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Blog

Why We Need More Mental Health Providers

Feb 23 2021

Health care is a human right and that includes mental health care. Period. According to the U.S. Department of Health and Human Services, 1 in 5 American adults have experienced a mental health issue, and 1 in 25 Americans live with serious mental illness, such as schizophrenia, bipolar disorder or major depression. 

Unfortunately, about 50% of people with severe psychiatric disorders do not receive treatment. That presents an issue for not only the people with mental health issues but to the greater community. 

The truth is, people with untreated mental health issues pose a threat to themselves and others. Many factors contribute to these disturbing numbers. Primarily, the lack of treatment stems from a shortage of mental health providers. 

There are areas where the mental health professionals’ ratio to residents is smaller than one per 30,000 people. 

Mental health professionals aren’t just psychiatrists. There are various roles within the field that are non-traditional nursing or psychiatrist positions. Some of these include counselors, clinical social workers, family nurse practitioners, peer specialists and psychiatric nurses. 

In this post, we will look into:

  • The state of mental health care
  • Solutions to the shortage
  • Why psychiatric nurses are important
  • How to become a psychiatric nurse 

The state of mental health care

According to some, mental illness is the pandemic of the 21st century. Beyond a lack of mental health providers, there are several barriers to mental health care.

Some of the common barriers involve stigma, financial limitations and racial inequalities. Many people with mental health issues fear facing shame or discrimination if they disclose their mental illness. As such, some prefer to self-medicate to solve their problems, which only amplifies the issue. 

Alternatively, many people can’t afford access to mental health care and go without it. From medication to therapist appointments, paying for mental health care can significantly burden people. 

Another potential barrier to mental health care access involves a gap between different racial and ethnic groups. A recent study found that more than half all minorities facing severe mental illness don’t get treatment. Some patients also feel reluctant to seek out treatment if they feel like the clinician can’t empathize with their cultural background.

The mental health field is underfunded and short-staffed because there is a growing demand and dwindling supply. As older professionals leave the area, they aren’t replaced by younger professionals quickly enough. Additionally, state mental health cuts impact the funding for mental health care as well. 

Many potential mental health professionals choose not to work in the field because they worry about violence in the workplace or misconceptions regarding pay. 

In a case study, we compared talkspace vs betterhelp, we discovered that both platforms have many highly skilled mental health professionals and therapists. Each of these professionals has a minimum of four years of experience and 2,000 hours of practical, hands-on experience. Talkspace stands out by offering private counseling through a network of licensed therapists. Customers using Talkspace can benefit from unique features such as unlimited texting and easy access to licensed and qualified therapists without needing to schedule appointments beforehand.

One of the most important ways to solve this problem includes hiring more mental health practitioners and educating people about the field in general. 

Solutions to the shortage

There are several ways to address this issue. People don’t have to go without their vital mental health services forever. 

Telehealth: Telehealth appointments are online mental health sessions conducted by video (such as Skype or Zoom). These sessions are often more convenient for the patient and therapist. They are especially relevant during the COVID-19 pandemic. 

Having consistency helps and telehealth patients don’t have to worry about commuting to get to their appointments. Also, some people don’t have transportation access, so this is an ideal solution for that. 

Though this won’t solve staff shortages, it will increase access to care. 

Grants: There are several opportunities for funding through grants (non-repayable funds or resources). Specifically, The Substance Abuse and Mental Health Services Administration (SAMHSA) provides grants for mental health. 

One grant they currently provide is the Mental Health Awareness Training Grants program. This program trains various groups (school personnel, first responders, law enforcement, veterans, armed service members and their families) to understand mental disorders’ signs and symptoms, specifically serious mental illness. 

Community Initiatives: These are programs run by nonprofits or people within the community at large. The Centro de Bienestar program in San Jose, CA, exemplifies this. The initiative focuses on the Latino and Asian Pacific Islander residents of Santa Clara County. Some of its aims include developing self-image, self-esteem, severe depression and mental illness in general. 

Why psychiatric nurses are important

As we mentioned earlier, one of the significant ways to address the shortage involves hiring more psychiatric nurses and mental health workers. 

First, these nurses are essential to the field because they help provide greater access to people with mental health issues. 

Specifically, they prescribe medicine and practice therapy. In many ways, they have a lot of the same duties as a psychiatrist.

They also uniquely address a patient’s mental and medical health needs.

Having more psychiatric nurses will help reduce the stigma around mental health and provide solace for patients.

The field also offers nurses a chance to specialize. Some of the specialties include clinical social workers to nurse practitioners, to psychiatric nursing. 

Though psychiatrists are essential, there are many roles within the mental health field needing people. 

How to become a psychiatric nurse 

If psychiatric nurses feel under-trained, they may not want to stay on in the position. So, we can partially address the shortage by increasing the amount of training psychiatric nurses receive. One of the most important factors is having the funds to train the nurses properly. 

To become a psychiatric nurse, a person must possess an associate degree or Bachelor of Science in Nursing and pass the National Council Licensure Examination (NCLEX) to receive licensure in their residence state. 

