Tuesday, July 29, 2008


Twice as good as current medications. The British NHS has banned Aricept.

Friday, July 4, 2008

Dementia Sensitive Culture

Here. Most aggression takes place during care. Document triggers from prior shifts. Videotape to see what mistakes are being made. Listening helps the anxious patient. So, one staff talks to the patient as another does the care. Do not kneel to put shoes on, the patient may pull the hair and kick. Tone of voice should convey choice giving and not orders.

Ethics and Law in Long Term Care

Here. Much bossiness and contradicting of clinical judgment and equally valid cultural differences.

And here. It is not settled that hospices do a better job than hospices, at the end of life, even in a specialty such as pain control.

Advantages of Flexibility with Staff