Dementia in LTC

Long Term Care Mental Health Series

Thomas Magnuson, MD
Brenda K. Keller, MD,
CMD Divisions of Geriatric Medicine and Psychiatry
University of Nebraska Medical Center


Training and engaging nursing facilities using the Nebraska Telehealth Network

We are aiming to improve the quality of care and patient outcomes for residents of nursing homes through interdisciplinary training of nursing home providers.

Presentations
RealPlayer/PowerPoint
*Click on movie camera
to watch video
Cases
PowerPoint/Video
Tip Sheets
(PDF)
References
(PDF)
Challenging Behaviors I

movie camers Powerpoint

PowerPoint

The Aggressive Man

Video

Safe Intervention with Aggressive Behavior

Handling Aggressive Behaviors Part 2

Handling Aggressive Behaviors Part 3

Impulsiveness
Aggression
Literature

Websites
Challenging Behaviors II

movie camers Powerpoint

PowerPoint

Wandering Around

Video

Dementia and wandering: Suggestions for family caregivers 

Wandering in Dementia

Managing Alzheimer's Delusions and Wandering

Shifting Focus: Wandering

Wandering
Disruptive Vocalizations
Bathing
Disrobing
Literature

Websites
Beating the Blues in LTC

movie camers Powerpoint
Mrs. D and the Dwindles Recognizing Geriatric Depression
Treatment for Geriatric Depression
Literature

Websites
The Right to Refuse Tx
in Mental Illness in LTC
 movie camersPowerpoint
The Noncompliant Resident Right to Refuse Treatment Literature

Websites
Activities to maximize QOL in
Residents with Dementia LTC

movie camers Powerpoint

The Bored Grandmother

See below for videos

Activities for residents with Dementia

Literature

Websites
Anxiety and Sleep
Disorders in LTC

movie camers Powerpoint

The Worried Sailor

Relaxation Techniques 
Management of Anxiety
Sleep Hygiene
Sleep in the NH
Literature

Websites
Communication

Miss Information 

SBAR to communicate psychiatric
change to MD

Aphasia 

Literature

Websites
Personality Disorders in LTC

movie camers Powerpoint

The Frustrating Matron Personality Disorders in the NH Literature

Websites
Psychiatric Medication Side
Effects in LTC

movie camers Powerpoint
The Mumbling Lady Medication Side Effects Literature

Websites
Psychosis in LTC
movie camers Powerpoint
The Evil Roommate Psychosis in the NH

Literature

Websites

Preventing Suicide in LTC
movie camers Powerpoint

The Threatening Elder

Suicide Risk Evaluation Sheet Literature

Websites
Sexuality in LTC
 movie camersPowerpoint
Unwanted Advances Sexuality in the NH Literature

Websites
 Dressing, Grooming, Toileting, and Meals in LTC See below for videos

Dressing
Grooming
Toileting
Meals

 
Fecal Digging and Smearing
(PDF Format)
     
Skin Picking Disorders
(PDF Format)
     
Reduction of Antipsychotics in LTC 
(PDF Format)
     
Non-pharmacologic Intervention Links
(PDF Format)
     
Non-pharmacological Treatments References (PDF)
Acupuncture

Literature
Websites

Aromatherapy Literature
Websites 
Light Therapy Literature
Websites
Massage Touch Therapy Literature
Websites
Music Therapy Literature
Websites
Pet Therapy Literature
Websites
Snoezelen Multisensory Stimulation Therapy Literature
Websites
Transcranial Electrical Nerve Stimulation (TENS) Literature
Websites
 Reminiscence Therapy Literature
Websites
 Simulated Presence Literature
Websites
 Validation Therapy Literature
Websites

*To view the case you will need RealPlayer.
The educational material presented in these series were supported by the Health Resources Services Administration
(HRSA), Bureau of Health Professions (BHPr) for Nebraska Geriatric Education Center

Additional Resources

Web Based Resources For Non-pharmacological Management of Dementia Behaviors

Activities
Things A Dementia Patient Can Do: Part 1 (3min41sec)
Things A Dementia Patient Can Do: Part 2 (3min35sec)
Games to Play with a Dementia Patient (3min22sec)
Summer Activities for Dementia Patient (3min41sec)
Scheduling Activities for the Dementia Patient (2min35sec)
Creating Meaningful Activities for Persons with Cognitive Impairment (51min34sec)
Is the “Activity” The Pill for the Individual with Dementia with Behavior Symptoms? (8min37sec)
Art Therapy Activities: Art Therapy Projects for Alzheimer’s (2min15sec)
Alive Inside: How the Magic of Music Proves Therapeutic for Patients with Alzheimer's and Dementia (17min27sec)
Engaged Caregiving and Stage-Appropriate Activity for Individuals with Frontotemporal Dementia (31min27sec)
A Different Visit: Montessori-Based Activities for People with Alzheimer's / Dementia (8min07sec)
Tele-workshop: Activities to do with the Person with Dementia (33min55sec)
Dementia: Rediscovering Moments of Joy through Activities (4min56sec)
Dementia/Alzheimer's: Why Activities Matter (5min49sec)

Meals
How to Feed an Older Dementia Person (7min22sec)
Feeding Tips for Dementia (3min09sec)
How to Help a Family Member with Alzheimer's or Dementia with Eating (1min30sec)
Spoon Feeding Alzheimer’s Patient MLO (6min16sec)
Eating and Feeding Issues in Older Adults with Dementia (38min05sec)
Dementia, Dining & Dignity at the Dinner Table (4min46sec)
 
 
Toileting
Toileting & Incontinence (4min44sec)
Function Focused Care for Assisted Living Residents Toileting (3min59sec)
How to Help a Family Member with Alzheimer's or Dementia with Toileting (1min51sec)
Dementia and Toileting (5min07sec)

Oral Hygiene and Grooming
Function Focused Care for Assisted Living Residents Oral Care and Grooming (3min38sec)
Daily Oral Care for the Nursing Home Resident with Dementia (16min47sec)
Dementia Patients' Oral Hygiene Benefits From Researched Techniques (4min27sec)
How to Help a Person with Dementia Brush Their Teeth (2min16sec)
Oral Hygiene Instruction for Caregivers (20min06sec)

Bathing
Dressing and Bathing - Memory and Alzheimer's Disease (6min31sec)
Dementia Bathing Battles  (1min03sec)
Bathing a Patient with Dementia/Alzheimer's (4min07sec)
Showering and Transferring (5min01sec)
Bathing and Dressing (3min04sec)
Practical Solutions for Dementia Caregivers – Refusing to Bathe (8min17sec)

Dressing
Dressing and Bathing - Memory and Alzheimer's Disease (6min31sec)
Function Focused Care for Assisted Living Residents Dressing (3min48sec)
Dressing Tips Dementia Care (3min25sec)
Coping with Dementia – Dressing (6min58sec)
Bathing and Dressing (3min04sec)

Communication
MESSAGE Communication in Dementia Introduction (3min28sec)
MESSAGE Communication in Dementia: Strategies for Care Staff (21min34sec)
MESSAGE Communication in Dementia: Teaching Examples for Care Staff (13min17sec)
Communicating with Patients with Dementia/Alzheimer's (2min52sec)
How to Interact with Alzheimer's Patients (12min00sec)
Working with Dementia Part 1 (2min41sec)
Working with Dementia Part 2 (5min38sec)
Working with Dementia Part 3 (2min43sec)
Working with Dementia Part 4 (3min14sec)
Working with Dementia Part 5 (4min33sec)
Working with Dementia Part 6 (3min59sec)