Moreover, a psychiatric nurse must have:

  • Two years’ experience as a full-time registered nurse
  • 2,000 hours or more in clinical practice within mental health-psychiatric nursing within the last three years
  • 30 hours of continuing education in mental health-psychiatric nursing 

Some skills needed to become a psychiatric nurse are:

  • Interpersonal Skills: Psychiatric nurses must have excellent one-on-one people skills since they provide patient assessments, communicate with colleagues about patients, and help educate family members on treatment plans and medications
  • Problem-solving: As a psychiatric nurse, you will deal with all sorts of patient issues that arise on the floor. Knowing how to stay calm and react with critical, logical thinking can help you succeed within this position. You often need to respond quickly to prevent harm to a patient
  • Ability to read non-verbal cues: Often, patients within mental health facilities aren’t able to verbalize their feelings. Therefore, it becomes paramount that a psychiatric nurse can notice subtle non-verbal cues that hint at the issue. 

Psychiatric Nurse Salary

The average psychiatric nurse salary is about $61,736. For entry-level psychiatric nurses, the hourly rate is between $25-$35. For midlevel, it goes up to between $26-$42 and for advanced-level positions, it’s $28-$46. 

There are several factors that influence salary estimations, from where you live to how much you’ve specialized. For example, if you live in a place with a higher cost of living like California, expect a higher salary. 

There’s a myth that psychiatric nursing isn’t one of the better-paying nursing jobs. That’s not true. You can make a good living in this field and it needs more people. 

To conclude, people across the country require mental health care and it’s a profitable and fulfilling field to join. It takes the right kind of person to make a difference. 

Written by Demetrius Burns

Demetrius was an Incredible Health contributor. He has worked as a freelance writer and content strategist. His work has appeared in outlets such as Java Magazine, Phoenix Magazine, and Nurse.org.

Read more from Demetrius

Getting the Most Out of Telehealth Appointments

Feb 23 2021

Since COVID-19, many people have had several doctor’s appointments without ever setting foot in an office. People now communicate with clinicians via electronic means whether that include phone or video. 

This new wave of communication is known as telemedicine. 

Telemedicine allows for patients and clinicians to adhere to social distancing practices. It also provides a convenient way for clinicians to meet regularly with clients. It’s suitable for both parties as clinicians can work from home and clients don’t have to commute to the appointment. 

Other additional benefits of telemedicine for the patient include not taking time off work, paying for child care and greater access to specialists in other cities. 

Accordingly, telemedicine will not fade away any time soon. It’s just too convenient of an option.

Many careers within health care have switched to or started offering telehealth services in response to advancing technology.

It saves on costs and helps enrich patient experience, among other things. 

In this blog, we will dive into some of the best practices for telehealth professionals. 

Specifically, we will cover: 

  • Investing in the proper technology
  • Checking your technology beforehand 
  • Having a dedicated appointment space
  • Working on-screen side manner
  • Having a backup plan
  • Being flexible 

Invest in the Proper Technology

To conduct a successful telemedicine appointment, providers need to have reliable technology. This gets the ball rolling as it’s imperative to have the tools in place to get a telemedicine appointment started. 

The three things that clinicians or nurses need when practicing telemedicine include internet connection, video platform and technology support. 

Internet connection: 

Fundamental to telemedicine is a secure broadband connection. The internet connection’s size and speed affect the video quality, volume and velocity of data transfer. You don’t want your video to lag when you are trying to communicate important information to patients. Ideally, your broadband connection should range from 50-100 Mbps (Megabits/sec). 

Video platform: 

Having the right video platform to conduct your meeting is the next step. The video platform you choose must be accessible for the patient. For younger patients, Zoom often works. However, older patients may prefer and only know how to use FaceTime. You have to meet your patients where they are. 

Technical support: 

Technical support is another critical component of telemedicine. Clinicians need to have someone virtually or in-person who can troubleshoot issues that arise with the software. Many software or hardware problems can come up when dealing with telemedicine and you don’t want these to interfere with a smooth session.

There are a few technological innovations for clinicians providing telehealth services. 

Remote Patient Monitoring: 

Some facilities have created programs that monitor patients’ blood pressure, pulse, weight and oxygen saturation within their homes daily. These programs tailor specifically toward people who have chronic illnesses like diabetes. They help decrease the chances for re-admission. 

Social Networking: 

There’s a new online platform called PatientsLikeMe, where patients with chronic illnesses get personalized learning and support. Patients enter in their information and the site creates graphs that represent their disease course. 

Furthermore, patients can connect with other people who take similar medications, share symptoms and have lived with the disease for an equal amount of time. 

Technology has made telemedicine more efficient over the years. Patients often feel more connected with the expanded access they have with telemedicine. 

Check Your Technology Beforehand 

Before you start the day as a telemedicine provider, it’s key to check your technology. You don’t want to start work only to lapse when it’s time to help a patient. To counter this, do a trial run with a colleague, friend or family member to ensure that everything is working correctly. 

If you find issues, you can correct them before beginning with a patient. 

Have a Dedicated Appointment Space

Having an appointment space that’s consistent and safe for the patient can’t go overstated. You want your patient to feel like your area mimics an office space. You don’t want to have the appointment by your pool or in your living room with the TV going, for example. 

Also, make sure that you don’t have distractions.

Moreover, having a dedicated space—such as an office—can help create a sense of work-life balance is critical during COVID-19. You need to have a sense of separation between where you work and where you relax. 

 Work on Your Screen Side Manner

Though you now communicate digitally with patients, it’s critical to provide sound screen side manners to your patients. This can go a long way toward helping a patient feel heard and seen. 

