Inventory for Dementia Training and Education in the Champlain Region

Transcription

1 This inventory is intended to provide an overview of some the training and education programs focused on dementia and available for health care providers. Many of the resources noted in this document are also found in more detail in the Behavioural Education and Training Supports Inventory (BETSI). Behavioural Supports Ontario (BSO) has published the Behavioural Education and Training Supports Inventory (BETSI) Decision Making Framework, an education/training decision making tool and program inventory, for anyone interested in providing safe, quality patient- centered care for older adults with responsive behaviors. BETSI assists providers, agencies and facilities by strengthening the capacity of planners to choose the most appropriate of education programs and effectively support the application of new knowledge into practice; enabling teams to provide clients with the right care, at the right time and in the right place. The BSO Capacity Building Roadmap and BETSI Framework should be used by those who need to make decisions about what education is required to manage and better serve the target population, and also by those who provide collaborative care for the target population and make education- related decisions. Indicators/ Program Philosophy To provide staff with education on how to use a person- centered, compassionate and gentle persuasive approach and to respond respectfully, with confidence and skill to challenging behaviours associated with dementia Person- centered, Person centered approach that maximizes remaining evidence- based abilities at every stage of cognitive impairment and humanistic care is critical to well being. Health is beyond the absence of disease and includes quality of life, independence and self- determination Prevention and early intervention To develop a common knowledge base, language, values, and approach to providing care for people with Alzheimer s disease and other dementias. Supports knowledge translation & improved communication with PIECES trained Registered Staff Academic program designed to build on the previous knowledge, skill and aptitude of the post- diploma health and/or social service field in order to increase competency and skill in caring for those with dementia. It is appropriate for RN, RPN PSW, Social Workers, Occupational Therapists and other professionals in the Health or Social Services field. A document developed with the intent to provide LTC Home or Retirement Home staff with a brief resource of information and skills to help them interact with residents who have dementia and to be used to assist with the orientation of new hires. Care and service where the older person resides Dec

2 Program Details Module 1 Overview of the principles of person- centred care, and the meaning behind responsive, self- protective behaviours of persons with dementia. Module 2 Introduction to the impact of dementia on the brain. Module 3 Overview of emotional, environmental and interpersonal aspects in communication strategies that assist front- line staff to respond effectively to escalating behaviours Module 4 Overview of physical intervention principles which Putting the Four segments: Foundation Care Partner Train the Trainer + Online program, supported by P.I.E.C.E.S. 1. Getting to know Course Application + Foundation Course + an online coach. Together each other, Foundation Care Partner represents strength s of the Course Application Core Courses for Certificate Physical, group, Overview of Dementia Care Intellectual, introduction of U- Communication and Emotional, First and the U- Interpersonal Skills Capabilities, First wheel. Caregiving Skills Environment, and 2. Focus on the U Ethics and Legalities Social aspects. of U- First to build Evaluation and Program These are the understanding Planning for Managers and cornerstones of around a person s Leaders the philosophy Responsive Research and Development and care of the Behaviour and to Dementia Clinical/Field P.I.E.C.E.S. describe all Placement approach. behaviour as Electives (only one required) P.I.E.C.E.S. offers having meaning Advocacy a practical and purpose for Aging framework for the person doing Orientation to Hospice assessment and it. Become Palliative Care supportive care familiar with Aging and Active Involvement strategies using a PIECES framework Enhanced Hospice Palliative comprehensive to understand Care Skills for Community interdisciplinary how changes in Caregivers client- centered each area can approach. contribute to the demonstrated behaviour. Describe and recognize the effect of the 7 A s. 3. Complete Flagging, The resource s full title is What you need to know to work with persons with dementia A Primer for those starting to work in dementia care. It is not meant to be a comprehensive resource of dementia training but a guide. There are three suggested formats for incorporating the DVDs suggested to accompany using the Dementia Primer resource. Dec

3 Program Objectives can assist staff to de- escalate the person with dementia. They also learn respectful escort techniques to manage catastrophic behaviours. Reframe challenging behaviour to be interpreted as self- protective or responsive behaviour that occurs as a result of unmet needs, thus encouraging staff to assess the meaning of the behaviour and work alongside the resident/patient/cli ent. Interaction, Reflecting, Reporting Support & Team as a part of U- First 4. ID. Problem solving approaches to assist in implementing change re resident behaviours Comprehensive and best practice approach to assessment and care planning Risk management Interdisciplinary care Integration and collaborative care (shared care) Participant will: 1. Demonstrate sensitivity & respect for the individuality of a person with dementia, their family and other team members 2. Seek to understand the person living with dementia & associated behavioural changes 3. Collaborate with the team to ensure individualized Establish a common framework for promoting best abilities. The Foundation Course provides all who work in dementia care a common framework about Alzheimer s disease and related dementias (ADRD), a best- abilities Apply new skills and adjust various aspects of dementia care. Building on the Foundation Course, this course emphasizes application and includes activities, case studies, and discussions relative to assessment, care approaches, documentation, and functional Become certified to teach staff at your facility. The Three- Day Instructor Program, our train- the- trainer course, allows an organization to create a positive, congruent approach among all staff. On day three, participants learn how to deliver consistent staff training rooted in a person- centered, abilities- based model. Upon completion, they gain authorization to The objectives for the development of the Dementia Primer were to: 1. Provide a brief resource that could be adapted to any setting 2. Incorporate selected mandatory orientation topics (i.e.: fire, dining, restraints) 3. Develop a pre- post quiz 4. Include multiple teaching formats Dec

