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 Sta 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
Care for the Caregiver
Empathy Building
The Practical Approach
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 How do you live a long life?
Respect routines, be flexible, provide choice, and start the day ‘right’
“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?