rapid-fire: a fast-paced review of dementia best practices

RAPID-FIRE: A FAST PACED REVIEW OF DEMENTIA BEST PRACTICES

Rita Altman, Sunrise Senior Living Patrick Doyle, Brightview Senior Living Kim Butrum, Silverado Senior Living Maria Nadelstumph, Brandywine Senior Living (Moderator)

Person Centered Care

Brightview Senior Living •  Experiences and actions are not a direct

consequence of “dementia” or brain changes.

•  Dementia is a life experience unique to each person.

•  Resident’s Life Story.

•  Well-being is not dependent on cognitive or functional ability. Goal is to maximize in all people.

Purpose  and  Meaning  

Moments  of  Joy  

Silverado  Senior  Living  •  Normaliza)on    •  Dignity  of  Risk  

•  Memory  Boxes  

Sunrise Senior Living

•  Designated Care Manager Model

•  Life Enrichment Manager

Training and Staff Development

Sunrise Senior Living

Behavioral Expressions Training

I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.

~Maya Angelou

Behavioral Expressions of Need

▶  Know the four most common unmet needs residents are trying to express through their behaviors

▶  Review common examples of what NOT to say to residents and explore more positive communication approaches

▶  Review and practice Validation techniques so team members feel more confident when responding to residents’ behavioral expressions

Caring for People

with Dementia

Empathy Building

The Practical

Approach

Care for the

Caregiver

Silverado Senior Living •  40  hour  Caregiver  Orienta)on  and              

Mentorship  program  

•  Silverado  University  Demen)a  Care  Specialist  Cer)fica)on  

•  Silverado  University  E-­‐learning    

•  Program  to  assure  consistency  of  training  content  and  maintain  culture  

•  Silveradolearning.com  

Clinical and Wellness

Silverado  Senior  Living   18 years Clinical Outcome collection

 Behavior management system •  Behavior mapping

•  Behavioral Intervention protocol •  Behavior conference calls •  E-learning and orientation

 Staffing: •  RN/Medical Director/ Social Worker

 Trusted partners for the full continuum of care •  Silverado at Home, Silverado Hospice

Brightview Senior Living   Dedicated Team & Associates

•  Each associate partners with the same residents each day

•  Greater resident engagement in personal care

•  Better recognition of subtle signs of change (behavioral/medical)

•  Effective communication strategies are critical

Sunrise Senior Living

•  Behavioral Expressions Tracking Form

•  Memory Care team and Clinical nursing team partner in assessments and quality initiatives

•  Implementing Electronic Health Record

•  Ongoing tracking of clinical indicators

Hospitality & Dining

Silverado  Senior  Living  •  Family meals- any time, free of charge •  Finger food menu •  Bistros with well stocked •  Private dining room •  Cooking clubs •  Community gardens  

Sunrise Senior Living •  Adaptive design to dinner ware

•  Contrasting color plates to linen

•  Brightly colored plates to compensate for any visual-perceptual issues

•  Choice- always at least 2 main course choices

Brightview Senior Living

Respect routines, be flexible, provide choice, and start the day ‘right’

How  do  you  live  a  long  life?    

“Take  a  two-­‐mile  walk  every  morning  before  breakfast.”  

               ~Harry  Truman  

Programming & ���Social Engagement

Sunrise Senior Living Evidence-based

Life Enrichment Managers share their stories

Terrace Club Day Program

Silverado  Senior  Living  NEXUS  

“Building  Connec)ons  through  Science  and  Social  Engagement”  

Our  program  created  specifically  to  help  residents  in  the  early  stages  of  demen)a  build  and  maintain  cogni)ve  ability  

SPICE Approach

QUESTIONS?