Lesson 1Mobility, falls risk and gait: Timed Up and Go, Morse Fall Scale, orthostatic vitalsDeal wid mobility, gait, an falls risk check-up inna dementia usin Timed Up and Go, Morse Fall Scale, an orthostatic vitals. Stress multifactorial risk check an target prevention fi keep safe mobility.
Taking a focused mobility and falls historyPerforming the Timed Up and Go test safelyUsing the Morse Fall Scale and interpreting scoresMeasuring orthostatic vitals and dizziness symptomsDesigning individualized falls prevention plansLesson 2Nutrition and hydration evaluation: weight trends, meal intake records, swallowing screening, MNA (Mini Nutritional Assessment)Spell out full check-up fi nutrition an hydration inna dementia, includin weight trends, intake records, swallowin screenin, an MNA. Stress early risk spot, aspiration prevention, an individual care plans.
Reviewing weight history and BMI trends over timeMonitoring meal intake, snacks, and fluid balanceScreening swallowing and aspiration risk at bedsideAdministering and interpreting the MNA toolPlanning interventions for malnutrition and dehydrationLesson 3Pain assessment in cognitively impaired patients: PAINAD, Abbey Pain Scale, observational indicatorsGi framework fi check pain inna people wid cognitive impairment usin PAINAD, Abbey Pain Scale, an behavior cues. Stress baseline behaviors, culture factors, an check response to pain meds.
Recognizing atypical and behavioral pain indicatorsUsing the PAINAD scale step by stepApplying the Abbey Pain Scale in practiceDifferentiating pain from agitation or deliriumReassessing pain after interventions and documentingLesson 4Sleep and nighttime behavior assessment: sleep-wake patterns, sleep diaries, sleep disturbance scalesFocus pon check sleep an night behaviors inna dementia, usin sleep diaries, caregiver reports, an standard scales. Deal wid circadian mix-up, safety risks, an non-drug ways fi better sleep.
Collecting sleep-wake history and bedtime routinesUsing sleep diaries and actigraphy when availableApplying sleep disturbance scales in dementiaIdentifying nocturnal wandering and safety risksNonpharmacologic strategies to improve sleepLesson 5Behavioral symptom mapping: ABC (Antecedent-Behavior-Consequence) charting and frequency/severity logsCover structured map fi behavioral an psychological symptoms usin ABC charts an severity logs. Teach pattern spot, link triggers to behaviors, an use data fi guide non-drug interventions an team plans.
Principles of ABC (Antecedent-Behavior-Consequence)Designing clear behavior definitions and rating scalesCompleting ABC charts in real time on the unitAnalyzing frequency, severity, and temporal patternsUsing mapping data to tailor interventions and careLesson 6Continence and toileting patterns: bladder/bowel charting and prompted voiding assessmentCover systematic check fi continence an toileting inna dementia, includin bladder an bowel chartin, patterns, an prompted voidin trials. Highlight skin protection, dignity, an fixable causes fi incontinence.
Collecting continence history and current routinesUsing bladder and bowel charts for pattern trackingAssessing for reversible causes of incontinenceImplementing prompted voiding and timed toiletingProtecting skin and preserving privacy and dignityLesson 7Environment and psychosocial factors: room setup, triggers, social engagement, family dynamicsCheck how physical space an psychosocial context affect function an distress inna dementia. Focus pon room setup, sensory load, routines, social link-up, an family vibes fi cut triggers an boost well-bein.
Assessing room layout, lighting, and noise levelsIdentifying environmental triggers and overstimulationEvaluating routines, structure, and meaningful activityAssessing social engagement and isolation riskExploring family roles, conflict, and caregiver stressLesson 8Cognition and mood screening: MMSE, MoCA, Global Deterioration Scale, Cornell Scale for Depression in DementiaDig inna structured screen fi cognition an mood inna dementia usin MMSE, MoCA, GDS, an Cornell Scale. Stress baseline compare, culture factors, an link findings to care plans an chat.
Selecting appropriate cognitive screening toolsAdministering MMSE and MoCA reliablyUsing the Global Deterioration Scale for stagingScreening depression with the Cornell ScaleCommunicating results to team, patient, and familyLesson 9Skin and wound assessment: pressure risk scales (Braden), documentation of skin tears and sacral rednessSpell out full skin an wound check inna dementia, includin Braden score, early pressure sore signs, an record tears an redness. Stress prevention, turnin, an team follow-up.
Performing a head-to-toe skin inspectionUsing the Braden Scale and interpreting risk levelsIdentifying early pressure injury and sacral rednessAssessing and documenting skin tears accuratelyPlanning prevention, dressings, and follow-up careLesson 10Collecting immediate 24-hour history: vital signs, recent changes, baseline function, and ADLsGuide nurses fi collect focus 24-hour history, includin vitals, recent changes, baseline function, an ADLs. Help quick spot fi acute sickness, delirium, or drop, an set care priorities.
Reviewing recent vital signs and pain scoresIdentifying new symptoms and behavior changesClarifying baseline cognition and functional statusDocumenting ADL performance and support needsPrioritizing urgent concerns for provider reviewLesson 11Medication review and polypharmacy check: anticholinergics, sedatives, hypoglycemics, antihypertensives, recent changes and PRN useDig inna systematic med check fi dementia people, focus pon high-risk drugs, PRN use, an recent changes. Stress spot bad effects, cut-back chances, an link wid prescribers.
Collecting complete medication and allergy historiesIdentifying high-risk anticholinergic and sedative drugsReviewing hypoglycemics and antihypertensives safelyAssessing PRN use, duplication, and drug interactionsCommunicating concerns and deprescribing with prescribers
