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Elder Care

SEXUALITY, INTIMACY, AND DEMENTIA IN RESIDENTIAL CARE SETTINGS

This 5-chaptered DVD brings forth a thoughtful, much needed exploration of sexuality, intimacy, and dementia, and the complex issues that impact residents, family members, and care staff. Through five 15- to 20-minute videos, the DVD looks at the relevant concerns of intimacy and sexuality on quality of life, freedom to express sexuality, capacity to consent, resident protections, and potential legal ramifications. It also touches on the needs of LGBT residents, how to address resident-to-resident and resident-to-visitor encounters, and how to find workable solutions with the support of family members.

The 5-DVD Chapters cover:
Part 1: The Effects of Dementia on Intimacy and Sexuality
Part 2: Responding to Sexual Expressions
Part 3: Consensual Intimacy and Sexuality
Part 4: Spousal and Family Responses
Part 5: Non-consensual Intimacy and Sexuality

This DVD poses many relevant questions, and is designed to equip care staff with a well-rounded understanding of the sensitive issues concerning intimacy, sexuality, and the rights of persons with dementia, as well as, how to respond to expressions of sexuality in a manner that promotes both resident dignity and safety.

DVD / 2017 / 78 minutes

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"BOB, I'M REALLY BUSY": THE IMPACT OF IMPERSONAL CARE ON THE WELL-BEING OF PERSONS LIVING WITH DEMENTIA

Through five short trigger scenarios involving assistance for a person living with dementia, this DVD presents care situations that will open up discussion on how best to provide resident-specific support and assistance. Each brief scenario is designed to demonstrate the impact of a caregiver's tone, actions, and level of sensitivity to the resident's needs. This up-close-and-personal look at caregiving will give caregivers a chance to dissect and analyze how they provide care, and foster a deeper understanding of how to interact positively with persons living with dementia.

DVD / 2015 / 12 minutes

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FEED HER WHILE SHE WALKS

When a resident won't sit long enough to eat, or insists on leaving, or wanders into potentially unsafe areas - what do you do?

This 20-minute DVD will help. Using real people and real situations, it offers thought-provoking insights into wandering behavior, and shows effective examples of providing person-centered care to residents who wander or insist on leaving. It also shows how an interdisciplinary approach to understanding and adjusting care to each resident's specific needs can promote independence and safety, and identifies environmental cues that can help deter wandering into unsafe or private areas (such as, another resident's room).

Includes strategies for:

Working with residents who wander at night

Working with residents who keep leaving the building

Working with residents who move items or get into things

Caregivers will be inspired to find creative, flexible ways to redirect and engage persons who wander or want to leave.

DVD / 2014 / 20 minutes

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NURSING ASSISTANT, THE: FALL PREVENTION

Falls are among the leading causes of nursing home survey deficiencies, fines and lawsuits. For a frail, elderly resident, a fall may result in bone fractures such as a broken hip or head injury. Along with physical injuries, falls can have an emotional impact as well, often the resident becomes fearful of falling again. This fear may cause the resident to lose confidence in being able to perform daily activities that he or she was capable of doing before the fall.

This revised and updated program describes the actions a CAN should take to help prevent falls among residents. This includes the use of gait belts.

After completing this course, the learner should be able to:

Describe at least three factors that place a resident at risk for falls

Describe three actions that can be taken to help prevent a resident from fallingfor falls

Give an example of how the use of restraints may increase the risk of a resident's falling

DVD / 2014 / 17 minutes

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NURSING ASSISTANT, THE: NUTRITION AND HYDRATION

A caregiver's assistance and encouragement play an important role in helping residents receive adequate food and fluid intake. Federal regulations require that nursing homes provide appropriate nutritional care and do everything possible to prevent unplanned weight loss among residents. Failure to fulfill these requirements can result in survey deficiencies, fines or legal action. A resident who does not receive adequate food and fluid intake is often weak and more susceptible to diseases, falls, bone fractures, confusion and agitation, bruises, skin tears and pressure ulcers. Fortunately, malnutrition among elderly residents is most often avoidable. To help ensure proper nutrition, each resident at the facility must receive a nutritional assessment from a registered dietitian on a regular basis.

