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Gerontology

Resident Care

"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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ASPIRATION IN OLDER ADULTS WITH DYSPHAGIA

Dysphagia, or difficulty in swallowing, can occur as a consequence of aging, or due to physical or cognitive changes. This DVD explains the 4 stages of swallowing, the warning signs of aspiration, and offers care techniques that can be used to reduce the risk of aspiration while hand feeding or tube feeding. The DVD also stresses the importance of good dental hygiene and denture care, body positioning when feeding, and how to select an appropriate risk-reduction intervention.

DVD / 2009 / 47 minutes

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ASSESSING NUTRITION IN OLDER ADULTS

Due to any number of physical, social, medical or environmental factors, older adults are often at risk for poor nutrition. Developed to assess nutritional status in older adults, the two-part Mini-Nutritional Assessment (MNA) is a valuable resource to identify older adults that are at risk for malnutrition. This DVD demonstrates the assessment process, as well as, how to measure arm and leg circumferences, and compute body mass index. The DVD also documents specific risk factors for older adults, and offers an accurate, age-appropriate assessment that care providers can use to develop an effective nutritional plan for the patient.

DVD / 2009 / 34 minutes

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BEERS CRITERIA FOR POTENTIALLY INAPPROPRIATE MEDICATION USE IN OLDER ADULTS

Recently published studies confirm that inappropriate medication use remains a serious problem for older adults. This DVD provides a case study, using the BEERS criteria, for assessing and monitoring the multiple medications in an older adult patient. The DVD will help to train staff to be aware of the various safety and wellness issues involved when multiple medications are prescribed for older adults.

DVD / 2009 / 40 minutes

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COMMUNICATION DIFFICULTIES

Although dementia may reduce expressive and receptive abilities, persons with cognitive loss are still able to communicate long after language abilities and understanding diminish. This DVD discusses ways to assess the expressive and receptive skills of older adults with dementia or other medical conditions. It offers a number of interventions caregivers can apply, including the use of a 9-question assessment and intervention tool that promotes better overall communication and patient safety.

DVD / 2009 / 41 minutes

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DELIRIUM: THE UNDER-RECOGNIZED MEDICAL EMERGENCY

Despite its prevalence, delirium often goes unrecognized. Documenting two episodes of delirium¡Xone in a patient with no underlying cognitive impairment, and one with some signs of memory loss¡Xthis DVD identifies the 4 key elements of the Confusion Assessment Method (CAM) for assessing delirium. The DVD also explains Delirium Superimposed with Dementia (DSD), distinguishes between hyperactive, hypoactive, and mixed delirium, and documents the factors that increase risks for delirium.

DVD / 2009 / 51 minutes

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EATING AND FEEDING ISSUES IN OLDER ADULTS WITH DEMENTIA

Older adults with dementia often have an added risk of poor nutrition and hydration, due to cognitive loss. The Edinburgh Feeding and Dementia Scale equips caregivers to observe the older adult for eating or feeding difficulties, and target specific interventions that increase nutritional intake.

Includes suggestions on when and how often to do an assessment to ensure accuracy. Caregivers will also find helpful insights on how an older adult's ability to eat is affected by late-stage Alzheimer's.

DVD / 2009 / 38 minutes

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FULMER SPICES: AN OVERALL ASSESSMENT TOOL FOR OLDER ADULTS

Developed by Terry Fulmer, PhD, RN, FAAN, at New York University College of Nursing, Fulmer SPICES is an efficient tool designed to guide critical thinking and overall assessment in the approach to care for older adults. This preventive-minded resource can be used in home and professional settings, and analyzes six specific areas of concern:

1. sleeping problems
2. problems with eatting and feeding
3. incontinence
4. confusion
5. evidence of falls
6. skin breakdown

DVD / 2009 / 20 minutes

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GERIATRIC DEPRESSION SCALE (GDS)

This training DVD demonstrates the importance of improving quality of life by assessing and treating depression in older adults. It provides potential ways to treat the depression, as well as, how to recognize the range of symptoms, and properly interpret the assessment (even when dealing with severely withdrawn or hesitant persons). The DVD also discusses how multidisciplinary staff can communicate and adapt these findings toward an effective Plan of Care.

