2 SOMETIMES A TABLET IS BETTER THAN A PILL EVERY MOMENT COUNTS
3 AUSTRALIAN STATS The number of people suffering from dementia is predicted to increase 327% between 2008 and 2050 from 227, ,000(Access Economics, 2006, 2009). By 2020 dementia will have overtaken cardiovascular disease to become one of the major diseases in Australia (Access Economics,2009a). Health and residential aged care expenditure on dementia has been projected to increase by 225% between 2003 and There are currently more than 90,000 people living with dementia in long-term care in Australia About one in fifteen people over the age of 65 years has moderate to severe dementia (Access Economics, 2009).
4 MEDICATIONS ARE NOT THE ANSWER This Psychosocial alternative to pharmacological intervention is congruent with the National Quality Dementia Care Initiative Guidelines which suggests Interactive web-based toolkits for consumers & health professionals, mobile applications, development of & contribution to the development of development of in-person & web-based continuing professional education units national service provider showcase as an effective approach (NDCI Guidelines: p: 28). Reducing pharmacological interventions for people experiencing BPSD is achievable; An Australian study (Chenoweth L. 2009) demonstrated that after introducing a personalised care approach 15-25% of PLWD had a substantial reduction in agitation with the interventions, against no change for those who received usual care. Kleijer et al s study outcomes add to the growing evidence that antipsychotic treatment of behavioural problems of dementia is often inefficient.(2009)
5 Building up a personal gallery of family members events can be useful when managing behavioural issues.
7 WHAT ARE WE HOPING TO ACHEIVE FUN IMAGINATION CONNECTEDNESS PERSONAL NARRATIVES ENGAGEMENT BELONGING IDEAS GENERATION
8 PARTICIPATION The technology of ipads has opened opportunities for people living with dementia to connect with people and ideas in new and interesting ways. Maintaining cultural links becomes more interactive through audio and visual media. Engagement with art and literature is accessible and participation in lifestyle activities is at the swipe of a finger. Family participation and engagement regains meaning and staff bring their own world into the ageing workplace with enthusiasm and imagination. The Tablet Trial participants were people experiencing anxiety, depression and boredom, people experiencing cognitive impairment and behaviours and psychological symptoms of dementia. Ipads were used individually and in group work by employing current theories of Dementia Care, Diversional Therapy and Communication.
9 ENGAGEMENT The ipad as a tool to improve communication, engagement and joy for people living with dementia has as many possibilities as there are ideas to use it.
10 Tablet Uses personalised photo galleries communication with family camera, video camera internet browser GoogleEarth and GoogleMaps YouTube world radio stations quizzes, puzzles & games language translator book reader, audio books
12 RECENT LITERATURE A recent newsletter article highlighted an American nursing home that is using Apple ipad tablets to jump-start resident s memory, mobility & social skills that have deteriorated through age, Alzheimer s disease or other types of dementia. Preliminary findings in their trials included: Tablet s actually provide an advantage over the printed page that is not consciously perceivable - the information is processed more easily when a tablet PC is employed (Schlesewsky, M.).
13 THE MOST CONVENIENT ACTIVITIES TOOL YOU WILL EVER USE The Tablet is a cost effective technological tool which benefits clients, families and carers as : previous experience is not required portable transferable intelligent and has language capabilities; light weight but stores books, resources, personal & intellectual information; user friendly interactive (can be used on a wider interface; TV, virtual visiting, internet) & hold personal narrative ( stories, movies, videos, photos, letters, certificates, music). simulates presence of company (through Skype, FaceTime, and gaming partners involves families and friends where ever they live, by contributing to the person centred profile and by using the profile as a communication tool
14 THERAPIES IN ACTION Positive Person Work (Kitwood, T: 1997) Validation Therapy (Freil, N: 1992) Montessori Approach (Montessori, M 1897) Reminiscence Work (Butler, 1980) Cognitive Stimulation Active Listening (Killick & Allen 2001) Social Role Valorisation (Wolfensberger, W 1983) Reality Orientation (1950) Re-enablement (Francis, Fisher & Rutter, 2010) Eden Alternative (Thomas, W (Eden in Oz & NZ principles) Arts-based therapies; music, art, dance, life stories, narrative Simples pleasures (Buettner, 1999) Emotion-orientated Communication (Finnema,etal 2000) Simulated Presence Therapy (Peak, JS & Cheston, RI 2002)
15 ARTS-BASED ACTIVITIES
16 LIFE SHOULD BE FULL OF SIMPLE PLEASURES
17 Virtual Visiting (Resource kit developed by Western District Health Service Victoria 2010) is a concept the project hopes to explore to assist consumers living overseas or away from the PLWD to remain connected
18 DIAMOND DAYS The importance of making "each moment count" may influence a person s trust and participation in the world SOME DAYS ARE DIAMONDS, SOME DAYS ARE STONES Memories and moments are like diamonds and stones, so lets make "EVERY MOMENT COUNT - valuable moments; of laughter, insight, a memory, a conversation, a word, a feeling of success. DIAMOND DAYS: Intentionally promote thoughts and feelings which bring happiness, worth, insight and many other feelings.
