Lesson 1Mobility, falls risk and gait: Timed Up and Go, Morse Fall Scale, orthostatic vitalsDis lesson cover mobility, gait, and falls risk for dementia patients using Timed Up and Go, Morse Fall Scale, and orthostatic vitals. E go stress multifactor risk check and prevention to keep safe movement.
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)E go detail full check of nutrition and hydration for dementia, including weight changes, food records, swallowing test, and MNA. Focus on early risk spot, stop aspiration, and personal care ways.
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 indicatorsDis provide way to check pain for people wid mind impairment using PAINAD, Abbey Pain Scale, and behavior signs. E stress normal behaviors, culture factors, and check response to pain medicine.
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 on check sleep and night behaviors for dementia using diaries, caregiver reports, and scales. E cover body clock mix-up, safety risks, and non-drug ways to 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 mapping of behavior symptoms using ABC charts and logs. Teach pattern spot, link triggers to actions, and use data for non-drug help and 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 full check of urine and stool control for dementia, including charts, patterns, and prompted voiding. Highlight skin care, respect, and fixable causes of wetting.
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 dynamicsLook at how place and mind-social things affect dementia. Focus on room arrange, sense load, routines, social mix, and family to cut triggers and help well-being.
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 DementiaExplore check of mind and mood using MMSE, MoCA, GDS, Cornell Scale. Stress compare to start, culture, and put into care plans and talk.
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 rednessDetail skin and wound check for dementia, Braden score, early pressure signs, document tears and redness. Stress prevent, turn body, and 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 to get quick 24-hour history, vitals, recent changes, normal function, daily tasks. Help spot quick sickness, confusion, or drop and set care first.
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 useExplore medicine check for dementia, high-risk drugs, as-needed use, changes. Spot bad effects, cut drugs, work wid doctors.
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
