Memory Care Education: Substance and Style

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1

2 Memory Care Education: Substance and Style

3 Jenn

4 Oliver

5 Daphne

6 In the beginning

7 In the beginning Levels of Care neighborhoods Programming redefinition Training program

8 The spark

9 Identifying the need Caregiver fatigue Resident behaviors Use of psychotropic medication

10 Identifying the need Resident and staff injuries Turnover within the team Limited employee understanding

11 A Unique Culture

12 Planning the Rollout

13 Planning the Rollout Collaboration within organization Timeline 6 months to liftoff! Building a catalogue

14 Planning the Rollout July 2014: initial brainstorming time November 2014: curriculum set, team expectations are defined January 2015: sessions start

15 Assessing Common Psychiatric Disorders in Older Adults (Elective) Discuss overall mental health statistics and facts regarding older adults Identify causes and risk factors for senior mental illness and recognize common symptoms of mental health problems Recognize common psychiatric conditions in older adults including dementia with behavior disturbance, depression, anxiety disorder and schizophrenia Learn techniques on how to interview patients with dementia with behavior disturbance, depression, anxiety and Schizophrenia and when it is appropriate for inpatient psychiatric hospitalization. Relias Search Code: CKV PSDA Date Day Time Location Instructor Hours Seats April 7, 2016 Thursday 11:30AM-2:30PM Nicarry Meetinghouse Joanna Zigerell 3.0 Unlimited Caring for the Gems (Elective) We will take an in-depth look at the stages of Alzheimer s and other forms of dementia by utilizing Teepa Snow s GEMS program. This course will also include a refresher of the positive approach and hand under hand technique. Relias Search: CKV Gems Date Day Time Location Instructor Hours Seats May 3, 2016 Tuesday 1:00PM-3:00PM Board Room Jennifer Holcomb June 1, 2016 Wednesday 9:00AM-11:00AM Board Room Jennifer Holcomb

16 Planning the Rollout Use of existing educational resources Relias (scheduling and tracking) Leadership and accountability

17 Branding the Project

18 Branding the Project

19 Branding the Project Show Compassion Act Responsibly Work Together Celebrate Life Be Innovative

20 Branding the Project

21 Branding the Project

22 How full is your plate? Be honest

23 Alzheimer s Disease Diagnosing and Treating

24 Music & Dementia

25 10 Warning Signs of dementia

26 Sexuality, Intimacy and Dementia

27

28 Visual Auditory Tactile

29

30 Empathic Listening 1. Be non-judgmental 2. Give undivided attention 3. Focus on feelings and not just the facts 4. Allow time for reflection 5. Use restatement to clarify messages The best and most beautiful things in the world cannot be seen or even touched. They must be felt from the heart. Helen Keller

31 Communication Changes Difficulty finding the right words Using familiar words repeatedly Describing familiar objects rather than calling them by name Easily losing train of thought Difficulty organizing words logically Reverting to speaking a native language Speaking less often Relying on gestures more than speaking

32 Communication Changes Difficulty finding the right words Using familiar words repeatedly Describing familiar objects rather than calling them by name Easily losing train of thought Difficulty organizing words logically Reverting to speaking a native language Speaking less often Relying on gestures more than speaking

33

34 Dementia, an Umbrella Term Covering several forms of neurocognitive disorders

35 # 6 New Problems with Words in Speaking or Writing Calling things by the wrong name Struggling with vocabulary Problems finding the right word Difficulty following or joining a conversation What is normal? Sometimes having trouble finding the right word.

36 # 7 Misplacing Things and Losing the Ability to Retrace One s Steps Misplacing items in unusual places Losing items Inability to retrace one s steps Accusing others of stealing What is normal? Misplacing things from time to time and retracing steps to find them.

37 Early Stage No assumptions Speak directly to the person Listen to feelings Time to respond Explore the method of communication Laugh

38 Middle Stage Patience and support Eye contact Avoid criticism or correction Do not argue Do not overwhelm the person Speak slowly and clearly One at a time Yes or no questions Visual cues Written notes

39 Late Stage Dignity and respect Positive physical approach Nonverbal communication Look for feelings behind the words Use sensory as a form of communication

40 Increased Sexual Interest Find something else to do together Assess sexual needs vs intimacy needs Aggression may occur Assess response from loved one to person making advances Medications

41 Decreased Sexual Interest Desire for intimacy and affection Stroked, cuddled, touched No longer sharing a bed, try a body pillow, stuffed animal or hot water bottle or rice pack wrapped in a blanket As a partner respect the individual s choice

42 Branding the Project

43 Branding the Project

44 Branding the Project

45 Branding the Project

46

47 Branding the Project

48

49 Branding the Project

50 Branding the Project

51 Our Work Routine

52 Our Work Routine

53 Implementation

54 Implementation Where to begin? Length Requirements Orientation vs. department specific Avoid dull and boring

55 Implementation

56 Outreach

57 Outreach Support groups Hospital partnerships Community resource

58 Scale

59 Looking Back

60 Looking Back Tracking Simplify requirements Interactive training

61 Looking Back Accountability Buy-in Comfort

62 Looking Forward

63 Resource

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