4 Target Audience Length of Training The curriculum is targeted to all levels of staff and departments in care organizations who work with older adults support perspective, maintenance purchase and use strategies are dementia programs. CPI s training developed that stages, materials to teach the recognize and behavior One- Day Foundation respond to management, Course within their information and care organization. gathered using U- techniques to First and to take promote the into best ability to consideration function. additional factors. i.e: life style, risk etc RNs, RPN and other professional staff (i.e. social workers) All staff regulated/unregulat ed working in LTCH, Retirement Homes, Community Support, Community Living Settings 7.5 hours 15 hrs 1 day 6 hr workshop or 2 days each 3 hr workshops All staff in a facility or organization Cost $12 /manual $160/person $60.00 /person Approx. $169 CAD per person - - $6,760 CAD for full class of 40 All staff in a facility or organization especially those in direct- care roles Those who would be trainers Anyone working with persons with dementia 1 day 2 days 3 days 285 hours in total. All modules are separate so you can take them at your own pace. Certificate is only completed if the course requirements are met within 3 years. Approx. $339 CAD per person - - $13,560 CAD for full class of 40 participants price includes Approx. $1,679 CAD per person price includes classroom materials and 1 Instructor Resource kit for each Each course is individually priced and costs range from $ depending on length of course Retirement Home and LTC Home staff working with persons with dementia Determined by delivery No cost for the Dementia Primer resource. Suggested DVDs are available at a cost The Alzheimer Journey Dec

5 Number of Participants participants. classroom participant. Certified Price includes materials Instructor option can classroom be added on to either materials 1- day or 2- day training class No established limits however, to facilitate group interactions/particip ation no less than 8 no greater than people There is an application process and eligibility criteria. Capacity is determined by registration limits. Module 4 ($15) Hello in There ($195 + S&H) Determined by facility Delivery Mode Content 2 GPA certified coaches case- based, interactive and practical. Role plays, focus groups, didactic mini- lectures, experiential exercises, case studies and videos (see program details) 2 certified coaches Mini- lectures; case studies, videos, group work. Interactive. 6- hour workshop with Master Trainer using principles of Dialogue Education along with: workbook, PP Slides, U- First Wheel, group work As outlined in program objectives but also includes assisting participants to: Enhance understanding by recognizing the impact of a person s life experiences, Instructor- led presentation Class discussion Videos PowerPoint Activities Role plays Introduction to Alzheimer s disease and related dementias (ADRD) Theoretical framework Philosophical framework Principles to guide care Examination of the stages of dementia in relation to the Allen Cognitive Levels Identification of care approaches Key teaching points for each unit of the Foundation Course Strategies for staff training in a person- centered, abilities- based model Adult learning methods to promote retention and training transfer Online with a the support of a mentor Core Courses for Certificate Overview of Dementia Care Communication and Interpersonal Skills Caregiving Skills Ethics and Legalities Evaluation and Program Planning for Managers and Leaders Research and Development Dementia Clinical/Field Individual (self) or Group ( face to face ) Determined by facility Dec

6 values, thoughts Impact on Best- abilities Course Placement and feelings on cognition approach for customization Electives (only one required) their well- being Identification each stage techniques to build Advocacy and quality of of the stages Case study relevance for Aging life. These factors of dementia Behavior and different staff Orientation to Hospice are equally Allen communicatio groups Palliative Care relevant for that Cognitive n strategies DCS quality Aging and Active Involvement person s family Level and Person- standards that Enhanced Hospice Palliative Care and significant best- abilities centered support ongoing Skills for Community Caregivers others. approach approach to staff training Serve as a role Care each stage of Assigned practicum model for co- approaches dementia training for each workers by to maximize Simulations participant focusing on the function and Functional person living with well- being maintenance dementia, Behavior and programs supporting their communicati Creation of strengths and on individualized abilities, Strategies plans with promoting their for communicatio active minimizing n strategies, participation in behaviors care all aspects of and approaches, their care and enhancing and responses continuing to communicati to behavior work with the on Interdisciplinar team to meet the Family y team evolving needs of support strategies to the person, their methods achieve family / positive significant other. outcomes Use the U- First wheel in dialogue Dec

7 Possible Resources Required Certificate of Completion PowerPoint slides; recommended video clips Received at the end of course. Also receive a pin. with the team to flag risks and behavioural issues associated with cognitive /mental health needs and possible causes Develop and consider importance of a person s values, beliefs Encourage collaboration with family Respect all members of the care team PowerPoint Financial, Training space (approx. 1,500 square feet w/ classroom- Computer slides; environment that style seating and room for activities), Time recommended accommodates LCD projector and screen Money video/cd clips group work, Flipcharts Placement computer, LCD Markers projector, time, access to Master Trainer. Certificate received after completion of the course and an assignment using the PIECES Yes Yes Yes if completed requirements within 3 years Manual Suggested videos (if desired) Can be printed in revised edition Complete Fluid Survey evaluation: s/kll/evaluation- of- champlain- Dec

8 Contact information (905) x Contact Local Psychogeriatric Resource Consultants framework and templates and after completing a post survey. office@piecescan Virginia Pflanz, Sales Director Algonquin College: Program ada.com Crisis Prevention Institute Coordinator, at or da.com Alzheimer Society of Ontario- online ufirst@alzheimeront. org Local PRC Ph# (414) mailto:flammec@algonquincolle ge.com St. Lawrence College: dementia- network- primer Champlain Dementia Network Education Committee anetwork.org/en- contact.asp Additional Dementia Education Resources: 1. Alzheimer Knowledge Exchange 2. Canadian Dementia Resource and Knowledge Exchange Dec