Chcage005 pdf

CHCAGE005

PROVIDE SUPPORT TO PEOPLE LIVING WITH DEMENTIA

LEARNER RESOURCE

Developed by Enhance Your Future Pty Ltd 2 CHCAGE005 Provide support to people living with dementia Version 1.1

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T A B L E O F C O N T E N T S

TABLE OF CONTENTS ........................................................................................................................................ 2

UNIT INTRODUCTION ....................................................................................................................................... 6

ABOUT THIS RESOURCE ...................................................................................................................................... 6 ABOUT ASSESSMENT .......................................................................................................................................... 7

ELEMENTS AND PERFORMANCE CRITERIA ....................................................................................................... 9

PERFORMANCE EVIDENCE AND KNOWLEDGE EVIDENCE ............................................................................... 11

PERFORMANCE EVIDENCE ....................................................................................................................................... 11 KNOWLEDGE EVIDENCE .......................................................................................................................................... 11

ASSESSMENT CONDITIONS ............................................................................................................................ 13

PRE-REQUISITES ............................................................................................................................................. 13

TOPIC 1 – PREPARE TO PROVIDE SUPPORT TO THOSE AFFECTED BY DEMENTIA ............................................ 14

WHAT IS DEMENTIA? ............................................................................................................................................ 14 WHAT IS THE DIFFERENCE BETWEEN DEMENTIA AND ALZHEIMER’S DISEASE? .................................................................... 15 EARLY SIGNS OF DEMENTIA ..................................................................................................................................... 17 SYMPTOMS AND STAGES OF DEMENTIA ..................................................................................................................... 19 FIRST-STAGE ........................................................................................................................................................ 19 SECOND-STAGE .................................................................................................................................................... 21 THIRD-STAGE ....................................................................................................................................................... 23 FOURTH-STAGE .................................................................................................................................................... 24

APPLY PERSON-CENTRED CARE APPROACHES TO ALL INTERACTIONS WITH THE PERSON LIVING WITH

DEMENTIA ..................................................................................................................................................... 25

WHAT IS PERSON-CENTRED PRACTICE? ...................................................................................................................... 25 Why is person-centred practice important? ................................................................................................ 25

LANGUAGE AND PERSON CENTRED CARE ................................................................................................................... 26

INTERPRET INDIVIDUALISED PLAN AND FAMILIARISE SELF WITH THE SPECIFIC NEEDS AND WANTS OF THE

PERSON LIVING WITH DEMENTIA AND IDENTIFY AND ADDRESS PERSON’S NEEDS FOR A STABLE AND

FAMILIAR ENVIRONMENT .............................................................................................................................. 27

TREATMENT AND CARE ........................................................................................................................................... 27 RISK FACTORS AND PREVENTION............................................................................................................................... 28 SOCIAL AND ECONOMIC IMPACTS ............................................................................................................................. 28 LIVING WITH DEMENTIA ......................................................................................................................................... 28 WHAT IS THE EXPERIENCE OF DEMENTIA? .................................................................................................................. 28

RECOGNISE SIGNS CONSISTENT WITH FINANCIAL, PHYSICAL OR EMOTIONAL ABUSE OR NEGLECT OF THE

PERSON AND REPORT TO AN APPROPRIATE PERSON .................................................................................... 31

DOMESTIC VIOLENCE ............................................................................................................................................. 32 NEGLECT ............................................................................................................................................................. 32 PHYSICAL ABUSE ................................................................................................................................................... 33 RESTRAINTS AND RESTRICTED PRACTICES .................................................................................................................... 33 SEXUAL ASSAULT ................................................................................................................................................... 34 EMOTIONAL ABUSE ............................................................................................................................................... 35 FINANCIAL ABUSE .................................................................................................................................................. 35 SYSTEMIC ABUSE ................................................................................................................................................... 36 RECOGNISING SIGNS THAT MAY BE INDICATORS OF ABUSE ............................................................................ 36

Developed by Enhance Your Future Pty Ltd 3 CHCAGE005 Provide support to people living with dementia Version 1.1

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TOPIC 2 – USE APPROPRIATE COMMUNICATION STRATEGIES ....................................................................... 39

USE VERBAL AND NON-VERBAL COMMUNICATION STRATEGIES TO MAXIMISE ENGAGEMENT OF THE PERSON

WITH DEMENTIA ............................................................................................................................................ 39

THE GOOD NEWS .................................................................................................................................................. 39 BE A GOOD LISTENER ............................................................................................................................................. 40 INTUITION ........................................................................................................................................................... 40 THE EFFECTS OF DEMENTIA ON COMMUNICATION ........................................................................................................ 41 THE COMMUNICATIVE NEEDS OF PEOPLE LIVING WITH DEMENTIA ................................................................................... 41

GAIN COOPERATION AND PROVIDE REASSURANCE AS APPROPRIATE BY USING REALITY ORIENTATION ...... 43

UNREALISTIC BELIEF IN DEMENTIA CLIENTS ................................................................................................................. 43 WHAT ARE THEY? ................................................................................................................................................. 43 VALIDATE THE PERSONS ‘S BELIEF ............................................................................................................................. 44 TREATMENT ......................................................................................................................................................... 45 SUPPORT FOR FAMILIES AND CARERS ......................................................................................................................... 46

