Memory Care Education: Substance and Style
Jenn
Oliver
In the beginning
In the beginning Levels of Care neighborhoods Programming redefinition Training program
The spark
Identifying the need Caregiver fatigue Resident behaviors Use of psychotropic medication
Identifying the need Resident and staff injuries Turnover within the team Limited employee understanding
A Unique Culture
Planning the Rollout
Planning the Rollout Collaboration within organization Timeline 6 months to liftoff! Building a catalogue
Planning the Rollout Use of existing education resources Relias (scheduling and tracking) Leadership and accountability
Branding the Project
Branding the Project
Branding the Project
Branding the Project
Branding the Project
Alzheimer s Disease Diagnosing and Treating
Music & Dementia
10 Warning Signs of dementia
Sexuality, Intimacy and Dementia
Branding the Project
Branding the Project
Branding the Project
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
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
DEMENTIA IS AN UMBRELLA
Dementia, an Umbrella Term Covering several forms of neurocognitive disorders
# 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.
# 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.
Early Stage No assumptions Speak directly to the person Listen to feelings Time to respond Explore the method of communication Laugh
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
Late Stage Dignity and respect Positive physical approach Nonverbal communication Look for feelings behind the words Use sensory as a form of communication
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
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
Sensory
Sensory
Sensory
Sensory
Sensory
Sensory
Our Work Routine
Implementation
Implementation Where to begin? Length Requirements Orientation vs. department specific Avoid dull and boring
Implementation
Outreach
Outreach Support groups Hospital partnerships Community resource
Looking Back
Looking Back Tracking Simplify requirements Interactive training
Looking Back Accountability Buy-in Comfort
Looking Forward
Resource j.holcomb@crosskeysvillage.org o.hazan@crosskeysvillage.org