Often, initially engaging in small talk with patients helps establish a level of trust and comfort. You can ask them how their day went or what they have planned for the weekend. Establishing a rapport and connection is essential, especially since you aren’t meeting in-person. 

Next, make sure that you are enunciating your words. Also, try and practice being precise and limit medical jargon. 

Non-verbally, it’s essential to provide non-verbal cues such as head nodding and leaning forward to affirm the patient. Also, maintain eye contact with the patient while talking. 

Have a Backup Plan

As much as you’d like to control life, things happen. Computers crash. The internet goes out. However, if you have backup plans in place, it can mitigate the inevitable damage. 

For example, if you are using Zoom and it begins acting up or lagging, you can create a plan to switch over to a phone call while trying and getting it back working. 

Also, make sure that you have the IT person’s number ready in case something occurs.

Last, you can also have the video application downloaded onto your phone in case of an issue.

Be Flexible

One of the primary benefits of telehealth is flexibility. It’s easier to coordinate schedules when you remove commuting and office wait times. Patients also don’t have to take off work to accommodate an appointment. 

 Now, despite the flexibility, it’s essential as a provider to put up appropriate boundaries. Inherently, patients or providers might assume a more casual air. Also, because the provider and client can communicate via email, instant chat and video conferencing, there’s a risk that the communication could happen at any time.

Additionally, since providers can virtually work anywhere at any time, they may decide to conduct a session at a coffee shop, which could violate HIPAA. 

The best practices for having appropriate boundaries involve establishing shared expectations, providing details for accessing the telehealth appointment and maintaining a structured schedule. 

 As a practitioner, you can have the patient sign a telehealth consent form that addresses the patient’s rights and responsibilities for using the service. Make sure you convey that the patient or clinician can terminate the visit at any time. 

Regarding the details of the telehealth appointment, provide the name and number of the technical contact for concerns. 

Last, only provide services during regular business hours. Try and start and end the sessions within the agreed-upon times. Make sure you have the right balance between personal and professional time. 

 Overall, telemedicine has gained significant relevance with the pandemic. However, it’s not a temporary fix. The benefits of telehealth—flexibility, cost and patient satisfaction—make it easy to imagine more and more health care providers figuring out ways to keep it around. 

Written by Incredible Health Staff

At Incredible Health, it's a team effort to achieve our vision: Help healthcare professionals live better lives. Many are licensed practitioners themselves; others are simply passionate writers and leaders dedicated to providing valuable resources to nurses.

Read more from Incredible Health

Artificial Intelligence in Healthcare

Feb 23 2021

Some people say that artificial intelligence is the electricity of the 21st century. In the same sense that discovering electricity shaped a generation, the potential for AI is huge and could cause shockwaves throughout many industries, healthcare included.

The definition of AI is the ability of a computer or computer-controlled robot to perform human tasks. The robot can make its own decisions just as a human can. Most of AI’s current trajectory involves a category of algorithms called machine learning. The algorithms (or computer processes for solving a computation problem) use statistics to find patterns in large amounts of data.

AI takes the patterns and make predictions on things such as music to suggest for you on Spotify or whether you have cancer based on an MRI.

While AI has gained significant traction within the healthcare industry, it’s safe to say robots won’t replace clinicians. AI will only assist clinicians in performing tasks more accurately and efficiently. 

Over the years, we’ve seen AI expand within the healthcare industry to improve both the processes and tools in use. 

For example, through AI technology, people with neurological diseases and trauma to the nervous system can begin interacting with others and move around with brain-computer interfaces. 

Another example involves stethoscopes. Algorithms are being developed that combine a digital stethoscope with artificial intelligence software to help clinicians detect heart disease risk more accurately. 

In this article, we will discuss:

  • How AI is affecting healthcare practices
  • How AI is affecting healthcare jobs
  • Examples of AI in healthcare
  • The future of AI in healthcare

How is AI affecting healthcare practices

AI is a digital companion for clinicians. It can provide endless resources and data to the field that healthcare workers need. Below you will find some of the ways that AI enhances healthcare practices.

Healthcare data

AI provides clinicians with an opportunity to access immense data sets rather quickly. This information can prove life-saving to patients. AI analyzes data regarding treatment, prognosis, and speed of care for millions of patients at a time. Moreover, new technology can research and find patterns within data to help make diagnoses. 

For example, AI can help clinicians detect diabetic retinopathy (the world’s leading cause of blindness) through image recognition. Google researchers have worked with algorithms to analyze retinas images and diagnose the disease with over 90% accuracy. 

Image analysis

Beyond data, AI can analyze pictures as well. Due to the innovations within cloud computing and deep learning, some platforms analyze medical images exclusively. Some of the potential benefits include:

  • 2D and 3-D imaging give important information on critical organs like the liver, heart, and lungs
  • Provides more detailed diagnoses for medical images
  • Scores medical images to determine disease 
  • Deep learning software decreases the time needed to complete medical imaging procedures 

AI brings greater accuracy to the imaging field. In many ways, it provides greater accuracy than a human can. Beyond that, it helps speed up the process and allows clinicians to focus on more significant duties.

Automated workflow assistance

Healthcare workers often deal with lots of information for patients. Clinicians have to keep track of minute details regarding patient care, such as test results and medical images. This keeps them on a treadmill doing the same tasks over and over again. 

AI can help manage many of these workflows and allow nurses to focus on more creative, patient-oriented endeavors. Nurses often prefer working with patients and less on purely administrative tasks associated with keeping track of information. 