USE A RANGE OF VALIDATION STRATEGIES TO RELIEVE DISTRESS AND AGITATION IN THE PERSON ............. 47

WHAT IS AGITATED BEHAVIOUR? ............................................................................................................................. 47 WHAT CAUSES THESE BEHAVIOURS? ......................................................................................................................... 47 UNDERSTANDING THE BEHAVIOURS .......................................................................................................................... 47 FREQUENT CAUSES OF AGITATED BEHAVIOURS ............................................................................................................. 48

TOPIC 3 – PROVIDE ACTIVITIES FOR MAINTENANCE OF DIGNITY, SKILLS AND HEALTH .................................. 51

ORGANISE ACTIVITIES WHICH AIM TO MAINTAIN INDEPENDENCE, USING FAMILIAR ROUTINES AND EXISTING

SKILLS ............................................................................................................................................................ 51

CREATING OPPORTUNITIES FOR PERSONAL ENJOYMENT ................................................................................................. 51

ORGANISE ACTIVITIES THAT ARE APPROPRIATE TO THE INDIVIDUAL, REFLECTING THEIR CULTURAL LIKES AND

DISLIKES, IN ORDER TO BRING BACK PLEASURABLE MEMORIES .................................................................... 53

DAILY LIVING AND PAST SOCIAL ROLES ....................................................................................................................... 53 CREATING A LIFE STORY .......................................................................................................................................... 53 MEANINGFUL AND PURPOSEFUL DAILY LIVING ............................................................................................................. 54 INTIMACY AND SEXUAL ISSUES ................................................................................................................................. 55 INTIMACY AND SEXUALITY ....................................................................................................................................... 55 HOW ARE INTIMACY AND SEXUALITY AFFECTED BY DEMENTIA? ....................................................................................... 55 CHANGED SEXUAL BEHAVIOURS ............................................................................................................................... 55 INCREASED SEXUAL DEMANDS .................................................................................................................................. 56 DIMINISHING SEXUAL INTEREST ................................................................................................................................ 56 LOSS OF INHIBITIONS ............................................................................................................................................. 56 MANAGING INAPPROPRIATE SEXUAL BEHAVIOURS ....................................................................................................... 56 INCONTINENCE ..................................................................................................................................................... 57 WHERE TO BEGIN .................................................................................................................................................. 57 CHANGES IN A PERSON’S ABILITY .............................................................................................................................. 57 DRESSING ............................................................................................................................................................ 58 PHYSICAL OR MEDICAL CAUSES ................................................................................................................................. 58 FORGETTING HOW TO DRESS ................................................................................................................................... 58 PROBLEMS WITH THE ENVIRONMENT ........................................................................................................................ 59 LACK OF PRIVACY .................................................................................................................................................. 59 PROBLEMS MAKING DECISIONS ABOUT WHAT TO WEAR ................................................................................................ 60

ENSURE THE SAFETY AND COMFORT OF THE PERSON BALANCED WITH AUTONOMY AND RISK TAKING ....... 61

SAFETY ............................................................................................................................................................... 61 WALKING AND WANDERING .................................................................................................................................... 62

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PARTICIPATING IN MEANINGFUL ACTIVITIES ................................................................................................................ 63 ACTIVITIES CAN BE AN IMPORTANT WAY OF HELPING A PERSON WITH DEMENTIA TO RETAIN THEIR

INDEPENDENCE. ............................................................................................................................................... 64 ACTIVITY SELECTION ............................................................................................................................................... 66

ACCESS INFORMATION ABOUT THE PERSON’S REMINISCENCES AND ROUTINES WITH FAMILY AND CARERS 69

HOW DO I MANAGE OUR COMMUNICATION NEEDS? .................................................................................................... 69 HOW DO I MANAGE THEIR EATING AND NUTRITION NEEDS? ........................................................................................... 70 HOW DO I MANAGE THEIR HYGIENE NEEDS? ............................................................................................................... 71 HOW DO I MANAGE THEIR CONTINENCE NEEDS? ......................................................................................................... 71 HOW DO I MANAGE THEIR SLEEPING HABITS? ............................................................................................................. 72 HOW DO I MANAGE MEMORY LOSS? ......................................................................................................................... 73 HOW DO I MANAGE IF THEY ARE CONFUSED? .............................................................................................................. 74 HOW DO I MANAGE IF THEY ARE AGGRESSIVE? ............................................................................................................ 74

PROVIDE SUPPORT AND GUIDANCE TO FAMILY, CARERS AND/OR SIGNIFICANT OTHERS WHERE

APPROPRIATE ................................................................................................................................................ 76

CARERS OF PEOPLE WITH DEMENTIA ARE NOT ALONE .................................................................................................... 76 MANAGING STRESS AS CARERS ................................................................................................................................. 76 ASKING FOR HELP .................................................................................................................................................. 77 COMMUNICATING WITH FRIENDS AND RELATIVES ........................................................................................................ 77

TOPIC 4 – IMPLEMENT STRATEGIES WHICH MINIMISE THE IMPACT OF BEHAVIOURS OF CONCERN .............. 79

IDENTIFY BEHAVIOURS OF CONCERN AND POTENTIAL TRIGGERS .................................................................. 79

SLEEPING PROBLEMS ............................................................................................................................................. 79 HOARDING .........................................................................................................................................