dr. margaret kimbell v.p. community living vahq 38 th annual education conference november 2015...

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Dr. Margaret KimbellV.P. Community Living

VAHQ 38th Annual Education Conference November 2015

Person Centered Dementia Approaches

Title goes hereErickson Living

Title goes hereIntegrated Health and Wellness

Title goes herePerson-Centered Approach

“Caring enough to understand the individual and customizing our approach to recognize the person’s gifts, their needs, their preferences, and their goals”

Title goes herePerson-Centered Approach

Esteem

Love & Belonging

Safety Quality of Care

Title goes herePerson-Centered Approach

Quality of Life

Esteem

Love & Belonging

Safety

Title goes here

Dementia

Title goes hereDisease/Condition = Dementia SyndromeDisease/Condition Dementia Syndrome

• Alzheimer’s

• Parkinson’s

• Stroke

• Infection of Brain

• Thyroid Deficiency

• Vitamin Deficiency

• Memory/Remembering• Paying attention• Speaking and under-

standing language• Problem solving • Orienting to day, year,

season• Orienting to where they are• Orienting to who they are

Title goes here

Amnesia

Aphasia

Agnosia

Apraxia

The Four “A”s of Dementia & the Brain

Title goes hereHow Would You Feel If:

Title goes hereTriggers to Actions/Expressions

Expressions

Triggers Emotions

Actions

Title goes hereExplore the need expressed through Actions and Expressions

Esteem

Love & Belonging

Safety

Physiological

Title goes hereExplore the need expressed through Actions and Expressions

Esteem

Love & Belonging

Safety

Physiological

Title goes hereThink Comfort!

The 5 W’s

WhoWhatWhenWhere And …

Why?Unmet need ?

PCA Approach to Service Plan Approaches

Evaluate the Approaches

Title goes here

• George– 90 year old gentleman with dementia – Married with children and retired from a

highly successful career – college educated – Actions and Expressions

• Does everything briskly• Has reverted back to his native language• Has struck out at staff and other residents• Often refuses care (ADL)• Does not like to be told what to do• Does have the ability to self sooth

Examples in action

Title goes hereThink Comfort!

The 5 W’s

WhoWhatWhenWhere And …

Why?Unmet need ?

PCA Approach to Service Plan Approaches

Title goes here

• Faye– 74 year old woman with dementia – Widowed and remarried with one step son;

college educated – Actions and Expressions

• Often stays to herself in her room – thinks the other people are “crazy”

• Paranoid and accuses staff of taking things she cannot find

• Does not like to be told what to do• Aware that something is not “right with my mind”• Often self-loathing

Examples in action

Title goes hereThink Comfort!

The 5 W’s

WhoWhatWhenWhere And …

Why?Unmet need ?

PCA Approach to Service Plan Approaches

Title goes hereFaye

Title goes here

• Quality of Care- Clinical • Falls• Antipsychotics• Weight loss• Pressure Ulcers• Resident to resident/staff altercations

• Quality of Life - Observation • Are you seeing purposeful engagement?• Are you hearing conversations and laughter?• Do the residents look happy and engaged?• Are the families relaxed and communicate well with

the staff?

PCA Quality Outcomes

Title goes here

Questions?

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