A woman with Alzheimer's disease has significant apraxia and poor hygiene.Which intervention would be most appropriate for ensuring that the patient completes a shower?

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Apraxia is the inability to complete tasks despite having the sensory and motor capacity to do so.It is seen in significant levels in stage 3 Alzheimer's disease and requires the full assistance of a caregiver or staff person,who must patiently provide simple,concrete,step-by-step directions,with each direction given one at a time when the patient is ready to progress to the next step.Simply reminding the patient to shower,educating her about hygiene,assisting her to go to the shower room,or providing reminders would not be therapeutic for patients with significant apraxia.They lack the ability to remember or enact any of the steps involved in a complex task and require directions for each action and step involved in the process.

A Woman with Alzheimer's Disease Has Significant Apraxia and Poor