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Dementia - Nursing Quick Help

Dementia - Nursing Quick Help - Clinical Hub, Nursing Hub, Nursing Practice Guidelines, Quick Help for Nurses, Resources


Hi, I am Suzanne Purvis, the Geriatric Clinical
Nurse Specialist here to help you with a patient
who has dementia. To your left you will find
quick topics to help you.
Just click on the pictures to the left to
learn more.
Quick Help for Nurses: Dementia
Nursing Practice Innovation, 2017

Quick Help for Nurses:
Dementia
Nursing Practice Innovation, 2017

Preventing Delirium (confusion)
HOME
Prevent
Delirium
Ask family to
consider
bringing in non-
valuable familiar
things or objects
from home such
as pictures
Lights on
during the day
Assess for pain,
use the
Checklist of
Non-verbal
Pain Indicators
Use orienting
conversations,
where they
live, the
weather, about
their
home/work
Mobilization:
Put a schedule
on the board
and walk with
the patient
Nursing Practice Innovation, 2017

Patient is Upset
HOME
Don’t say “No”, change the subject, ask about
familiar things. Consider filling out “Things to know
about me” with the family or patient. (Click Here )
If someone says “I want to go home” or “I want my
wife/husband” ask them to tell you about their
home or wife/husband.
Think of comforting things to say: “You are safe
here” or “I will take care of you.”
Resistant to cares: take a step back, remain calm,
reassure the patient that he or she is safe. Make sure
the patient can hear and see you. Move slowly.

Distraction: Try music, walking or talking with the
patient or try a different staff member.

Nursing Practice Innovation, 2017

Dementia: 5 Things to Help
HOME
Helping the
patient
with
Dementia
Use the
Symptomatic
Behavior Note
to document
behaviors
Don’t respond
with anger,
take the time
to talk to the
patient
Ask what they
like and don’t
like. Try
reminiscence
or music
Ask
friends/family/
caregivers
what works
and what
doesn’t
Remember to
identify
yourself and
your role
frequently

Nursing Practice Innovation, 2017

Patient is Trying to Leave
HOME
Patients in general
can not leave if they
have dementia: call
the provider
Don’t push or stand
in their way, just
walk with them and
get help
Keep shoes/clothes
in a safe place or
removed from the
room to reduce the
urge to leave
Try walking around
the unit (in a circle
back to the room)
If the patient says “I
want to go home”
you say “tell me
about your home”
Remind patient their
family/caregiver will
be coming back
Nursing Practice Innovation, 2017