming a publicspectacle. ‘Conveyorbelt’ nursing. EDnurses remote frompersonal contact.Some ED nursesmanaging to integratepart as in advancedstate of the diseaseModification of triagesystem required toprioritise older peoplewith dementia.Increased educationfor nurses about theneed for familymember insights. EDnurses need to find away to blend technicaland relational aspectsof care. Some EDnurses doing this.Need to find a way tomake this happenmore frequently