Telehealth and AI

Many patients today prefer receiving care from the comfort of their homes. Telehealth is a way to correspond with and monitor patients electronically. As such, AI plays a vital role in the development of telehealth. Machine learning can help patients with chronic conditions. 

AI can recommend treatments for telehealth workers and analyze the current treatment regimen to determine if it’s the most effective. 

These are just a few ways AI is impacting healthcare practices and making nurses’ jobs easier. 

How is AI affecting healthcare jobs?

Though robots aren’t here to replace nurses anytime soon, AI impacts professional development, the job search process, job requirements, and more.

Professional development and education

In regards to professional and development, AI can help with the continuing education process and re-training of nurses. In fact, AI has already helped train a new class of nurses. Specifically, through virtual simulations, nurses can learn skills they would practice within the field.

According to Wolters Kluwer, 65% of nursing education programs have adapted virtual simulation. The programs provide hundreds of real-life scenarios along with health record use. Virtual sessions can include practicing urinary catheter insertion or dealing with an aggressive patient. These simulations will play a pivotal role in training nurses in the future.

Job searching

Many employers utilize AI via recruiting software to screen job applicant profiles or resumes, and match them with appropriate opportunities. This makes the job search process more efficient for both sides of the market.

Additionally, AI’s use of algorithms helps social media function, and social media is a means by which nurses communicate and network frequently for both professional and personal purposes.

Examples of AI in healthcare

Though we have championed AI as the electricity of the future, it’s the electricity of the moment. Several institutions across the country are already using AI to enhance and augment medical practice. 

Intelligent symptom checker

In Boston, clinicians within the infectious disease department use Buoy Health system. Buoy Health uses to check symptoms and cures with algorithms to diagnose and treat illnesses. Essentially, patients speak to a chatbot who interprets the patient’s symptoms and health issues and creates a care plan around its diagnosis. 

This software allows clinicians to divvy up their workload and draw more sound medical conclusions about patients. 

Pre-emptive cancer detection

The best way to defeat cancer is to catch it early, so the following program has helped the oncology practice significantly. Freenome uses routine blood draws on patients to detect early cancer signs. They can combine expertise in molecular biology and computer techniques to see patterns within billions of data points. 

This AI tool will help make catching cancer diagnoses easier for clinicians in the long run and hopefully save lives. 

AI-Powered radiology assistant

Within the radiology field, there’s a new method using AI to help augment the process. Zebra Medical Vision gives radiologists a sidekick that receives and analyzes imaging scans for clinical findings. These findings by the AI can help radiologists in making diagnoses. 

The Future of AI in Healthcare

The future of AI in healthcare is boundless and most healthcare providers believe it’s going to improve their profession. According to a study in Frontiers in Artificial Intelligence, 79% of healthcare professionals thought that AI could be useful or extremely useful in their work. Only 10% were worried that AI would replace them at their job. 

There are several pioneering systems in the works for AI. One of the more prominent cases is IBM Watson, which has made strides in oncology. The program analyzed genetic data to identify a rare form of leukemia that clinicians could not find. 

On another project, the IMB Watson reviewed and provided treatment suggestions from genetic data of tumor cells in 10 minutes when it took human experts 160 hours to check. 

Another significant development in AI that will shape the future is surgical robots. Generally, surgical robots work in conjunction with the human surgeon. However, in the future surgical robots may have the capacity to work alone on more complex surgeries. 

Overall, AI has a chance to revolutionize the 21st century as a tool rather than a replacement for healthcare workers. 

Written by Incredible Health Staff

At Incredible Health, it's a team effort to achieve our vision: Help healthcare professionals live better lives. Many are licensed practitioners themselves; others are simply passionate writers and leaders dedicated to providing valuable resources to nurses.

Read more from Incredible Health

Strategic Permanent Nurse Workforce Planning in COVID-19 and Beyond

Feb 17 2021

On February 17th, 2021, Iman Abuzeid, M.D., Co-Founder & CEO of Incredible Health, Javon Bea, CEO of MercyHealth, Debra Potempa, System Chief Nursing Officer of MercyHealth, and Linda Roan, Chief Nursing Officer of Banner Health, discussed how hospitals can use data and automation to enhance their strategic workforce planning, hiring, nurse retention, and patient outcomes.

Key takeaways

  • COVID-19 has exacerbated the existing nurse shortage, and has made nurse retention even more difficult
  • Speed matters when hiring nurses. 68% of nurses accept their first offer, and 61% of nurses accept their first offer even if subsequent offers have hire pay.
  • Ensure both nurses and recruiters are operating at the top of their skill sets: ensure nurses are working at the top of their license, and automate low skill recruiting work like sourcing
  • Seek out feedback from nurses, including those that are staying, for example with structured interviews, and address their concerns wherever possible
  • Prioritize nurse career development & facilitate internal role transfers
  • Give nurses flexibility in their schedules with more part time shifts to help with burnout challenges

Industry leading panelists

Javon Bea has served as President and CEO of Mercyhealth for over 30 years, furthering its mission to make lives better for patients and their families. Under his leadership, Mercyhealth has grown into a vertically integrated, multi-regional system with 7 hospitals, 800+ employed physician partners and 8,000+ employee/partners, 85 primary and specialty care locations, a home health and hospice division, and a wholly owned and operated insurance company.

