Learning Objectives Understand how confusion interferes with cognition in everyday circumstances for all of us Recognize challenges people living with dementia face when dealing with confusion Identify how everyday interactions can become problematic for people with dementia ID: 772992
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Learning Objectives Understand how confusion interferes with cognition in everyday circumstances for all of us Recognize challenges people living with dementia face when dealing with confusion Identify how everyday interactions can become problematic for people with dementia Learn approaches that help in decreasing confusion and enhancing support provided to people living with dementia
Dementia is a condition of global deterioration of memory and cognition that impairs thought and social functioning . What is Dementia?
Facts About Alzheimer’s disease and Other Related Dementias* * Alzheimer’s Association 2018 Alzheimer’s Disease Facts and Figures Report
Thought o r Cognition Memory Language Abstraction Perception Reasoning Attention Judgment Organization What is Going On in the Brain?
CONFUSION Thinking or Cognition Memory Language Abstraction Perception Reasoning Attention Judgment Organization Confusion The World We Understand The World We Understand Confusion is Always a Possibility
Confusion Less feeling of security and control Outside influences seem more intense, increasing the need for security and control Confusion is upsetting in itself Strong emotions, such as fear, are connected to confusionConfusion - and the fear it produces - is at the heart of many comfort and security seeking behaviors
Emotional Needs Calm Safety SecurityControlReassurance
Confusion Discomfort Behavior
Person Surroundings Behavior A Simple Model of Behavior Others
Behavior Behavior Behavior Person Person Person Others Others Surroundings Surroundings Surroundings Others Progressive Decline of Thinking in Dementia
Negative Interactions to Address Confusion Treachery Disempowerment InfantilizationIntimidationLabelingStigmatizationOutpacingInvalidationBanishmentObjectificationIgnoringImpositionWithholdingAccusationDisruptionMockeryDisparagement
Positive Interactions to Address Confusion Recognition Negotiation CollaborationPlayStimulationCelebrationRelaxationValidationHoldingFacilitationCreatingGiving
Content and Involved Without distress Sense of Ease PleasantWithin one’s limits and abilities -- not a stretch or effortFamiliarMakes senseFits with who you areEngaged Zeroed in Attentive Focused Using one’s available skills BusyConcentrated
Video Review Identify negative and positive interactions that occurred. Rate each negative interaction on this scale: Mild ModerateSevereVery SevereIdentify the benefits of the positive interactions.Discuss and compare your assessment with a colleague.
Things to consider… Dementia affects a variety of areas of cognition Confusion is ever present causing discomfort and the outward expression of behavior changes Your approach matters You make a difference!