Caring for older people with dementia in theemergency department.

Hunter et al, 2017 CanadaBalancing safety andharm for older adults withdementia in ruralemergency departments:health professionals'perspectivesInterpretative,descriptive exploratorydesign: social ecologicalperspectivePurposive/snowballingsamplingTo understand safetyand harm in rural EDtransitional care forcommunity-dwellingolder adults withdementia fromperspectives of HPs.HPs asked to describetheir experiences ofworking with olderpeople with dementiaand their caregivers inED2 small rural EDs (95inpatient beds/76inpatient beds)12 healthprofessionals: nurses,social worker,occupational therapist,physiotherapist,medicsSemi-structuredinterviewsHP perspectives: ED ischallenging for olderpeople with dementia.Chaotic andovercrowded. Thisgroup not a prioritydue to priorities ofemergency care. HPsometimes too busy togive proper care to thisgroup. Competingpressures in triage.HPs experience moraldistress when theycannot provide carethat they should beable to give. Negativeconsequences: no safespace, no quietenvironment. HPssensitive to familymember situation.Need to look at olderpeople with dementiaand family member asa complete package—obligations to bothSmall ED can be ofbenefit: potential toget older person withdementia out of EDfaster due to goodcommunity links.Disadvantages: makingassumptions orbecoming complacentabout patients whoare well known to HPsMaking things better:more resources,valuing contribution offamily members whocould provide care inED. Changing triageapproach to olderpeople with dementia,getting to know theperson beyond thesuperficial, betterdischarge planning

What is person-centred care for dementia? Working with a person with dementia to improve their physical coordination A holistic method of caring for a person with dementia that focuses on care and respect for that person's needs Working with a person with dementia to challenge their unhelpful thoughts and schedule activities that they previously enjoyed Having the person with dementia complete simple tasks repetitively in order to improve their memory

You are caring for a person with Alzheimer's disease. They become resistant during care. What is the best approach?Pay attention to clues the person is givingContinue giving the person careScold the person for resisting careNotify the administrator

Help for people with a particular condition, e.g. poor vision, dementiaQuestion 4Select one:a.Social support servicesb.Home maintenance servicesc.Specialised support services

A local nursing home is seeking a dependable, honest, and considerate individual to work as a caregiver for several elderly patients. Qualified candidates should have CPR and first aid training, at least a year of caregiving experience, and a passion for serving the elderly with kindness.Based on the information in the classified ad, which information should you highlight in your cover letter?A.Your previous experience as a restaurant serverB.Your experience caring for your elderly grandmotherC.Your ideas for helping the elderlyD.Your intention of becoming a registered nurse