Alzheimer's Habilitation Approach to Personal Care

 

Module 6:
Our Approach to
Personal Care
Section A

How do you feel
when you bathe or shower?

What You’ll Learn

Identify 2 ways dementia creates challenges to successful personal care

Identify 2 ways knowing the person helps us provide personal care

Identify what “Spend 5 to Save 20” means

Identify 2 benefits of “Doing personal care with” a  person

Identify what can happen when we do it all for them

 

Ways Dementia Creates Challenges with Personal Care

Person with Alzheimer’s or
another dementia:

May not realize they need assistance

May not realize the need to change or bathe

Changes in vision can make
bathroom frightening

Difficulty with multiple step tasks
can be frustrating

 

Spend 5 to Save 20

Spend time talking (laughing, singing, holding their hand) before beginning care

This will help them to:

Feel a positive emotion with you

See you as a friend (not a stranger)

Adapt to a new activity more easily

Accept your help

Spend 5 to Connect

Connect by talking, singing or moving:

Talk about: the weather, dogs, children, baseball, food holidays, church

Look together at: family picture, newspaper, a card

Sing songs that are: from childhood, patriotic, religious

Help them to move: chair or bed exercise, walk around

Do something they like.  A “yes” can lead to another “yes”

Starting Personal Care

Begin with something you know they like

Don’t ask if they want to shower or dress, say things like:

Let’s get ready for breakfast”

“You are so pretty/handsome when you wear __________.”

“I always feel better when I freshen up.  Let me help you up…”

Don’t tell them why they need to get clean, say things like:

“Your daughter, Susan, asked me to help you today.”

“Your son, Michael, paid for a free spa experience.”

“I’ve been sent out by the town to say thank you and help out.”

“Would you let me help a little?  Otherwise, I’ll get in trouble…”

 

Are We Doing Care
TO Them or
WITH Them?

Helping Your Daughter Bake

How would she feel if…

You decided when to bake

You chose the type of cake

You did the measuring

She couldn’t use the mixer because she makes a mess

You finished the cake because she is slow and
you are in a hurry

 

When We Do Care TO Them

Feel you are treating them like a baby

Feel they have no control over what is happening

Feel ashamed or embarrassed

Stop trying

May get upset or angry

May push or punch

 

Do Personal Care WITH Them

Prevents anxiety or fear

Avoids agitation or anger

Keeps them active
and engaged

Makes care more enjoyable – a
positive emotion!

Don’t Do it All

If you do they will:

Instead:

What did we
talk about today?
Let’s review…

Ways Dementia Creates Challenges with Personal Care

Person with Alzheimer’s or
another dementia:

May  not realize they need assistance

May not realize the need to change or bathe

Changes in vision can make
bathroom frightening

Difficulty with multiple step tasks
can be frustrating

 

Spend 5 to Save 20

Spend time talking (laughing, singing, holding their hand) before beginning care

This will help them to:

Feel a positive emotion with you

See you as a friend (not a stranger)

Adapt to a new activity more easily

Accept your help

Do Personal Care WITH Them

Prevents anxiety or fear

Avoids agitation or anger

Keeps them active
and engaged

Makes care more enjoyable – a
positive emotion!

Don’t Do it All

If you do they will:

Instead: