Dementia Companion: Guide for Additional Caregivers in Nursing Care

Foreword
Preface
Contents
List of Abbreviations
1 Dementia
	1.1  Disease
		1.1.1  Forms of Dementia
			1.1.1.1  Classification of Dementia According to ICD-10
			1.1.1.2  Severity Levels
		1.1.2  Symptoms
			1.1.2.1  Consequences of the Symptoms
		1.1.3  Diagnosis and Differential Diagnosis
		1.1.4  Prognosis
		1.1.5  Treatment
			1.1.5.1  Medicinal Treatment
			1.1.5.2  Non-pharmacological Treatment
			1.1.5.3  Prevention
			1.1.5.4  Complications
2 Mental Disorders
	2.1  Psychosis
		2.1.1  Classification of Psychoses
		2.1.2  Symptoms of Psychosis
			2.1.2.1  Paranoid Symptoms
			2.1.2.2  Hallucinations
		2.1.3  Treatment and Care
	2.2  Depression
		2.2.1  Symptoms of Depression
		2.2.2  Treatment and Dealing with Depressive people
	2.3  Mental Disability
		2.3.1  Symptoms of Mental Retardation
		2.3.2  Treatment Options
3 Dealing with People with Dementia
	3.1  Communication
	3.2  Communication with People with Dementia
		3.2.1  Communication Problems
	3.3  Interaction
	3.4  Dealing with People with Dementia
		3.4.1  Attitude
		3.4.2  Getting to Know
		3.4.3  Nonverbal Communication
			3.4.3.1  Facial Expressions
			3.4.3.2  Gestures
			3.4.3.3  Touches
		3.4.4  Verbal Communication
			3.4.4.1  Word Finding Difficulties
			3.4.4.2  Interpretation of Communication
			3.4.4.3  Form of Address “Sie” or “Du”
			3.4.4.4  “We Don’t Talk About That”
			3.4.4.5  Conflicts
			3.4.4.6  Truth or Lie?
			3.4.4.7  Coercion and Violence
			3.4.4.8  Signal- or Key Words
	3.5  Biography
		3.5.1  External Biography
		3.5.2  Internal Biography
	3.6  Communication Games
4 Age-Related Diseases
	4.1  Diabetes Mellitus
		4.1.1  Clinical Picture
			4.1.1.1  Type 1-Diabetes
			4.1.1.2  Type 2-Diabetes
	z	Complications
		4.1.2  Diagnosis and Treatment
		4.1.3  Hyperglycemia (Hyperglycemia)
		4.1.4  Hypoglycemia (Hypoglycemia)
	4.2  Degenerative Diseases of the Musculoskeletal System
		4.2.1  Joint Wear (Osteoarthritis)
			4.2.1.1  Causes
			4.2.1.2  Symptoms
			4.2.1.3  Diagnosis and Treatment
		4.2.2  Osteoporosis (Bone Loss)
			4.2.2.1  Causes and Symptoms
			4.2.2.2  Diagnosis and Treatment
	4.3  Cardiovascular Diseases
		4.3.1  Heart Diseases
		4.3.2  The Blood Pressure
			4.3.2.1  Low Blood Pressure (Hypotension)
			4.3.2.2  High Blood Pressure (Hypertension)
		4.3.3  Stroke (Apoplexy)
			4.3.3.1  Consequences of Stroke
			4.3.3.2  Treatment and Care After Stroke
5 Care and Documentation
	5.1  Care Process
		5.1.1  Phase 1: The Information Collection
		5.1.2  Phase 2: Recognizing Resources and Care Problems
			5.1.2.1  Resources – Promoting and Maintaining Independence
			5.1.2.2  Care Problems
		5.1.3  Phase 3: Determination of the Care Goals
			5.1.3.1  Maintenance Goals
			5.1.3.2  Rehabilitation Goals
			5.1.3.3  Coping Goals
		5.1.4  Phase 4: Planning of Care Measures
			5.1.4.1  Care Standard
		5.1.5  Implementation of Care
			5.1.5.1  The Nursing Report
		5.1.6  Evaluation (Evaluation)
	5.2  Nursing Documentation
		5.2.1  Structure of the Nursing Documentation
		5.2.2  Content-Related Criteria
		5.2.3  Formal Criteria
	5.3  Basic Knowledge of Nursing
		5.3.1  Activating Care
		5.3.2  Degrees of Independence
			5.3.2.1  Independence
			5.3.2.2  Predominant Independence
			5.3.2.3  Predominant Dependence
			5.3.2.4  Dependence
		5.3.3  The Need for Assistance
	5.4  AEDL Structuring Model
		5.4.1  Communicating
		5.4.2  Moving Around
			5.4.2.1  Support when Walking
			5.4.2.2  Support when Getting up and Sitting Down
			5.4.2.3  Positioning in Bed
			5.4.2.4  Fall Prevention
		5.4.3  Maintaining Vital Functions of Life
		5.4.4  Care for Oneself
		5.4.5  Eating and Drinking
			5.4.5.1  Swallowing Disorders (Dysphagia)
		5.4.6  Excretion
			5.4.6.1  Urinary Incontinence
		5.4.7  Dressing Oneself
		5.4.8  Resting and Sleeping
		5.4.9  Keeping Busy
		5.4.10  Feeling as a Man or Woman
			5.4.10.1  Intimate Sphere
		5.4.11  Ensuring a Safe Environment
		5.4.12  Securing Social Areas of Life
		5.4.13  Dealing with Existential Experiences of Life Cope
			5.4.13.1  Faith
	5.5  Care Documentation
		5.5.1  Structure of the Documentation
		5.5.2  Contents of the Care Documentation
		5.5.3  Documentation in the Outpatient Sector
