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The guide for providing quality of life for the Alzheimer patient : recognizing pain.
Nationally recognized leader in Alzheimer's care, Dr. Peter Rabins, leads an interactive discussion with nursing staff at a long-term care facility to identify the importance and impact of providing patient-centered care for individuals with Alzheimer's disease. Filmed on-location in a nursing home, the commentary made by staff relates to patients who are also introduced in the video. Guidelines to providing patient-centered care include: the importance of recognizing an individual's past life and discovering their life-long interests; finding out and respecting individual preferences in food, routine, clothing and activities; relating to each person as an individual with unique physical and emotional needs; and, understanding what is appropriate today, may not be tomorrow. Patient-centered care for individuals with Alzheimer's disease is particularly important and requires special skills for staff. In order to find out how to develop a person-centered approach for each patient, staff needs to team with other staff as well as families to get essential background information. As individuals with Alzheimer's disease have diminished communication capabilities, when working with these patients, choices should be presented throughout the day in such a way to gather information through one word responses. In this way, patients will be able to successfully guide the caregiver with their preferences despite limited language. Staff will find that not only does individualized care minimize catastrophic reactions, fearful behaviors and aggressive responses, it gives patients the best possible quality of life and the opportunity to be more fully involved in life for as long as possible.
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