Known for world class workforce planning, Debra Potempa has served as Chief Nursing Officer for Mercyhealth for over 11 years. Under her leadership, MercyHealth earned the Magnet designation in recognition of its high-quality patient care and outcomes. Debra’s industry-leading nurse hiring and retention strongly contributed to MercyHealth earning its designation. Debra is an alumna of De Paul University and Saint Xavier University, where she was a member of Sigma Theta Tau, the honor society for nursing excellence.

Linda Roan is the Chief Nursing Officer of East Morgan County Hospital, part of Banner Health. Linda has been a Colorado RN for over 44 years. Linda has served on the Colorado State Board of Nursing, the Colorado Organization of Nurse Leaders, the Colorado Center for Nursing Excellence, the WELLS Center Advisory Board and the National Council of State Boards of Nursing. As a member of the Colorado Organization of Nurse Leaders she served as the Board President from 2014 – 2016.

Iman Abuzeid M.D. is the Co-founder and CEO of Incredible Health, a career marketplace whose custom matching technology offers hospitals the fastest, most effective way to hire qualified permanent nurses in less than 20 days. It’s used by hundreds of leading hospitals across the country, including Cedars-Sinai Medical Center, Stanford Health Care, Baylor Scott & White, Kaiser Permanente, and many more.

Incredible Health can help

If you’re looking to improve permanent nurse hiring and retention, Incredible Health can help you hire faster and staff teams appropriately to reduce burnout. 

Incredible Health supports over 300 hospitals and health systems across the country, and saves each hospital at least $2 million per year per facility in HR costs, overtime, and travel nurse costs. Hiring is accelerated to 20 days or less, compared to the industry average of 80+ days.

Get started with a 30 minute introductory call today.

Written by Iman Abuzeid, MD

Iman Abuzeid, M.D., is the co-founder and CEO of Incredible Health, the largest career marketplace for permanent healthcare workers, with the mission of helping healthcare professionals live better lives, and find and do their best work. The company founded in 2017, has raised $100 million from top venture capital firm Andreessen Horowitz and health systems Kaiser Permanente and Johns Hopkins, and is valued at $1.65 billion, making Iman one of the few CEOs to run a “unicorn” startup (a company valued at over $1 billion). Iman is an MD, and holds an MBA from The Wharton School of the University of Pennsylvania. Iman’s immediate family has 3 surgeons, and as a doctor herself, she understands the importance of choosing the right stepping stones in a clinical career. It’s what drives her belief in Incredible Health and its potential to reliably help clinicians manage their career.

Read more from Iman

Guide to Patients With Dementia and Alzheimer’s for Nurses and Caregivers

Feb 16 2021

Dementia and Alzheimer’s disease are debilitating and devastating conditions for the individuals experiencing them, as well as their caregivers. They are both highly prevalent conditions that are becoming increasingly common in Americans over the age of 65. By 2025, as many as 7 million seniors could have Alzheimer’s disease. Barring any significant medical discoveries, this number is projected to almost double to 13.8 million cases just 25 years later.

However, the healthcare system may not be prepared to provide high-quality care to these patients. Almost 40% of surveyed primary care providers (PCP) aren’t comfortable diagnosing dementia or Alzheimer’s disease, while about one-fourth haven’t had any training in either diagnosing or caring for these conditions. Combined with a rapidly aging population and clinical staffing shortage, this lack of expertise means that millions of Americans won’t get the treatment they need to live happily and comfortably.

Whether you’re just starting as a nurse or looking to take your career to the next level, it’s crucial to learn more about Alzheimer’s and dementia. With more knowledge at your disposal, you’ll be better equipped to provide high-quality care to all of your current and future patients.


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Dementia: Symptoms and Warning Signs

Dementia refers to the loss of memory, decision-making skills, and thinking abilities that are severe enough to negatively impact daily life. It isn’t a disease in and of itself, but rather a group of symptoms related to memory impairment. Several different conditions, including Alzheimer’s disease, can cause dementia. 

The Centers for Disease Control (CDC) notes that age is the biggest risk factor for developing dementia, as people age 65 and older are most likely to be affected. However, dementia can still impact younger people. Early-onset dementia most commonly affects people in their 40s and 50s, but in some cases, symptoms can begin when someone is in their 20s or 30s.

It’s always best to detect and begin treating dementia as early as possible. Be on the lookout for the following warning signs of dementia, regardless of a patient’s age:

  • Changes, even small ones, in short-term memory;
  • Shifts in mood or personality;
  • Inappropriate or out-of-character behavior;
  • Trouble completing basic or familiar tasks;
  • Struggles with language, communication, and finding words;
  • Listlessness, apathy, or depression;
  • Trouble following directions or stories;
  • Difficulty with spatial reasoning and coordination;
  • General confusion or disorientation.

Initial symptoms are typically mild; someone in the earliest stages of dementia may seem perfectly healthy. It can be even more challenging to detect dementia early in senior adults, as it can be mistaken for normal signs of aging.

The symptoms of dementia will become more severe over time, particularly if left untreated. Depending on the cause, dementia symptoms may even be reversible. Either way, treatment can help manage symptoms, slow their progression, and make life easier and more comfortable for patients.