		5.5.4  De-bureaucratized nursing documentation
6 Care of People with Dementia
	6.1  Occupation
	6.2  Occupational Opportunities
		6.2.1  Communication
		6.2.2  Movement
		6.2.3  Eating and Drinking
			6.2.3.1  Preparation
			6.2.3.2  Implementation
			6.2.3.3  Follow-up
			6.2.3.4  Food Intake in Dementia
		6.2.4   Engaging
			6.2.4.1  Special Features of Dementia
			6.2.4.2  Individual Care
		6.2.5  Securing Social Areas of Life
		6.2.6  Resting and Sleeping
		6.2.7  Feeling as a Man or Woman
		6.2.8  Care for Oneself
		6.2.9  Existential Experiences
			6.2.9.1  Pastoral Care
			6.2.9.2  Religious Needs
			6.2.9.3  Memory Work
	6.3  Daily Structure
		6.3.1  Week Structure
	6.4  Environmental Design
		6.4.1  Orientation Aids
		6.4.2  Animals
	6.5  Person-Centered Interventions
		6.5.1  Validation
		6.5.2  DCM
			6.5.2.1  Malignant Social Psychology According to Kitwood
			6.5.2.2  Benign Social Psychology According to Kitwood
	6.6  Expert Standard for Relationship Building in the Care of People with Dementia
		6.6.1  Understanding Hypothesis
	6.7  Organization
		6.7.1  Preparation
		6.7.2  Implementation
		6.7.3  Follow-up
7 Nutrition
	7.1  Components of Nutrition
		7.1.1  Macronutrients (Carbohydrates, Fat and Protein)
			7.1.1.1  Carbohydrates
			7.1.1.2  Fats (Oils)
			7.1.1.3  Proteins
			7.1.1.4  Fiber
		7.1.2  Micronutrients (Vitamins, Minerals, Trace Elements, Secondary Plant Substances)
			7.1.2.1  Vitamins
			7.1.2.2  Minerals
			7.1.2.3  Trace Elements
			7.1.2.4  Secondary Plant Substances
	7.2  Healthy, Balanced Diet
		7.2.1  Body Weight
		7.2.2  Energy Requirement
		7.2.3  Calculation of the Energy Requirement
	7.3  Over-, Mal- and undernutrition
		7.3.1  Physical Changes in Old Age—Loss of Muscle Mass
		7.3.2  Overweight (Obesity)
			7.3.2.1  Overweight Reduce
		7.3.3  Underweight -Malnutrition (Malnutrition)
			7.3.3.1  Causes of Malnutrition
			7.3.3.2  Nutritional Measures for Malnutrition
	7.4  Diet or Hospital Diet
		7.4.1  Diet
			7.4.1.1  Diabetes Diet
		7.4.2  Light Diet
		7.4.3  Liquid Nutrition
		7.4.4  Artificial Nutrition (Tube Feeding)
	7.5  Balanced Fluid Balance
		7.5.1  Lack of Thirst in Old Age
		7.5.2  Dehydration (Dehydration)
			7.5.2.1  Measures for Dehydration
8 Housekeeping
	8.1  People with Dementia at Home
	8.2  People with Dementia in Residential Groups
	8.3  Household Care within the Framework of the Long-term Care Insurance
		8.3.1  Shopping/Errands
			8.3.1.1  Special Features When Shopping for Food
			8.3.1.2  Helping with Shopping for Food
		8.3.2  Preparing Meals/Cooking
			8.3.2.1  Assistance in the Preparation of Meals
		8.3.3  Dishes
			8.3.3.1  Helping with Dishwashing
		8.3.4  Cleaning the Apartment
			8.3.4.1  Helping with Cleaning
		8.3.5  Laundry Care
			8.3.5.1  Helping with Laundry Care
		8.3.6  Heating
9 First Aid
	9.1  The Emergency
		9.1.1  The Rescue Chain
		9.1.2  The Emergency Call
	9.2  Life-saving Immediate Measures
		9.2.1  Recovery Position
		9.2.2  Shock Treatment
	9.3  First Aid for Cardiac Arrest
		9.3.1  Chest Compression
		9.3.2  Breathing Donation
	9.4  First Aid for Injuries
		9.4.1  Injury from Falls
			9.4.1.1  Minor Fall
			9.4.1.2  Severe Fall
		9.4.2  First Aid for Bleeding
			9.4.2.1  First Aid for Injury of an Artery
		9.4.3  First Aid for Burns/Scalds
			9.4.3.1  First Aid for Minor Burns/Scalds
			9.4.3.2  First Aid for Major Burns/Scalds
		9.4.4  First Aid for Poisoning
10 Legal Knowledge
	10.1  Charter of Rights of People in Need of Help and Care
		10.1.1  Significance of the Charter
	10.2  Confidentiality
		10.2.1  What is Covered by Confidentiality?
		10.2.2  To Whom does Confidentiality Apply?
	10.3  Important Legal Regulations
		10.3.1  Long-term Care Insurance
		10.3.2  Care Strengthening Acts 1 and 2
	10.4  Crimes Against Life
	10.5  Legal Guardianship
		10.5.1  Power of Attorney
		10.5.2  Advance Directive
	10.6  Deprivation of Liberty
		10.6.1  Restriction of Freedom by Mechanical Devices
		10.6.2  Closed Accommodation
	10.7  Protection Against Infection Act
11 Cooperation
	11.1  Cooperation in the Facility
		11.1.1  Organizational Structure
		11.1.2  Responsibility
		11.1.3  Job Description
		11.1.4  Concept
	11.2  Cooperation with Relatives
12 Outlook
Appendix
Glossary
References