This revised and updated program demonstrates how nurse aides can assist residents with food and fluid intake.

After completing this course, the learner should be able to:

List at least three factors that may cause a resident to have inadequate food and fluid intake

Describe consequences that can occur if a resident becomes malnourished and underweight

Describe three ways to assist a resident with food and fluid intake during mealtime

Describe the actions that should be taken if a CAN notices a change in a resident's food and fluid intake

DVD / 2014 / 18 minutes

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NURSING ASSISTANT, THE: UNDERSTANDING AND CARING FOR RESIDENTS WITH DEPRESSION

Research shows that depression among nursing homes residents is under-recognized and under-treated. According to the American Psychiatric Association, depression is a serious medical illness that "negatively affects the way a person thinks, feels and acts." Although depression is often thought of as a psychological or emotional reaction to stressful experiences, it may also affect a person's physical health as well. Caring for depressed residents requires sensitivity and an understanding of what they are experiencing.

This revised and updated program provides caregivers with an understanding of depression and its impact on the lives of elderly individuals. It also describes ways in which caregivers can assist residents who may be experiencing depression.

After completing this course, the learner should be able to:

Define depression

List 4 stressful, life-changing experiences that that may lead to depression among the elderly

Describe at least 3 signs of depression that should be reported

Give an explanation of why some elderly individuals are uncomfortable or reluctant to admit they are struggling with depression.

Describe at least 3 ways in which caregivers can create an environment of well being for depressed residents

DVD / 2014 / 23 minutes

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NURSING ASSISTANT, THE: UNDERSTANDING SKIN BREAKDOWN

For a frail, elderly nursing home resident, skin breakdown may lead to illness and depression. If a pressure ulcer develops, it places the resident at a higher risk for infections, and in some cases it may be life threatening. To protect residents who are at risk for skin breakdown, a facility should a have skin care program. In this program, a resident's skin condition should be assessed and monitored on a continual basis. The resident's care plan will indicate what actions you need to take to care for the resident's skin and help in the prevention of skin breakdown.

This program provides CAN's with a basic understanding of how skin breakdown occurs and offers examples of the skills CAN's need in helping to care for residents with fragile skin. Topics include:

Structure & function of the skin

Factors contributing to skin breakdown

Skills needed to help prevent skin breakdown include, skin inspection cleansing, moisturizing and protecting & turning and repositioning

After completing this course, the learner should be able to:

Describe at least three important functions of the skin

Give three examples of factors that contribute to skin breakdown

List three examples of skin care that may be needed to prevent skin breakdown

Describe the action that should be taken when a change in a resident's skin condition is noticed

DVD / 2014 / 15 minutes

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"I'LL BE THERE FOR YOU" - PROVIDING PERSON-CENTERED DEMENTIA CARE

By Jett Jousma

Learn how person-centered care can positiviely impact each day for persons with dementia...

This DVD shows how to make a hands-on shift to person-centered dementia care that engages the whole person and creates a support system based on each resident's needs and preferences.

From natural wake-ups to music therapy, the DVD looks at the benefits of involving residents in their care as much as possible, finding ways to help them to "continue" living life the way they prefer, and engaging them in personalized activities that boost self-esteem and interaction. It also empowers nursing assistants to act upon (and communicate to other team members) their first-hand knowledge of each resident to ensure a better understanding of their care needs.

DVD / 2013 / 28 minutes

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PERSON-CENTERED DEMENTIA CARE: STORIES AND EXAMPLES

"Who is this person - without dementia? If we can tap into who this person is, we can help their adjustment, and the process that they go through." - from the DVD

Through hands-on stories and examples, this chaptered DVD shows the positive impact of person-centered care. When caregivers meet persons with dementia "where they are" and find creative and engaging ways to connect with each individual, based on their needs and preferences, life is better for both residents and staff.

