Overcoming Challenging Situations in Emergency Services for those Living with Dementia
Beth A. Nolan, Ph.D.
October 12, 2018 : 8:00 am -4:00 pm
This workshop is designed for nursing, emergency medicine, and other professionals (therapists, mental health professionals, supervisors, administrators, hands-on nursing care staff, and medical staff). Informal, family caregivers are also invited to attend, as the clinical information is provided along side the translational language skills all providers must gain to support families and other non-paid caregivers. Families will gain additional resources for care administration.
The first part of the session activities will provide learners with a foundational understanding of dementia through a strengths based approach that describes both the neurological changes of the disease process, as well as retained skills and abilities. Common problematic interactions and situations will be de-coded using this information, leaving participants with a better understanding of the brain failure that is dementia. Evidenced-based care partnering techniques to improve challenging care situations commonly referred to by clinical staff as “behavior management” will be introduced. Positive Physical Approach™ (PPA), and Hand-under-Hand™ (HuH) techniques will be taught to help all care partners (clinical and non-clinical) reduce distress, encourage acceptance of assistance, and improve outcomes for both providers and family members living with loved ones who have dementia. Participant engagement will include practicing common modifications of these techniques that address progressive levels of dementia, and assist participants in technique utilization at each stage of the disease.
The second part of the session will focus on applying and modifying this knowledge and these care techniques and in the context of unmet needs, and across the progression of the disease. Learners will learn to identify the 10 Physical and Emotional Unmet Needs to demystify challenging situations in dementia, rather than see actions simply as behavioral manifestations of the disease. Next, learners will be guided to apply of the knowledge gained during the course of the day, and practice the verbal and physical techniques to intervene and try and address the PLWD’s unmet need.
Finally, participants will be introduced to the tool, 6 Pieces of the Puzzle, to help de-code challenging situations. This will enable participants to be better able to try alternatives to pharmacological intervention options. This tool can help providers and care partners identify presumed information about a particular PLWD, and consider unknown information including differentiate between types of dementia, physical health and mental health issues. With this tool, participants will be able to begin to demystify challenging care situations, leaving participants with nonpharmacological intervention options to try.
The session is highly interactive and will provide learners with hands-on skill building for immediate use in daily interaction and care provision. Practicing physical interaction skills as well as verbal behaviors that can help manage challenging situations are part of the program. This course is for Beginning Level, Intermediate Level, and Advanced Level!
Dr. Nolan received her Ph.D. in applied gerontology from the University of Kansas, holds master’s degrees in Human Development and Applied Behavior Analysis, and completed her post-doctoral training in geriatric psychiatry at Western Psychiatric Institute and Clinic, Pittsburgh, PA. She is formerly an Assistant Professor of Public Health and the Senior Associate Director for the Evaluation Institute at the University of Pittsburgh’s Graduate School of Public Health. For 20 years, she worked with a variety of human services agencies to translate and implement evidence-based programs for behavioral health, criminal justice, medicine, and senior living. Dr. Nolan now serves as a Lead Mentor Trainer and Coach, and directs research at PAC, working to improve skills to help care givers to become care partners.
5 Hour CE’s for Nurses, Administrators, Managers, and Social Workers
This course is for Beginning Level, Intermediate Level and Advanced Level
- Describe brain changes as dementia progresses (e.g., what is lost and retained, role of vision, and sensory awareness and processing)
- Demonstrate care partnering skills including the Positive Physical Approach™ (PPA) technique to approach and connect, and theHand-under-Hand® technique to guide and assist PLWD. *Participants will demonstrate and practice the common modifications by level of dementia that can reduce distress, encourage acceptance of assistance, and improve outcomes for both people living with dementia and providers.
- Participants will identify the 10 Physical and Emotional Unmet Needs to demystify challenging situations in dementia. Participants will apply of the knowledge gained during the course of the day, and practice the verbal and physical techniques to intervene and try and address the PLWD’s unmet need.
- *List basic communication strategies to connect and engage a person living with dementia
- Describe and plan for the use of the tool, 6 Pieces of the Puzzle, to help de-code challenging situations. With this tool, participants are better able to try alternatives to pharmacological intervention options. This tool can help providers and care partners identify presumed information about a particular PLWD, and consider unknown information including differentiate between types of dementia, physical health and mental health issue.
Glencroft Senior Living
8611 N 67th Ave
Glendale Az 85302
Grievance Policy: Help My Senior (HMS) seeks to ensure equitable treatment of every person and to make every attempt to resolve grievances in a fair manner. Please submit a written grievance to: Shelly Drews, Shellydrews@helpmysenior.com, 602-327-3096. Grievances would receive, to the best of our ability, corrective action in order to prevent further problems.
Accommodations for the differently abled: Accommodations for the Differently Abled are handicap accessible. Individuals needing special accommodations, please contact: Shelly Drews, Shellydrews@helpmysenior.com, 602-327-3096.