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Bathing Without a Battle

Person-Directed Care of Individuals with Dementia

Second Edition

Editors

Ann Louise Barrick, PhD

Joanne Rader, RN, MN, PMHNP

Beverly Hoeffer, DNSc, RN, FAAN

Philip D. Sloane, MD, MPH

Stacey Biddle, COTA/L

Description

2008 AJN Book of the Year Winner!

Like its popular predecessor, the new edition of Bathing Without a Battle presents an individualized, problem-solving approach to bathing and personal care of individuals with dementia. On the basis of extensive original research and clinical experience, the editors have developed strategies and techniques that work in both institution and home settings. Their approach is also appropriate for caregiving activities other than bathing, such as morning and evening care, and for frail elders not suffering from dementia.

Pain
Skin care
Determining the appropriate level of assistance
Transfers
The environment

An enhanced final section addresses ways to support caregivers by increasing their understanding of the care recipient's needs and their knowledge of interventions to improve care and comfort. It also emphasizes self-care and system-level changes to promote person-directed care. Several chapters include specific insights and wisdom from direct caregivers.

Contents

Part I: The Basics

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

Part II: Special Concerns

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

Part III: Supporting Caregiving Activities

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

Authors

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.

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.

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.

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