CMS Welcome from Karen Schoeneman Person-Centered Approach to the Care of Persons with Dementia from Al Power Hand in Hand in Action Video Clip 1 Mrs. Caputo Visuospatial Challenges 1. Dementia affects each individually. 2. Patience 3. Responding to emotional needs (in this case, anxiety) 4. Meeting people with dementia where they are Video Clip 2 Mrs. Caputo Sequencing Challenges Skills (getting to her level, eye contact, patience, calm) 2. Helping with ADL s- doing with vs. doing for or doing to 3. Rushing through work 4. Understanding perspective of with dementia 5. Empathy 6. Knowing someone 7. Meeting someone where they are Video Clip 3 Mr. O Sullivan from the perspective of with dementia 1. Empathy/Perspective taking 2. Life in a Nursing Home Video Clip 4 Blackboard clip 1. Building on strengths 2. Empathy Module 2: What is Abuse Video Clip 1 Stealing/Misappropriation of Property (Resident s watch missing)
Module 2: What is Abuse Video Clip 2 Neglect (Resident has to go to bathroom; aide tells her to go in bed) 1. Rushing 2. Empathy Module 2: What is Abuse Video Clip 3 Verbal abuse (Mrs. Anderson doesn t want to take a bath- aide verbally abuses and intimidates her) Module 2: What is Abuse Video Clip 4 Sexual abuse Module 2: What is Abuse Video Clip 5 Physical abuse- Mrs. Caputo wants to go home; aide pulls her arm Module 2: What is Abuse Video Clip 6 Involuntary Seclusion; resident eats messily and is removed from area Module 2: What is Abuse Video Clip 7 Mrs. Caputo after physical abuse; wound on arm Module 2: What is Abuse Video Clip 8 Mrs. Anderson after verbal abuse and forced shower; Bill (PT) calms her and helps her Module 2: What is Abuse Video Clip 9 Mr. Mauer after involuntary seclusion; declines ice cream social Module 2: What is Abuse Video Clip 10 Exercise on reporting abuse; see abuse happen- what do you report? 1. Intimidation 2. Honoring resident preferences 3. Being task-oriented 1. Understanding the reasons behind behaviors 2. The meaning of home 3. Being task-oriented 4. Meeting people where they are 5. How reactions can accelerate to abuse 1. Supporting residents to do as much as they can as independently as possible 2. Dignity 3. Discussion on what to do in the moment 2. Reporting changes in a 2. What it means to be with a 2. Brainstorming/Talking with another
Module 3: Listening and Speaking Video Clip 1 Bad Morning - ineffective communication with a with dementia Module 3: Listening and Speaking Video Clip 2 Good Morning effective Covers Many Forms of Communication communication with a with dementia Module 3: Listening and Speaking Video Clip 3 Tools for Better Communication Al Power Module 4: Actions and Reactions Video Clip 1 Mrs. Caputo- I want to go home Module 4: Actions and Reactions Video Clip 2 Mrs. Caputo- I want to go home Module 4: Actions and Reactions Video Clip 3 Mrs. Caputo- prevent invite to help with cooking class 1. Knowing the Module 4: Actions and Reactions Video Clip 4 Mrs. Caputo- present- go outside with Mrs. Caputo Module 4: Actions and Reactions Video Clip 5 Mr. Wilson- doesn t want to take a bathask another aide to help Module 4: Actions and Reactions Video Clip 6 Mr. Davidson- puts non-food items in mouth staff gently redirects Module 4: Actions and Reactions Video Clip 7 Mr. Davidson collects items that don t belong to him aide returns items to owner discreetly Module 4: Actions and Reactions Video Clip 8 Mr. Haynes- alternatives to antipsychotics 1. Listening 2. Trying different ideas 3. Validating feelings 4. Using the world around you 5. Redirection 1. Activities to fit the needs of each 2. Brainstorming 3. Each has a voice 4. Communication
Module 5: Preventing Abuse Video Clip 1 Mrs. Wilson doesn t want a bath- aide physically forces her Module 5: Preventing Abuse Video Clip 2 Mrs. Wilson doesn t want a bath- Lisa 1. Team Support (aide) decides to skip her and try back later Module 5: Preventing Abuse Video Clip 3 Mrs. Wilson doesn t want a bath- Lisa 1. Team Support (aide) suggests lotion to help her get clean and Mrs. Wilson agrees Module 5: Preventing Abuse Video Clip 4 Mrs. Wilson doesn t want a bath- Lisa 1. Teamwork (aide) tags out with other aide Module 5: Preventing Abuse Video Clip 5 Mrs. Wilson doesn t want a bath- Lisa 1. You may need a short break (aide) uses calming cue to take a breath Module 5: Preventing Abuse Video Clip 6 Reporting abuse- exercise to observe 1. Interpretation vs facts Video Clip 1 Video Clip 2 Video Clip 3 Video Clip 4 and report abuse Mrs. Johnson- tooth brushing- verbal reminder Mrs. Johnson tooth brushing- set up tooth brushing and verbal reminder Mrs. Johnson- tooth brushing- guides her to bathroom Mrs. Johnson- tooth brushing- guides hand on tooth brushing; models with own tooth brushing (All clips in this sequence) 1. All the right ways to communicate! 2. Meeting people with dementia where they are. 3. Knowing someone 4. Doing with vs doing for or to
Video Clip 5 Mrs. Johnson- tooth brushing- brushes teeth for her- verbal cues Video Clip 6 Each Person Makes a 1. Teamwork 2. Communication on every level has meaning 3. Empathy 4. We all need purpose