Alzheimer’s: Symptoms and Warning Signs

Alzheimer’s is a neurological disease that, due to physical changes in the brain, impairs memory, thinking skills, and cognitive functioning. It becomes progressively worse over time, is irreversible, and has no cure. It leads to a continuous decline in someone’s ability to function, and, eventually, death. Currently, it’s unclear what, precisely causes or leads to Alzheimer’s.

Alzheimer’s disease is the most common cause of dementia; the World Health Organization estimates that it may play a role in as many as 60% to 70% of all dementia cases. Like dementia, age is the greatest risk factor for developing Alzheimer’s disease. Most people with Alzheimer’s develop symptoms after the age of 65, though it can affect younger individuals. 

Though there is no cure for Alzheimer’s, treatment can help patients cope and improve their symptoms. It’s also best to catch Alzheimer’s early, so patients can get treatment and support as quickly as possible. Some of the major warning signs of Alzheimer’s you should look out for include:

  • Repeating statements or questions multiple times;
  • Personality shifts and mood swings;
  • Forgetting entire conversations or events;
  • Withdrawing from social activity, works, or previously-enjoyed activities;
  • Struggling to remember words or the name of a person, place, or thing;
  • Being unable to multitask;
  • Lost or misplaced items;
  • Struggling to work with numbers, such as when paying bills or managing finances;
  • Making out-of-character judgments or strange decisions, such as wearing clothing that is inappropriate for the weather;
  • Lowered inhibitions;
  • Any struggles with remembering new information or recent activities, events, and conversations.

Alzheimer’s and dementia can have similar warning signs and symptoms. You may even confuse the two when working with patients. For instance, you may notice a patient exhibiting some signs of dementia and encourage them to talk to their doctor about it, leading to an Alzheimer’s diagnosis.

Caregiving Considerations for Treating Patients With Alzheimer’s and Dementia

Alzheimer’s and dementia don’t just affect the brain; they can have significant impacts on virtually all aspects of a patient’s life. As such, patients who are dealing with either condition require unique care and support from their loved ones and healthcare providers.

You must approach patient care appropriately when working with patients who have memory loss conditions. If you aren’t properly prepared, providing this specialized care can cause anxiety, lead to compassion fatigue, or even result in caregiver burnout — as well as substandard care for your patients.  

To overcome these challenges and continue providing high-quality care, it’s crucial to consider the following best practices when treating patients with dementia or Alzheimer’s:

Pain Management 

Pain may not be the first thing that comes to mind when working with patients who have dementia or Alzheimer’s, but it is a common symptom experienced by patients. It’s difficult to assess the level of pain patients experience if they struggle with verbal communication, particularly in later stages of illness. This means patients may deal with varying degrees of pain and suffer unnecessarily.

It’s possible to tell when nonverbal patients are experiencing pain with the help of different pain assessment and management tools, such as the Abbey Pain Scale or Pain Assessment in Advanced Dementia Scale (PAINAD). Both of these systems rely on observing nonverbal cues — such as body language, changes in behavior, and facial expressions — to notice when patients are in pain. 

These tools work best when you spend a lot of time with the same patients. If you know someone well, you’ll know what behavior is normal for them and what their usual level of comfort is. With an established baseline, you can easily recognize when they begin to experience pain and address the issue accordingly.

Personal Care

People with dementia and Alzheimer’s may struggle to maintain their personal hygiene. They may simply forget that they need to care for themselves, or, in later stages, forget how to do so. In addition, tasks like bathing or getting dressed can be physically demanding for some seniors, depending on their other health conditions. 

When working with patients on personal care and hygiene, remember that they aren’t just patients — they’re people. They have unique personal needs that need to be met. Always treat them with kindness and respect their autonomy. Give them options and help them make decisions instead of making decisions for them.

Dealing with the sudden loss of privacy and independence can be difficult for your patients. Try to be sympathetic to this struggle during your work, even if things are frustrating or difficult for you.

Nutrition

Nutrition is another area that may be commonly neglected by patients with dementia and Alzheimer’s. At first, they may simply forget to eat or drink, or forget how to cook. As their memory worsens, patients may forget how to eat, chew, and swallow altogether. Nutritional difficulties may not even be related to their memory loss, but rather due to medication or an unrelated health condition.

Of course, patients must continue to eat a balanced diet. Some studies suggest that eating a nutritious diet may help delay Alzheimer’s disease. Even once someone is experiencing a memory loss condition, the right diet could help prevent it from worsening or alleviate symptoms.

There are many ways you can help patients with dementia and Alzheimer’s continue to eat, but the strategy you need to take will depend on what your patient is struggling with. Whether they need adaptive utensils to make eating easier or fun reminders so they remember meal times, don’t be afraid to try different and creative solutions. That way, you’ll find something that works well for your patient’s unique needs.

Falls

Falling is a danger that all seniors could face. According to the CDC, about one-fourth of all seniors fall each year. Because dementia and Alzheimer’s can impact balance and spatial reasoning, people with these conditions are at an even greater risk of falling. This is especially concerning if your patients have any other personal factors that make them more likely to fall, such as a history of falls or impaired mobility.

Knowing that your patients are at greater risk is a crucial first step, but there is more you can do to prevent falls:

  • Keeping rooms and walkways clear to prevent tripping or stumbling;
  • Supervising or providing a safety companion to help patients walk; 
  • Keep patients occupied and entertained so they are less likely to wander or move around unnecessarily;
  • Promoting safe physical activity to improve balance and coordination;
  • Providing better lighting so patients can see better;
  • Offering assistive devices, such as a walker or handrails, when necessary;
  • Encouraging appropriate clothing and footwear;
  • Assessing medications, especially if they make patients feel dizzy.