The DVD includes the case study of Elaine, a resident who, for extended periods of time, attempts to leave the facility and go home. By pinpointing the importance of knowing the resident, it shows how her "exit-seeking" behavior is addressed and managed in the context of who she is and what she needs at that particular time.

The DVD also shows how to make life richer for the residents who have dementia by

personalizing their dining experience

encouraging use of remaining abilities

engaging them in creative activities

DVD / 2013 / 29 minutes

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HE WOULDN'T TURN ME LOOSE: THE SEXUAL ASSAULT CASE OF 96-YEAR-OLD MISS MARY

This DVD presents the real-life case of 96-year-old Miss Mary, who was financially exploited and later, sexually assaulted by her grandson. Miss Mary had been living with her grandson and his wife for five years during which financial abuse took place. Then, one evening, when his wife was out, the grandson sexually abused Miss Mary for several hours, leaving her bruised from head to toe.

After the attack and hopitalization, Miss Mary was placed in a nursing home under the name "Jane Doe" for safety reasons. Miss Mary's family refused to believe her and refused to support her; her primary social interactions were with staff and resisdnts of the nursing home, and the advocates she met after the assault. However, Miss Mary retained her strength of character, and fully participated in the subsequent trial and prosecution of her grandson.

Through interviews with Miss Mary, various professionals involved in investigating and trying the case, and with victim advocates who helped Miss Mary, the DVD reveals some of the dynamics involved in this case, and how it was successfully brought to trial and prosecution.

DVD (Closed Captioned) / 2012 / 28 minutes

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PREVENTING ELDER ABUSE: HELPING KEEP RESIDENTS SAFE

This program describes the importance of recognizing elder abuse, both assist in the patient's continuing care and to avoid legal implications.

After completing this course, the learner should be able to:

Describe types and signs of elder abuse.

Identify factors that put elders at risk of becoming abused.

Identify factors that put caregivers at risk of becoming abusive.

Describe the steps that should be taken if elder abuse is suspected.

Identify when reporting is necessary, and how and where to report suspected abuse.

DVD / 2012 / 21 minutes

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MORE THAN WORDS: A NEW CULTURE OF CARE AND COMMUNICATION WITH PERSONS WHO HAVE DEMENTIA

This culture-changing DVD demonstrates (though real interactions) how person-centered care and knowledge of the resident can reduce dementia-related episodes, such as, sundowning and aggressive-protective reactions when bathing, and wanting to leave.

As it pinpoints the crucial role of the CAN as caregiver and friend, it also shows the importance of communicating directly, and creating a true "relationship" with persons with dementia. Caregivers will learn valuable tips to redirect and lessen anxieties for persons with dementia while preserving their personal autonomy and dignity.

The DVD covers:

Building and maintaining a relationship

Dealing with difficult situations

Communicating to show respect

Accepting their reality

Respecting the person's preferences

Encouraging use of remaining abilities

DVD / 2011 / 25 minutes

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ASSESSING FAMILY PREFERENCES FOR PARTICIPATION IN CARE IN HOSPITALIZED OLDER ADULTS

The involvement of family members in the care of the hospitalized older patient can provide tremendous benefits and boost recovery outcomes; not only do family members share vital care information, but they offer emotional and spiritual support to the older adult. The Family Preferences Index will enable caregivers to determine how much family members want to help, or the extent to which they are capable of helping. This collaborative effort can improve overall communication, and establish a more effective care plan. Suitable for hospital, skilled nursing, rehabilitative, and home health settings.

