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Understanding Before Assisting

Personal Care Refusal — Dementia Communication

Advanced

How This Simulation Works

1

Resident speaks

Elias will speak a scripted line — listen to the audio or read the text.

2

You respond

Type or use voice input to respond exactly as you would on the job.

3

Resident reacts

Elias's response changes based on your communication approach.

4

Get feedback

After each decision, receive feedback. At the end, view a full report.

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Scenario Brief

Understanding Before Assisting

Mr. Elias Navarro, 84, is refusing morning personal care. He is in pain, the room is overstimulating, and he does not recognize you. Practice person-centred communication to understand what he is communicating and identify a safe, respectful plan of care.

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Elias

84 years old · Moderate dementia · Retired mechanic · Chronic pain

"All About Me" — Resident Profile

Mr. Navarro worked as a mechanic for more than 40 years. He is proud of being independent and prefers to do as much for himself as possible. He prefers to wake slowly and sit quietly before beginning his morning routine. He enjoys warm face cloths and listening to quiet country music. He dislikes being rushed and values privacy and modesty. He usually participates in care more readily after breakfast. He responds best when staff: • Introduce themselves and explain their role • Approach from the front • Speak slowly and clearly • Explain one step at a time • Provide one or two manageable choices • Allow additional time for processing • Encourage him to complete the parts of care he can do independently • Maintain privacy and keep him covered during personal care

Shift Report

Mr. Navarro: • Slept poorly overnight • Reported knee and back pain during the night • Has declined morning care twice this week • Usually participates in care more readily after breakfast • May become anxious with unfamiliar caregivers • Becomes distressed when staff take over tasks without involving him • Prefers to participate in his own care whenever possible Additional notes: • The resident home area (RHA) is busy this morning • Several staff from other RHAs are assisting in the unit because of scheduling needs • Mr. Navarro may not recognize all members of the care team • The morning schedule is behind

Initial Assessment

Before speaking with Mr. Navarro, review the available resident information and observe the environment. Consider what physical, emotional, relational, and environmental factors may influence this interaction.