Contributors
Preface
Acknowledgments
Part I: The Basics

1. Understanding the Battle, Beverly Hoeffer, Joanne Rader, Ann Louise Barrick
2. Temperatures of the Times: Fluctuations in Bathing Through the Ages, Mary Lavelle
3. General Guidelines for Bathing Persons With Dementia, Ann Louise Barrick, Joanne Rader
4. Assessing Behaviors, Ann Louise Barrick, Joanne Rader, Madeline Mitchell
5. Selecting Person-Directed Solutions That Work, Ann Louise Barrick, Joanne Rader, Madeline Mitchell

Part II: Special Concerns

6. Person-Directed Care: Sustaining Interactions Through Offering the Needed Level of Assistance, Carla Gene Rapp
7. Managing Pain, Karen Amann Talerico, Lois L. Miller
8. Care of the Skin, Johannah Uriri Glover, Kimberly Horton Hoffman, LouAnn Rondorf-Klym
9. Transfer Techniques, Adele Mattinat Spegman, Theresa H. Raudsepp, Jennifer R. Wood
10. The Physical Environment of the Bathing Room, Margaret P. Calkins
11. Equipment and Supplies, Stacey Biddle, Phil Sloane

Part III: Supporting Caregiving Activities

12. Bathing as a Vehicle for Change, Joanne Rader, Ann Louise Barrick, Darlene McKenzie, Beverly Hoeffer
13. Interactive Approaches to Teach Person-Directed Bathing, Joyce H. Rasin, Joanne Rader, Ann Louise Barrick
14. Taking Care of Yourself: Strategies for Caregivers, Joyce H. Rasin

Appendix A: Measuring Success: A Quality Improvement Program for Person-Directed Bathing
Appendix B: Behavior Rating Checklist
Appendix C: Caregiver Behavior Checklist
Index

Ann Louise Barrick, PhD, is a Clinical Professor at the University of North Carolina-Chapel Hill, Department of Psychology, and director of psychology at John Umstead Hospital, Butner, NC.

Joanne Rader, RN, MN, is currently an independent consultant. She has worked in the field of long term care for 30 years. She has worked on funded projects to reduce the use of physical restraints, inappropriate psychoactive medications, and defensive, self-protective behaviors during bathing and morning care for persons with dementia. She is the author of a 1996 AJN Book of the Year titled Individualized Dementia Care: Creative, Compassionate Approaches.

Dr. Beverly Hoeffer is professor and associate dean emerita, School of Nursing, Oregon Health and Science University in Portland, Oregon.

Philip Sloane, MD, MPH, is Elizabeth and Oscar Goodwin Distinguished Professor of Family Medicine at the University of North Carolina at Chapel Hill. A geriatrician, he has served as medical director of several long-term care facilities and has co-authored Primary Care Geriatrics, Dementia Units in Long-Term Care, and the Alzheimer's Association's Key Elements of Dementia Care. Dr. Sloane is nationally known for his work on the management of persons with Alzheimer's disease and related disorders.

Stacey Biddle, COTA/L, has combined her creative talents with degrees in art therapy and occupational therapy by providing direct services for 15 years to seniors in skilled, long term assisted living, outpatient, home health care, and healthcare travel assignment. She has extensive experience adapting and modifying the environment to enhance the quality of life and daily living activities of older adults.