DVD / 2009 / 36 minutes

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AT THE BREAKING POINT: EMOTIONS AND ETHICS IN FAMILY CAREGIVING

This DVD gets to the emotional and ethical core of family caregiving. It offers short video excerpts, (3- to 8-minutes each) that reflect on several crucial aspects of family caregiving-from the effects of Alzheimer's on the spousal relationship to the right to die with dignity. Each excerpt shows real families in the midst of dealing with real challenges. Handled with unprecedented candor, each chapter provides a trigger for further discussion of the topic. Each short video also provides a way to help others acknowledge and address the specific challenges involved in caring for a loved one. The DVD is chaptered for easy access to a specific topic, and can be incorporated into a Power-Point presentation.

Chapters:
1. A Couple Faces Alzheimer's 2. A Family Faces Alzheimer's: The Nursing Home Decision 3. Giving Up The Keys: Driving And Dementia 4. Complaints Of A Dutiful Daughter 5. The Struggle Over Independence 6. A Daughter's Anguish 7. Dying With Dignity At Home

DVD / 2009 / 46 minutes

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ELDER MISTREATMENT ASSESSMENT

Elder abuse or mistreatment can take on various forms that often go undetected. The Elder Assessment Instrument (EAI) is designed to help caregivers identify possible abuse, neglect, exploitative, and abandonment indicators. The DVD encourages a team approach in incorporating elder abuse screening in the general older adult health assessment, and takes a realistic look at the potential challenges associated with an accurate assessment, such as patient restriction on sharing of information, and limiting caregiver presence during assessment.

DVD / 2009 / 39 minutes

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MODIFIED CAREGIVER STRAIN INDEX, THE

Caring for a family member can bring on a gamut of emotional and physical strains that affect the health of the caregiver and the quality of care they are able to provide. The Modified Caregiver Strain Index (CSI) is an assessment tool designed to both measure the stress of caregiving, and to highlight areas that the family caregiver should address. It explores the 4 Domains of Caregiving - physical, psychological, financial, and personal, and provides a framework in which care professionals can help family caregivers to acknowledge and address these specific areas.

DVD / 2009 / 32 minutes

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NURSING ASSISTANT, THE: CARING FOR RESIDENTS WITH DIGNITY AND RESPECT

Frontline caregivers play an essential role in providing comfort and care to frail, elderly residents. Being treated with dignity and respect is a basic right of all residents. It is a right that is enforced by the state and federal government. Mistreating a resident can result in litigation and charges of neglect and abuse. For many residents, the inability to fully care for themselves can cause them to become depressed and feel isolated. Showing compassion and understanding towards them can ease the difficulties they may be experiencing.

This program describes how front-line caregivers should treat residents when providing them with their daily personal care such as bathing, incontinence care, oral care or dressing. The topics addressed include:

Protecting a resident's right to privacy

Encouraging residents to assist in their own care

The importance of good communication

Respecting a resident's right to choose his or her own schedule of care

After completing this course, the learner should be able to:

Give examples of how a resident's privacy can be protected

Explain why it is important to handle a resident gently when providing personal care

Give examples of how to treat a resident with dignity and respect

Describe what it means to have good communication with a resident

Give an example of a resident's right to chose

DVD / 2009 / 14 minutes

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MANAGING DEPRESSION: CONSIDERATIONS IN THE OLDER PATIENT

Robert L. Spitzer, MD; K. Ranga Krishnan, MD; Sheldon H. Preskorn, MD

This program features leading medical experts presenting information on short and long term treatment of mood disorders. The faculty will address diagnosis, treatment options, clinical drug therapy, and management of mood disorders in the older patient. Additional topics wil be: polypharmacy, comorbid medical conditions, drug interactions, and the impact of depression on cognition, functions, and motor skills.

DVD / 2008 / 90 minutes

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DEALING WITH PHYSICAL AGGRESSION IN CAREGIVING: NON-PHYSICAL AND PHYSICAL INTERVENTIONS - FINGER GRABS.

When aggressive behavior happens, does your staff know how to respond quickly and safely to contain the behavior in a way that prevents injury to both the resident and themselves?

