Joanne Rader

Effect of person-centered showering and the towel bath on bathing-associated aggression, agitation, and discomfort in nursing home residents with dementia : a randomized, controlled trial

Objectives: To evaluate the efficacy of two nonpharmacological techniques in reducing agitation, aggression, and discomfort in nursing home residents with dementia. The techniques evaluated were person‐centered showering and the towel bath (a person‐centered, in‐bed bag‐bath with no‐rinse soap).

The bathing of older adults with dementia. Easing the unnecessarily unpleasant aspects of assisted bathing

OVERVIEW:Older adults who need assistance with bathing often find the activity to be both physically and emotionally demanding, as do their caregivers. Research has identified several contributing factors, including pain; fatigue and weakness; confusion; anxiety resulting from being naked in front o

USE OF SIDERAILS: Rethinking a Standard of Practice

1. Policy and/or tradition is not adequate rationale for siderail use in light of current information indicating that siderails can be a hazard. 2. If a client is going to climb out over the siderail, the siderail increases risk for client injury. In such cases siderail use cannot be justified. 3. The nursess goal is not to eliminate siderail use, but to individualize it--to use siderails only in cases in which they increase the safety, security, and mobility of clients.

Seating and Wheeled Mobility for Older Adults Living in Nursing Homes: What Has Changed Clinically in the Past 20 Years?

There have been a number of changes in the clinical practice of seating and wheeled mobility (SWM) for older adults in nursing homes. Twenty years ago, physical restraints were being used indiscriminately with the intent to protect the person from falling. Currently, we know that physical restraints increased the risk of falls, discomfort, functional limitations, and fatalities. Some of those restrained were in ill-fitting wheelchairs. Through specific projects, collaborative efforts, awareness, education, and improved products, clinical practice has changed. The 5-step mat assessment and common postural problems in elders remain the same. Major barriers to improved seating and wheeled mobility still exist such as insufficient funding, inadequate education of practitioners, and poor maintenance of equipment. These barriers inhibit the availability of improved seating and wheeled mobility for older adults in nursing homes. Continued attention by practitioners, policy makers, and payers is necessary to increase access. Language: en