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Table 1 Description and illustration of objective, duration, and content of psychological first aid program

From: Effect of psychological first aid program on stress level and psychological well-being among caregivers of older adults with alzheimer’s disease

Sessions

Objective

Duration

Content

A. Sessions regarding knowledge about the AD in older adults and how to care for them

1st session

- Increase the caregivers’ awareness of Alzheimer’s disease and its stages.

60 min

- History of Alzheimer’s disease

- Definition of Alzheimer’s disease

- Risk factors for Alzheimer’s disease

- Signs and symptoms of Alzheimer’s disease

- Stages of Alzheimer’s disease

- Treatment of Alzheimer’s disease

2nd session

- Identify common behavioral problems encountered by older adults with Alzheimer’s disease and how to deal with these behaviors.

60 min

- Common changes in behaviors of older adults with Alzheimer’s disease.

- Triggering situations of these behaviors

- Factors contributing to the development of these behaviors.

- Different behavioral problems encountered by older adults with Alzheimer’s disease as aggression, anger, anxiety, agitation, and general emotional distress.

- Coping tips to deal with these behaviors.

3rd session

- Identify common behavioral problems encountered by older adults with Alzheimer’s disease and how to deal with these behaviors.

60 min

- Continuing the different behavioral problems encountered by older adults with Alzheimer’s disease as restlessness, pacing, shredding of paper or tissues, hallucinations, delusions, physical or verbal outbursts, sleep issues, and sundowning.

- Coping tips to deal with these behaviors.

4th session

- Identify common nutritional problems encountered by older adults with Alzheimer’s disease.

- Identify tips for good nutrition for Alzheimer’s older adults.

- Maintain the oral health of Alzheimer’s older adults.

60 min

- Nutritional problems encountered by older adults with Alzheimer’s disease.

- Nutrition tips for older adults with Alzheimer’s disease.

- How the caregivers can make mealtimes easier for older adults with Alzheimer’s disease.

- Promoting independence of the older adults with Alzheimer’s disease during the meal.

- Minimizing eating and nutrition problems for older adults with Alzheimer’s disease.

- Maintaining oral health of the older adults with Alzheimer’s disease.

5th session

- Identify how to communicate with Alzheimer’s older adults.

- Identify how to care for Alzheimer’s older adults with urinary incontinence.

- Perform bed baths for bedridden Alzheimer’s older adults.

- Maintain the skin integrity of Alzheimer’s older adults.

60 min

- Communication with Alzheimer’s older adults:

♣ Changes that occur in communication with Alzheimer’s geriatric patient

♣ How to communicate with Alzheimer’s older adults in the early stage, middle stage, or late stage.

- Daily care of Alzheimer’s older adults and how to organize the daily activities.

- Care for Alzheimer’s older adults with urinary incontinence.

- How to care for Alzheimer’ older adults’ skin and how to maintain their skin integrity.

6th session

- Identify how to care for Alzheimer’s older adults in the early, middle, and late stages.

60 min

- Caring for early-stage Alzheimer’s older adults.

- Caring for middle-stage Alzheimer’s older adults.

- Caring for late-stage Alzheimer’s older adults.

- The caregiving responsibilities of the Alzheimer’s older adult’s caregiver in the early, middle, and late stages.

B. Sessions concerned with caring for Alzheimer’s older adults’ caregivers

7th session

- Enrich the Alzheimer older adults’ caregivers with the required knowledge and skills to deal with the caregiving stressors and stress.

60 min

- Signs and symptoms of Alzheimer older adults’ caregiver stress.

- General advice that helps Alzheimer older adults’ caregivers to adapt to their caregiving roles.

- Strategies to deal with the caregiving stress

- Using relaxation techniques:

♣ Visualization (imagine a place or situation that is peaceful and calm)

♣ Meditation (dedicating 15 min a day to decrease all stressful thoughts)

♣ Deep breathing exercises

♣ Progressive muscle relaxation

8th session

- Decrease the Alzheimer’s older adults’ caregivers’ stress through practicing exercises.

60 min

- Teach the Alzheimer’s older adults’ caregivers how to care for their health through practicing exercises by teaching them the following:

♣ Importance of exercise

♣ Principles of practicing exercises

♣ Examples of exercises they can do and how to perform them.

9th session

- Teach the Alzheimer’s older adults’ caregivers how to enhance their sleep patterns.

60 min

- Sleep problems encountered by Alzheimer’s older adults’ caregivers:

♣ Sleep problems, causes, and its impact.

♣ Importance of sleep

♣ Strategies to enhance caregivers’ sleep pattern

10th session

- Maintain the nutritional status of the Alzheimer older adults’ caregivers.

60 min

- Tips for enhancing the nutritional status of the caregivers of older adults with Alzheimer’s disease.

♣ Importance of good nutrition

♣ Good nutrients.

♣ Tips of healthy food preparation and storage.