Many clients with advanced Alzheimer disease reside in long-term care centers; therefore, most routine care activities can be delegated to the licensed practical nurse (LPN) and unlicensed assistive personnel (UAP).
The role of the LPN includes:

• Administration of enteral feedings (if prescribed)
• Administration of medications
• Monitoring for safety hazards
• Monitoring for behavioral changes

The role of UAP includes:

• Assisting with activities of daily living (eg, toileting, bathing, skin care, oral care, personal hygiene) (Option 1)
• Assisting with feeding
• Reporting changes in ability to eat or difficulty swallowing (Option 5)
• Reporting changes in behavior
• Placing bed alarms to reduce risk of falls (Option 4)
• (Option 2) UAP may be directed by a nurse to remove or alter safety hazards in a client's room, but the nurse retains the responsibility of evaluating the environment.
• (Option 3) The UAP may report changes in client behavior to the nurse. The LPN can monitor for behavioral changes, and the RN can develop strategies to address difficult behavior.

Educational objective:
While caring for a client with Alzheimer disease, the licensed practical nurse is responsible for administration of medications and enteral feedings (if prescribed) and monitoring for safety hazards and behavioral changes. The role of unlicensed assistive personnel involves helping with activities of daily living and reporting changes in the client