The End-of-Life Namaste Care Program for People with Dementia By Joyce Simard, M.S.W.

About the Author
Prologue

1. The Beginning 
   
   Changes in Dementia Care
   New Approaches to Providing Dementia Care
   People with AD Find Their Voices
   Creating Namaste Care
   
   
2. Namaste Care
   
   The Philosophy and Mission Statement
   Overview of Namaste Care Programming 
   Components of Namaste Care
   Criteria for Receiving Namaste Care
   
   
3. Implementing Namaste Care
   
   Developing a Budget
   Implementation Plan
   Internal Marketing
   External Marketing 
   
   
4. The Namaste Care Team
    
   Selecting Namaste Care Nursing Staff Members
   Supervision 
   Assigning Specific Responsibilities
   Handling Staffing Shortages
   Retaining Staff 
   
   
5. The Namaste Care Day
   
   Morning Care
   Afternoon Activities
   In-Room Visits
   Involving the Family
   
   
6. The Namaste Care Environment
   
   The Namaste Care Room
   Namaste Care Unit or Wing
   Additional Dedicated Namaste Care Spaces 
      
7. Difficult Decisions
      
   Legal Incompetence
   Early Discussions Regarding End-of-Life Issues 
   The Nursing Facility’s Responsibility
   Medical Decisions
   Quality of Life, Not Life at All Costs
   
   
8. Comfort Care
   
   Pain
   Activities of Daily Living 
   
   
9. Dying and Death
   
   Signs of Impending Death
   Namaste Care Protocol for Actively Dying Residents
   In the Presence of Others
   Families’ Reactions to the Death
   After-Death Care
   Taking Care of Namaste Care Staff
   
   

References
Appendix A: Hospice    
Appendix B: Namaste Care Nursing Supplies
Appendix C: Namaste Care Activity Supplies
Appendix D: Namaste Care Resources
Appendix E: Namaste Care Checklist
Appendix F: Namaste Care Team Staff Interview 
Appendix G: Gifts of Love Letter
Appendix H: Alzheimer’s Bill of Rights
Appendix I: Pain Assessment IN Advanced Dementia (PAINAD) Scale