This program deals with the common problem of Finger Grabs. Your staff will learn the preventive, non-physical interventions for minimizing violent episodes and, if necessary, the physical interventions to contain aggressive behaviors while preserving the dignity of the resident.

DVD / 1999 / 18 minutes

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BON APPETIT! HOW TO CREATE MEANINGFUL MELATIMES IN LONG-TERM CARE

This DVD training program presents a comprehensive mealtime program that focuses on principles of resident autonomy and person centered care. Special attention is devoted to identifying the needs of people with dementia.

The program covers:

The effects of dementia of communications, behavior and eating.

Creating dining experiences with less distraction.

How to prepare and serve food in a way that enables the resident to eat as independently as possible.

DVD / 40 minutes

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ELDER ABUSE: FIVE CASE STUDIES

This video explores the issues of family abuse against an older adult very personally from the point of view of five different victims. Their candor in telling about their situation gives the viewer insight into the ambivalent feeling of older abuse victims as they try to find resolution to their pain. In the context of their struggle we also see the various interventions that can be used to help stop the abuse, including counseling, shelters, supportive services and legal action.

Each of the cases in this video is real - not reenacted - and has been tracked over a period of time.

DVD / 40 minutes

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ELDER CARE: ORAL HYGIENE

Poor oral hygiene may lead to serious health problems and discomfort. Incorporating both a dental and a nursing background, this program demonstrates how to identify if dental care is required and how to properly care for the oral health of the elderly.

DVD / (College, Adult) / 15 minutes

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ELDER CARE: PRESSURE ULCER IDENTIFICATION & PREVENTION

Pressure Ulcers, commonly called bedsores, can cause potentially life-threatening infections and cancer. This program provides clear and easy-to-understand information on pressure ulcer identification and prevention.

DVD / (College, Adult) / 15 minutes

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ELDER CARE: SAFE TRANSFERS

Safe transferring prevents numerous complications of prolonged bed rest and minimizes potential injury to both caregiver and elder. This program teaches how to assess what transfer techniques are appropriate, what equipment solutions are available, and gives basic information on how to use available tools.

DVD / (College, Adult) / 15 minutess

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EMS: CARE OF THE ELDERLY IN THE EMERGENCY DEPARTMENT

Carmel Bitondo Dyer, MD; Susan A. Harris, MD; Janice L. Zimmerman, MD; Mary S. Gleason, MSN, RNC

Abuse of the Elderly; Recognition and Management of Delirium in the Elderly Patient; Evaluation of the Geriatric Patient; Falls in the Elderly.

DVD / 60 minutes

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PROMOTING HEALTHY AGING: MANAGED CARE AND THE OLDER PATIENT

Robert N. Butler, MD; Frederick T. Sherman, MD,MSc; Emily Rhinehart, RN, MPH, CPHQ; Skip Klein, CFA; John C. Rother, JD

Roundtable discussion of managed care and the older patient

DVD / 90 minutes

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PROMOTING HEALTHY AGING: OVERCOMING LATE-LIFE DEPRESSION

Robert N. Butler, MD; Gene Cohen, MD, PhD; Myrna Lewis, MSW; Wanda Simmons-Clemmons, MD; Trey Sunderland, MD

A roundtable of world renowned geriatric specialists will address issues surrounding late life depression including warning signs, symptoms, and methods used to aid geriatric depression sufferers.

DVD / 90 minutes

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RESIDENTS' RIGHTS TODAY: RESPECTFUL CARE IN CHANGING TIMES

This program presents a contemporary overview of residents' rights in the long term care context. It covers how residents' rights can be affected by other characteristics of today's long term care environment, including:

Increased cultural, ethnic, language and age diversity

More time and work-flow pressure on staff

The impact of outside stresses on staff, especially for single parents and employees working two jobs

What residents' rights are and why they are so important in the life and culture of a long term care facility

The specific rights everyone in a nursing home must understand and uphold

What staff, residents and family members should know about dealing with concerns and complaints early and effectively

DVD / 20 minutes

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