Coping with Challenging Behaviors in Dementia Care and Successful Staff Approaches

Fox Valley Senior Resource Network Coping with Challenging Behaviors in Dementia Care and Successful Staff Approaches Presented by Pat Hoogervorst, RN and Jason Schmitz, RN 6/8/2011

What is Dementia? ,[object Object]

Behaviors ,[object Object],[object Object]

The Key to Success – Keep Personhood in Mind ,[object Object],[object Object],[object Object],[object Object]

Example of Success and Keeping Personhood in Mind ,[object Object],[object Object],[object Object]

Enter their World & Validation Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Caregiver Approach ,[object Object]

The Heartwood Name ,[object Object]

Foundation of Person Centered Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Points about ‘Who’ the Person Is… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Key Points - Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Special Care Environment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Staff Knowledge and Training ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pacing of Activity: Balancing “up” and “down” times ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Balancing and Connecting Program (BAC) ,[object Object],[object Object],[object Object]

Q & A Time ,[object Object],[object Object]

What tools are currently being used to assess a person’s level of dementia or cognition? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What are the best steps to go through when a person with impaired memory enters into a mutually consenting sexual relationship with another memory impaired person? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

A “legally” competent person does not always allow HHC staff into the home. She looks out the window, does not remember who they are, and does not open the door. She also becomes paranoid of the caregivers once they are in the home and needs frequent reminders of who they are and what they are doing there. She relies on HHC for noon cooking, meal prep, cleaning, and activities. If she does not allow HHC staff in home, she does not eat most of the day or just eats a cookie. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Is it necessary to treat all hallucinations & delusions? What happens if the person is seeing or hearing people that are not there? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When is it appropriate to involve Hospice for a person in end stage dementia? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When is 1:1 care appropriate or required? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What are the regulations for formally discharging a dementia resident from the different LOC facilities (RCAC/CBRF/SNF) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Public Incontinence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Public Incontinence Continued ,[object Object],[object Object],[object Object],[object Object],[object Object]

Bathing Resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bathing Resistance Continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Wandering / Exit Seeking ,[object Object],[object Object],[object Object],[object Object],[object Object]

Wandering / Exit Seeking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exit Seeking Tips ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Once out of the Home ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When a person with dementia is claiming abuse, how do you determine if it real or not? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When a person with dementia is claiming abuse, how do you determine if it real or not? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bedside Manner “We Ask This of You Because We Cannot Do for Ourselves” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Coping with Challenging Behaviors in Dementia Care and Successful Staff Approaches

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