19 REFERENCES Baines, P Nurturing the Heart: creativity, art therapy & dementia Bonner, C 2007 Reducing Stress-related behaviours in people with dementia Care-based Therapy Crichton, J 2007 Living with Dementia: Curating self-identity Downs, M & Bowers, B 2010 Excellence in Dementia Care Research into Practice Feil, N 2002 The Validation Breakthrough Francis, J Fisher, M & Rutter, D, 2011 Reablement: a cost-effective route to better outcomes Hermon, L 2in Aged care 012 Group Work may improve dementia (DPS Guide Hilary Lee & Trevor Adams, 2011 Creative Approaches in Dementia Care Kitwood, T 1997 Dementia Reconsidered Lai Chan Koh, 2008 Nurse education in Practice Mulligan, S 2009 Dignity Therapy O Brien etal., 2008 in Lai Chan Koh, Nurse Education in Practice Sollitto, M 2011 The Lighter Side of Caregiving: Appreciate the Humor Van Dijk, AM, van Weert, JC, Droes, RM 2011 Does theatre improve the QOL of people with dementia
Research to inform development of a guide to online activities for people with dementia Hicks B, Miller L Report 498 Research to inform development of a guide to online activities for people with dementia
My Time, Our Place Framework for School Age Care in Australia Contents Introduction: 3 A VISION FOR CHILDREN S LEARNING THROUGH PLAY & LEISURE 5 PRINCIPLES 10 PRACTICE 13 OUTCOMES FOR CHILDREN 18 Outcome
THINKING ABOUT PRACTICE Working with the Early Years Learning Framework The EYLF Professional Learning Program is funded by the Australian Government Department of Education, Employment and Workplace Relations.
Evidence: Helping people help themselves A review of the evidence considering whether it is worthwhile to support self-management May 2011 Identify Innovate Demonstrate Encourage Author Dr Debra de Silva
An Evidence Review of the Impact of Participatory Arts on Older People Contents 02 08 13 36 41 Executive summary Introduction and method Results Discussion Conclusions and recommendations 44 55 57 Appendix
Victorian Early Years Learning and Development Framework For all Children from Birth to Eight Years Published by Early Childhood Strategy Division Department of Education and Early Childhood Development
Joint Commissioning Panel for Mental Health www.jcpmh.info Guidance for commissioners of rehabilitation services for people with complex mental health needs 1 Guidance for commissioners of rehabilitation
Person Centred Practice Guide to implementing person-centred practice in your health service Photo: 2008 ABC i Table of contents Section 1: Concept of person centred practice 1 Philosophy of care 2 - What
knowledge base The Emergence of Person- Centred Planning as Evidence-Based Practice Helen Sanderson CONSULTANT AND EXPERT ADVISOR (PERSON-CENTRED PLANNING) TO THE VALUING PEOPLE SUPPORT TEAM Jeanette Thompson
3 Guide to the National Quality Standard September 2013 Amendments to the Education and Care Services National Regulations affecting the National Quality Framework Resource Kit Amendments to the Education
Patient Empowerment Living with Chronic Disease A series of short discussion topics on different aspects of self management and patient empowerment for the 1st European conference on patient empowerment
Models of Dementia Care: Person-Centred, Palliative and Supportive A Discussion Paper FOR alzheimer's australia on Death and Dementia Paper 35 june, 2013 By professor Julian Hughes Acknowledgements The
THE CHILD AT THE CENTRE SELF-EVALUATION IN THE EARLY YEARS THE CHILD AT THE CENTRE SELF-EVALUATION IN THE EARLY YEARS Crown copyright 2007 ISBN: 978-0-7053-1109-0 HM Inspectorate of Education Denholm House
Table of Contents To make it easier to use this file, there are links in the table below. Hover your mouse over the text and then select control and click to follow the link. Introduction 3 Responsibility
Housing Options For People Living With Dementia CMHC HOME TO CANADIANS Canada Mortgage and Housing Corporation (CMHC) has been Canada s authority on housing for more than 65 years. CMHC helps Canadians
Mental Health & Substance Abuse Division The Framework for recovery-oriented rehabilitation in mental health care 2012 South Australia will have a recovery-oriented mental health system that supports individuals
Disability Services Supporting decision making A guide to supporting people with a disability to make their own decisions Department of Human Services Acknowledgements Disability Services thanks the many
Fit-person Entry Programme Reflecting on practice for continuous improvement in designated 04 centres for older people < Table of Contents Introduction to the Fit-person Entry Programme... 001 Background...
Affirming Life what is a palliative approach? a guide for family and friends with loved ones in aged care 1 Acknowledgements Many people and organisations have collaboratively contributed to the development
Palliative and End of Life Care Strategy for Northern Ireland Consultation Document December 2009 Contents Page Foreword 4 Executive Summary including Recommendations 6 Vision for Quality Palliative and
Good Practice Guidelines for Person-Centred Planning and Goal Setting for People with Psychosocial Disability A Project Report for DisabilityCare Australia May, 2013 Contents 1. Project Report... 3 1.1
www.england.nhs.uk @NHSEngland 0113 825 0861 email@example.com TRANSFORMING PARTICIPATION IN HEALTH AND CARE The NHS belongs to us all SEPTEMBER 2013 Patients and Information Directorate,
N U R S E S F O R H E A LT H I N S U R A N C E R E F O R M Stability and Security For All Americans Health Insurance Reform Action Guide Summer 2009 N U R S E S F O R H E A LT H I N S U R A N C E R E F
Heart information Cardiac rehabilitation Contents 2 What is cardiac rehabilitation? 3 What are the benefits of cardiac rehabilitation? 4 Who should take part in cardiac rehabilitation? 4 When does cardiac
WHO CARES? The Future of Adult Care and Support in Northern Ireland A discussion document Page Number Ministerial Foreword 3 Introduction 6 Structure 7 What is Care and Support? 8 Why do we need to change?