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No-fail Environment in Dementia
Aka: No-fail Environment in Dementia, Dementia No-fail Environment
- See Also
- Dementia
- Dementia Management
- Dementia Related Malnutrition
- Sleep Problems in Dementia
- Wandering Behavior in Dementia
- Home Adaptations for Dementia
- Indications
- Behavior Problems in Dementia
- Agitation in Dementia
- Background
- Patients with Dementia have Anosognosia
- Patient doesn't recognize their own deficits
- Common problem in Dementia
- Failure to perform tasks results in behavior problems
- Frustration
- Irritability
- Agitation if reminded that problem exists
- Management
- Provide low demand environment
- Simplify tasks into easy steps
- Provide tasks that they are able to perform
- If patient unable to use utensils, use finger foods
- Calendars and clocks help orient to time
- Color code or graphically code environment
- Provide predictable routine (e.g. meals, bedtime)
- Explain activities simply before performing
- Make use of calming activities
- Music and dance
- Art
- Exercise (e.g. schedule daily walks)
- Montessori activities
- Ask close-ended questions:
- Example: Would you like chicken for dinner?
- Ask questions for which patient knows the answer
- Distract and redirect patient in problem situations
- React to emotion instead of patient's speach content
- Help patient remember prior pleasant experiences
- Calm with music, toys, familiar items
- Create a safe environment
- See Fall Prevention in the Elderly
- Remove weapons from home (guns, knives)
- References
- Howell in Duthie (1998) Geriatrics p. 295-305
- Cummings (2002) Am Fam Physician 65(12):2525-34 [PubMed]
- Ham (1997) Postgrad Med 101(6):57-70 [PubMed]
- Stewert (1995) Am Fam Physician 52(8):2311-22 [PubMed]