It can be difficult to keep patients safe from falls as their condition worsens. They may forget how unsteady they are, or, in later stages of the disease, forget how to walk altogether.

No matter what environment you work with patients in, you have to make fall prevention a priority. Over 30,000 seniors die from falling annually; even non-fatal falls can be physically devastating and make patients more likely to fall again. You should respond to falls appropriately if they happen, but it’s best to focus on preventing them in the first place.

Wandering

Alzheimer’s and dementia can cause confusion, affecting patients’ ability to remember directions or navigate familiar places. Whether due to disorientation, stress, or remembering old routines, this can result in patients wandering or getting lost. 

Wandering is not always or even inherently dangerous, such as if a patient is wandering in a care community or throughout their home. When patients leave safe environments, though, wandering can pose a variety of different health and safety risks. Patients can get exposed to extreme weather, fall, get hurt in traffic, or be taken advantage of by unkind individuals. 

It’s best to try to prevent patients from wandering in the first place. Some precautions you can take include:

  • Providing more supervision;
  • Putting up signs on doors, such as “Stop” or “Do not enter”;
  • Camouflaging doors;
  • Installing locks, latches, deadbolts, or safety devices on doors and windows to deter their use or limit their opening;
  • Keeping items that are associated with leaving, such as keys and shoes, out of sight;
  • Ensuring patients have some kind of identification and emergency contact information on their person, in case they do wander;
  • Using a monitoring system or the GPS tracking feature on the patient’s smartphone;
  • Letting neighbors and community members know about the patient’s wandering, especially if they tend to do so frequently.

If a patient does go missing, begin searching for them immediately. If you don’t find them within 10 or 15 minutes, you should notify the authorities. Once you find them, be sure to take steps to try and prevent any future wanderings.

Social Relationships and Interactions

Individuals with Alzheimer’s and dementia may struggle with staying social or navigating social interactions. These conditions can cause changes in mood, behavior, and personality, such as lowered inhibitions and feelings of lethargy or depression. As these conditions worsen, patients may even forget who their loved ones are or how to talk and interact entirely.

Interacting with patients with memory loss conditions can be challenging, both for loved ones and caregivers. It’s important to learn how to properly communicate with patients;  you will likely have to use new strategies to make these interactions successful. Above all else, be patient while you learn how to navigate these situations. The more practice you have, the easier it will be to interact with all of your patients.

Despite the challenges of doing so, patients need to maintain social connections. Social interaction may reduce the risk of developing dementia or Alzheimer’s, but it’s also thought that it can increase the quality of life for patients who have already been diagnosed. Try to help your patients maintain their relationships with their loved ones while encouraging them to make new friendships and connection


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End-of-Life Care for Geriatric Patients

If you work with patients who have dementia or Alzheimer’s, you will almost certainly have to provide end-of-life care. These conditions aren’t always the cause of death for diagnosed patients, but they can be fatal and have no cure. 

Nurses play an important advocacy role in providing end-of-life care. Pay close attention to your patients, especially if they are nonverbal or struggle with communication, so you can care for them properly. Do your best to follow previous instructions you’ve been given (either by your patient or their loved ones) for providing care, or providing care that you know aligns with their preferences.

Above all else, your primary focus should be on making them comfortable in their final days. You can also connect them with their loved ones and help them say goodbye. This is an intimate and challenging experience, so always be respectful and kind while guiding your patients and their family through this time.

Mental Health and Self-Care Tips for Caregivers

Death may be a normal part of your job as a nurse, but providing end-of-life care can still take its toll. You should take some time to look after your mental health, both on and off the clock. Self-care can look different for everyone, but the following suggestions can help you get started:

  • Keep a consistent routine;
  • Look for opportunities to take a mental break during work (such as while washing your hands or taking a bathroom break);
  • Exercise or be physically active outside of work;
  • Practice mindfulness, deep breathing, meditation, or gratitude;
  • Eat a balanced and nutritious diet;
  • Try a new hobby or enjoy an existing one;
  • Spend time with friends and loved ones;
  • Do a relaxing activity, such as reading;
  • Stay hydrated;
  • Keep a journal;
  • Get professional support if you feel you need it.

You may have to try different strategies to find something that works well for you. Don’t be afraid to get creative, and don’t give up if it takes time to find the right self-care practice.

Remember that practicing self-care is not selfish. Not only does neglecting your emotional needs negatively impact your health, but it can also affect your patients. You cannot provide the best care to your patients if you feel emotionally exhausted or upset. Simply put, taking care of yourself and your mental health is essential to being a great nurse and having a long, fruitful career.

Dementia and Alzheimer’s Nursing Careers

Several nursing specialties require direct and frequent work with patients who have dementia or Alzheimer’s:

  • Home Health Nurse: As a home health nurse, you’ll work in homes to provide care to your patients. The day-to-day duties of your job can vary greatly, depending on the patient’s needs and care plan. People who have late-stage dementia or Alzheimer’s may prefer to receive care in the comfort of their own homes, rather than a healthcare facility. 
  • Geriatric Nurse: Geriatric nurses specialize in providing healthcare to seniors. You can work as a geriatric nurse in a variety of healthcare settings. Because seniors are at the greatest risk of developing dementia or Alzheimer’s, you’ll likely encounter patients with these conditions in your daily work. 
  • Psychiatric Nurse: Psychiatric nurses specialize in providing care to patients who are coping with mental illness. They also commonly work with patients who have Alzheimer’s and dementia. You can work in a variety of healthcare settings, including long-term memory care facilities, and provide different kinds of care as a psychiatric nurse.

