Dementia Care

Common Errors

Common nursing assistant errors with dementia care:

• Not applying proper body mechanics: tighten core muscles before lifting; push rather than pull when moving objects or residents; wide base of support with feet shoulder-width apart, one foot slightly forward
• Forgetting to identify the resident before providing care
• Not reporting changes in condition promptly to the nurse
• Performing tasks outside the CNA scope of practice

Assessment Techniques

Assessment observations for dementia care that must be reported to the nurse:

• Fall risk factors: history of falls, medications (sedatives, diuretics), mobility impairment, cognitive decline
• Behavioral changes: new confusion, agitation, refusing meals, sleep pattern changes
• Report to nurse: elevated temperature, blood pressure outside baseline, new pain, skin breakdown
• I and O (intake and output): measure and record all fluids consumed and excreted in mL
• Weight changes: report gain/loss of 2+ lbs in a day or 5+ lbs in a week

Overview

Specialized care for residents with Alzheimer's and other dementias: consistent routines, redirection, validation, safe environment. Dementia care strategies tested on CNA exam.

Resident care connections: Right to be treated with dignity and respect at all times. Right to be free from restraints (physical and chemical) except for documented medical necessity.

Historical Context

Standards for dementia care have evolved over decades of clinical research and regulatory development. Current evidence-based guidelines reflect lessons learned from adverse events, clinical trials, and quality improvement initiatives. Staying current with guideline updates is part of professional continuing education requirements.