Nursing intervention program for facilitating the activity of daily living and communication ability of the elderly with dementia

1.ObjectiveTo develop a nursing intervention program for facilitating the activity of daily livingand communication ability of the elderly with dementia (EWD) MethodsSubjects were the EWD who wereinstitutionalized in 7 care homes.数据是由questionnaire，访谈the caregivers in the care homes，direct observation by the searchers. Data was analyzed statistically，or content analysis method.3.Result and Discussion The first year；the basic ADLs, bathing, grooming and clothingwhich need the combination of the complex movement or elaboration被确定的序列. Remained abilities suggested to be maintained，if the nursing care was offered timely. the second year；As independent eating behavior deeply contributes to QOL of EWD我们investigated the effective nursing care to facilitate他们ir remained ability to take meal独立. As results, four cues were found, which were "environmental arrangement"，"进入各",视觉cue" and "tactile cue". Environmental arrangement was basic and common through the wholeprocess. Three cues of perception were used to make up stopping or keeping off the mind from the这些cues suggested to be used to facilitate other ADLs. The third year；Based on the previous studywe made a preliminary table for assessment and facilitation of the eating behavior of EWDaccording to the process of a meal. Then we studied the validity of it in 7 care homes and madefinal table,with referring the comment of the caregiver staff. the table suggested to be applied to otherADLs.To facilitate effective communication ability of EWD，监测和评估on what can be be the EWD were suggested important。

1.ObjectiveTo develop a nursing intervention program for facilitating the activity of daily living and communication ability of the elderly with dementia (EWD)2.MethodsSubjects were the EWD who were institutionalized in 7 care homes. Data was gathered by the questionnaire, interview of the caregivers in the care homes, and direct observation by the researchers. Data was analyzed statistically, or by content analysis method.3.Result and Discussion・The first year ; Among the basic ADLs, bathing, grooming and clothing, which need the combination of the complex movement or elaboration, were deteriorated seriously. Remained abilities were suggested to be maintained, if the nursing care was offered timely.・The second year ; As independent eating behavior deeply contributes to QOL of EWD, we investigated the effective nursing care to facilitate their remained ability to take meal independently. As results, four cues were found, which were "environmental arrangement", "verbal cue", visual cue" and "tactile cue". Environmental arrangement was basic and common through the whole process. Three cues of perception were used to make up stopping or keeping off the mind from the eating behavior. These cues were suggested to be used to facilitate other ADLs.・The third year ; Based on the previous study, we made a preliminary table for assessment and facilitation of the eating behavior of EWD, according to the process of a meal. Then we studied the validity of it in 7 care homes and made the final table, with referring the comment of the caregiver staff. The table was suggested to be applied to other ADLs.To facilitate effective communication ability of EWD, observation and assessment on what can be done by the EWD were suggested important.