Many different available nursing jobs will allow you to work with patients who have dementia and Alzheimer’s. Depending on where you’re at in your career, you may be able to work with patients who are experiencing dementia or Alzheimer’s — without committing to a specialty — as a registered nurse or nurse practitioner.

Dementia Care Training and Certification

Even if you don’t choose to specialize as a nurse, you can still work with patients who have dementia and Alzheimer’s. However, you may want to pursue additional training to make sure you’re fully qualified to provide this kind of care. 

There are many courses and training programs you can take to get certified as a memory loss caregiver. Many of these certifications are open to family members, non-medical caregivers, and healthcare professionals, including:

  • Care Academy PAC Dementia Training: This course prepares caregivers to work in home care settings.
  • CARES for Organizations, Individuals, and Families: Healthcare Interactive offers dementia training, certification, and credentialing for entire organizations, healthcare professionals, and family caregivers.
  • Certifications from the National Certification Board for Alzheimer and Aging Care: Depending on your background, you can get certified as a caregiver, educator, or relocation and transition specialist.
  • Certifications from the National Council of Certified Dementia Practitioners: The NCCDP offers over a dozen different dementia care certifications for practitioners, caregivers, and first responders.
  • Dementia Capable Care Training from the Crisis Prevention Institute: This certification trains front-line staff and healthcare workers to support patients through all stages of dementia. 
  • In the Know Caregiver Training: IKN provides both online and instructor-led training courses for individuals working in all care settings, including home healthcare, hospice, and hospitals.
  • Person-Centered Dementia Care Training Program and essentiALZ Exam: Offered by the Alzheimer’s Association, this online training program prepares professionals to work in long-term, community care settings. 
  • Specialized Dementia Programs from AlzBetter: AlzBetter offers a variety of dementia certification programs for practitioners who work with patients in different settings.
  • Welderly Care Dementia Training and Certification: Welderly Care certifies family caregivers, healthcare professionals, home healthcare workers, and senior community staff members to properly care for patients with dementia and Alzheimer’s. 

Some certifications may require you to undergo a certain amount of continuing education (CE). In many states, you are legally required to do so to keep your certification and nursing license active. The nature and amount of education will depend upon state laws, your employer’s requirements, and the certification itself. 

CE is essential for nurses to keep providing the best care possible for their patients, but it is particularly important for memory care. Dealing with patients who have dementia and Alzheimer’s can be challenging, frustrating, and exhausting. However, studies exploring nurses’ experiences with patients who have dementia suggest that memory care CE can help support nurses in their work, improving both quality of care and job satisfaction. 

If you work in memory care, you may still want to pursue CE, even if you aren’t legally or professionally required to do so. CE makes you more employable and can help open up future opportunities; it also makes it easier to fight stress that arises in your current job. Simply put, it doesn’t just benefit your patients — it’s also beneficial for you.

Additional Resources on Dementia and Alzheimer’s Care

The following organizations and resources may be helpful if you’re looking for additional information or support in providing high-quality care to individuals with dementia or Alzheimer’s:

  • Alzheimer’s Association 24/7 Helpline: This helpline offers support to individuals living with Alzheimer’s and dementia, as well as their caregivers and family members.
  • Alzheimer’s and Dementia Resources for Professionals: This page from the National Institute on Aging houses different tools, training materials, and resources for healthcare professionals who treat patients with Alzheimer’s and dementia.
  • American Brain Foundation: The American Brain Foundation is a nonprofit organization that connects researchers with donors to study — and ultimately cure — brain diseases and disorders.
  • Care Training Resources: This page from the Alzheimer’s Association provides a variety of information for caregivers and loved ones about both Alzheimer’s and dementia.
  • Caregiver Resources & Long-Term Care: From the U.S. Department of Health and Human Services, this resource page offers information to support family caregivers and loved ones with all aspects of care for individuals with Alzheimer’s or dementia.
  • ClinicalTrials.gov: This government database helps interested volunteers find clinical studies to participate in, so they can contribute to Alzheimer’s and dementia research.
  • Fall T.I.P.S: This website contains a toolkit designed to help caregivers prevent patient falls in hospital settings.
  • Family Caregiver Alliance: The FCA works to improve the quality of life for family caregivers and the individuals they care for. They offer a diverse pool of services, including care planning and legal and financial assistance.
  • National Council of Certified Dementia Practitioners Seminars: The NCCDP offers several different seminars and training sessions for caregivers and first responders who work with patients with Alzheimer’s and dementia.
  • National Partnership – Dementia Care Resources: This page from the Centers for Medicare and Medicaid Services contains a list of links to various tools, research, and training materials for healthcare providers.
  • Nursing Career Resources: This page from Incredible Health provides a list of different resources available to nurses who need professional development and support.

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Written by Incredible Health Staff

At Incredible Health, it's a team effort to achieve our vision: Help healthcare professionals live better lives. Many are licensed practitioners themselves; others are simply passionate writers and leaders dedicated to providing valuable resources to nurses.

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