Knowing how the diseases of dementia unfold is an invaluable tool for success. Knowing how, when, and what to do for the patient depends on understanding that our professional, and ethical, responsibility is to assist the patient to achieve and maintain their highest level of functioning; therefore, we must know what they need – and this knowing begins with the ability to accurately “stage” a patient’s dementia.
Jane Yakel – Promoting Function & Maintaining Independence in the Face of Dementia
DEMENTIA AND DISEASES
Differential diagnosis of degenerative neurological diseases
Detect how dementia symptoms vary among the diseases
ASSESSING OR STAGING? WHAT DO THEY TELL US AND WHICH DO WE DO?
Standardized assessments
Patient-centered assessments
“Staging Tools”
What patient skills to expect at each stage
Chronological ages that go with the stages
DOCUMENTING DEMENTIA SKILLED INTERVENTIONS
Write patient-centered goals
Measure progress and justify medical necessity
Making daily documentation “skilled”
Key words that reflect functional outcomes in dementia therapy
APPROACHES TO THE MEMORY SYSTEM
Memory system to use for new learning/conscious memory
Memory system for procedural learning unconscious memory
Documenting memory systems per medical diagnosis
EVIDENCE-BASED THERAPEUTIC INTERVENTIONS
Errorless Learning
Error vs. Errorless learning
Directions for successful use of errorless learning
Interactive lab/case discussion
Spaced Retrieval
Specific timing and directions of spaced retrieval for the dementia population
Designing a “prompt question”
Discipline-specific demonstrations using Spaced
Retrieval
Written goals and skilled documentation
Montessori-based Dementia Programming
Translate Montessori teaching into successful therapy intervention
Retrogenesis: Understanding First In – Last Out Theory
Create structured stimulating activities appropriate to individual cognitive levels
Written goals & skilled documentation specific for
Montessori techniques
Ability-Based Approach
Design successful therapeutic interventions according to patient abilities
Determine the patients best ability to function
Written goals & skilled documentation specific for ability-based techniques
Examples and case studies provided
Reminiscence Therapy
Powerful use of the “senses” designed to awaken the soul
Know the patient is “alive inside”
Design individual and/or group Reminiscing Therapy sessions
Select activities and create reminiscing themes and kits
Written goals and skilled documentation
Memory Books/Aids
Proven methods in presenting functional & factual information in written & picture format
Idea suggestions for individual stages of life/ “stages” of dementia
COMMUNCATION SKILLS: THE KEYS TO BEHAVIOR
Reflective Listening
Listening from a position of empathy & emotional intelligence
Practice multiple verbal formulas proven for success
Client-centered communication – Reflection of Feeling
Avoiding pitfalls all listeners fall into
Interactive lab/case examples and discussion
Validation Therapy: A Powerful Communication Tool
Principles and pointers for dismantling power struggles and resolving arguments
Accepting values, beliefs, and reality regardless of accuracy
Handling hallucination, delusions, hoarding, blamers, and accusers
Interactive lab/case examples and discussion
Re-direction
Learn the key to “agree” with what the patients wants/needs through conversation
Case study for safety, ambulation, hallucinations, and delusions
Interactive lab/case examples and discussion
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Description:
Sooner or later, it will touch us all: our patients, family members or someone else close to us is diagnosed with dementia. With our population aging, we are continually being swept into a flurry of daunting tasks to teach the demented patient skills that are hard to come by, including; locking wheelchair brakes for safety; drinking liquid to prevent dehydration; increase functional independence in toileting, and most importantly, assisting with training the caregiver. As we enter the world of dementia and see the paradigm of service delivery shift to the caregiver, it is increasingly important to increase our knowledge and skill levels, not only for our patients but also for our ability to train caregivers and family members.
Knowing how the diseases of dementia unfold is an invaluable tool for success. Knowing how, when, and what to do for the patient depends on understanding that our professional, and ethical, responsibility is to assist the patient to achieve and maintain their highest level of functioning; therefore, we must know what they need – and this knowing begins with the ability to accurately “stage” a patient’s dementia. Once a patient is staged, the needs of the patient can be more easily seen.
This innovative recording presents staging tools that clearly outline, at each distinct stage, the patient’s remaining abilities and the patient’s lost abilities; this is the insight that drives intervention. Discuss and demonstrate the top evidence-based communication techniques in the field for dementia via role play. Complete this dynamic and collaborative recording with the confidence and skills to develop structured, systematic, and highly individualized therapy programs, and with the abilities to justify their practice.
Here’s What You’ll Get in Jane Yakel – Promoting Function & Maintaining Independence in the Face of Dementia
Jane Yakel – Promoting Function & Maintaining Independence in the Face of Dementia : Sample
