Read story C01: Not the shower (image and text)
BPSD or delirium? Understanding distress during washing
Peggy has dementia and becomes frightened during washing. Staff assess her health and find no new delirium. Privacy, a familiar carer and a warm cloth make washing less distressing. Staff adapt care to her preferences and abilities. A new or sudden change would need another assessment.
Story text
Panel 1. For weeks, washing has frightened Peggy.
- Peggy: No. Not the shower.
Panel 2. The nurse reviews her health, pain and medicines.
- Nurse: There is no sign of new delirium today.
Panel 3. Her distress has been called BPSD: behavioural and psychological symptoms of dementia.
- Alison: She always preferred a wash at the basin.
Panel 4.
- Care worker: Would you like this cloth? We can take our time.
Panel 5.
- Peggy: I can do this bit.
Panel 6. Over the next few days, washing becomes less frightening.
- Care worker: We’ll keep using what works for you.
Bottom band. Dementia-related distress needs assessment and care that fits the person.