DVD / 2009 / 28 minutes

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HOSPITAL ADMISSION RISK PROFILE, THE (HARP)

Continued activity is crucial to maintaining basic functioning. Ideally performed upon admission, the Hospital Admission Risk Profile (HARP) assessment can help caregivers to recognize older adults who may be at risk for functional loss so they can provide appropriate interventions to reduce basic ADL decline during hospitalization. The DVD outlines the importance of movement to patient recovery, provides strategies to keep patients active, and explains the age, cognitive, and functional parameters that help to determine risk.

DVD / 2009 / 43 minutes

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OLDER ADULT SEXUALITY: A CONTINUING HUMAN NEED

This timely DVD provides an effective training tool caregivers can use to assess the sexual needs and issues that affect older adults. It offers sensitive ways to ask necessary questions, and help the older adult to overcome hesitations about expressing their needs or concerns. The DVD also discusses changes associated with aging for both men and women, and encourages an open, but non-assuming approach to communication that will enable care providers to establish supportive care plans that allow older adults to continue the healthy expression of sexual desires.

DVD / 2009 / 37 minutes

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PAIN ASSESSMENT IN OLDER ADULTS

Chronic pain is often a concern for older adults. Using a variety of assessment tools, this DVD will help caregivers to evaluate the presence and severity of pain, whether the patient is able to verbalize it or not. This DVD demonstrates how to assess for pain in older adults, using these four tools: the Faces Pain Scale, the Verbal Descriptor Scale, the Numeric Rating Scale, and the Pain Assessment in Advanced Dementia Scale. The DVD goes further to document how to assess and re-evaluate the effectiveness of the applied interventions, as needed.

DVD / 2009 / 64 minutes

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PREDICTING PRESSURE ULCER RISK (BRADEN SCALE)

This DVD shows how to administer and interpret the Braden Scale for predicting pressure sore risks in home, hospital, and long-term care environments. Encouraging a visual-and-touch skin assessment in conjunction with the Braden scale, it specifies what to look for, how to prevent pressure ulcers, and how to assist patients with maintaining skin integrity after discharge. Covers the 6 dimensions of the Braden Scale: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.

DVD / 2009 / 39 minutes

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WANDERING IN HOSPITALIZED: OLDER ADULTS WITH DEMENTIA

This DVD shows caregiver staff how to integrate best practices in the prevention of wandering and elopement (wandering away), specifically in older adults with dementia. Potential triggers for these behaviors are outlined, along with proper screening of patients for risk factors. Emphasis is placed on preventive aids to reduce wandering, and the importance of understanding why patients tend to wander. The DVD provides an informative discussion on staff awareness of relevant security and HIPAA policies, if an elopement should occur.

DVD / 2009 / 42 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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BALANCING ACT: YOUR FALL PREVENTION PROGRAM

Each year, approximately half of all residents in nursing care and assisted living facilities will fall, with over 40% falling more than once. This program will help you and your staff maintain an effective fall prevention program in your facility. The program will teach staff:

The factors and conditions that increase the risk of a resident fall

The importance of assessing each resident for risk of falling

Interventions relating to environmental, medical and behavioral causes of falls

The role of a creative and problem-solving approach in matching appropriate interventions to a specific resident's situation

The importance of good communications within the care team, so that everyone has a clear picture of the interventions in use and everyone gives their support

The importance on investigating and adjusting interventions promptly whenever a fall happens

What to do during and immediately after a resident fall

DVD / 24 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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I'M PRETTY OLD

This program is made up exclusively of the reflections and comments of several older residents in a long term care facility talking about what it is like for them to give up a certain amount of independence as they experience increased physical frailty.

This program is an excellent resource for professionals who work with residents in long term care facilities. It is also valuable for viewing by older adults themselves.

DVD / 20 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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VIOLENCE IN THE LONG-TERM CARE WORKPLACE: PROTECTING OURSELVES AND OUR RESIDENTS

A Video for staff in long-term care

As caregivers in long-term care, we seek a workplace where we feel safe. In the facilities where we work, we are also charged to help safeguard our residents. Yet violence can occur -- no one knows the day or the hour it might happen, but it is our responsibility to identify the threat of violence and to be prepared should an incident occur.

This educational program and any accompanying in-service training will help viewers:

AWARENESS: Recognize dierent forms of potential workplace violence and the risk factors that can increase the likelihood of an occurrence

PREVENTION: Understand what you can do to help prevent violence -- against yourself, your co-workers and the residents under your care

RESPONSE: Know how to protect yourself and those around you in the event that violence does occur

DVD

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