Download - Understanding The GPEP Model
![Page 1: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/1.jpg)
Understanding Understanding The GPEP Model The GPEP Model
Geropsychiatric Education Program Geropsychiatric Education Program (GPEP)(GPEP)
Vancouver Coastal HealthVancouver Coastal Health
![Page 2: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/2.jpg)
![Page 3: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/3.jpg)
Learning ObjectivesLearning Objectives
Identify four types of influences on Identify four types of influences on behaviours:behaviours: PsychiatricPsychiatric PhysiologicalPhysiological PsychosocialPsychosocial Environmental: social, physical environmentEnvironmental: social, physical environment
Discuss the GPEP Model as a tool for Discuss the GPEP Model as a tool for understanding behaviour and planning understanding behaviour and planning individualized careindividualized care
![Page 4: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/4.jpg)
Psychiatric Psychiatric Influences on Influences on
BehaviourBehaviour
![Page 5: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/5.jpg)
![Page 6: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/6.jpg)
Psychiatric InfluencesPsychiatric Influences
DementiaDementia DepressionDepression DeliriumDelirium Other:Other:
SchizophreniaSchizophrenia Bipolar DisorderBipolar Disorder Personality disorderPersonality disorder Obsessive Compulsive DisorderObsessive Compulsive Disorder
![Page 7: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/7.jpg)
Physical Physical Influences on Influences on
BehaviourBehaviour
![Page 8: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/8.jpg)
![Page 9: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/9.jpg)
1. Aging: A Universal 1. Aging: A Universal ProcessProcess
Affects everyone Affects everyone Occurs in every Occurs in every
system of our bodysystem of our body Individual – no fixed Individual – no fixed
patternpattern
![Page 10: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/10.jpg)
![Page 11: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/11.jpg)
2. Physical Illnesses 2. Physical Illnesses and Behaviourand Behaviour
Arthritis Diabetes Parkinson’s Disease Chronic Obstructive
Pulmonary Disease Emphysema High Blood Pressure Visual disturbance….
![Page 12: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/12.jpg)
Normal
Cataracts
![Page 13: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/13.jpg)
Normal
DiabeticRetinopathy
![Page 14: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/14.jpg)
Normal
Glaucoma
![Page 15: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/15.jpg)
Normal
MacularDegeneration
![Page 16: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/16.jpg)
3. Medications and Side 3. Medications and Side EffectsEffects
All medications have All medications have
possible side-effectspossible side-effects Your role: Your role:
to notice if there is a sudden change to notice if there is a sudden change in behaviourin behaviour
REMEMBER: role of medications in REMEMBER: role of medications in deliriumdelirium
![Page 17: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/17.jpg)
![Page 18: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/18.jpg)
4. Pain 4. Pain
What percentage What percentage of elders in the of elders in the community have community have significant pain?significant pain?a. 10 – 25 %a. 10 – 25 %
b. 45 – 60 %b. 45 – 60 %
c. 70 – 85%c. 70 – 85%
![Page 19: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/19.jpg)
Why Elders May Not Why Elders May Not Report PainReport Pain
Fear of being called a complainer Think no one would listen Think pain is a normal part of aging Cannot tell you because of dementia Fear of consequences May express pain differently
![Page 20: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/20.jpg)
Psycho-Social Psycho-Social Influences on Influences on
BehaviourBehaviour
Who is this Person?Who is this Person?
![Page 21: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/21.jpg)
![Page 22: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/22.jpg)
![Page 23: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/23.jpg)
Psychosocial InfluencesPsychosocial Influences
Personal routinesPersonal routines Early life eventsEarly life events Life roles/work historyLife roles/work history Important relationshipsImportant relationships Coping strategiesCoping strategies CultureCulture Spiritual values/beliefsSpiritual values/beliefs Personality style…Personality style…
![Page 24: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/24.jpg)
![Page 25: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/25.jpg)
The Physical The Physical Environment’s Environment’s Influence on Influence on BehaviourBehaviour
![Page 26: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/26.jpg)
![Page 27: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/27.jpg)
![Page 28: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/28.jpg)
How does the Physical How does the Physical Environment affect Environment affect
behaviour?behaviour? Level of
stimulation Private space Lighting / Glare Room temperature Signs & labels Poor colour
contrast Safety concerns
![Page 29: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/29.jpg)
The Social The Social Environment’s Environment’s Influence on Influence on BehaviourBehaviour
How OUR communication and approach How OUR communication and approach affects the client/residentaffects the client/resident
![Page 30: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/30.jpg)
![Page 31: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/31.jpg)
Parts of OUR Parts of OUR CommunicationCommunication
Only 7-10% of Only 7-10% of our message is our message is found in our found in our WORDSWORDS
Verbal Verbal communication – communication – the actual words the actual words we say…we say…
![Page 32: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/32.jpg)
![Page 33: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/33.jpg)
Parts of OUR Parts of OUR CommunicationCommunication
But…90% of our But…90% of our message is found in message is found in our NON-VERBALSour NON-VERBALS
Non-verbal Non-verbal communication – communication – how we say what we how we say what we say:say: ToneTone VolumeVolume Body language…Body language…
![Page 34: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/34.jpg)
![Page 35: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/35.jpg)
Do WE have Good Do WE have Good Listening Skills:Listening Skills:
Not interruptingNot interrupting Being non-judgmentalBeing non-judgmental ValidatingValidating Allowing for silenceAllowing for silence Using supportive body Using supportive body
languagelanguage Are we paying attention…Are we paying attention…
![Page 36: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/36.jpg)
![Page 37: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/37.jpg)
Understanding Understanding Responsive Responsive BehavioursBehaviours
![Page 38: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/38.jpg)
![Page 39: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/39.jpg)
What is a Behaviour?What is a Behaviour? Something someone is doing that Something someone is doing that
you can see or hearyou can see or hear DescriptiveDescriptive SpecificSpecific Non-judgmental / not labelingNon-judgmental / not labeling
![Page 40: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/40.jpg)
Understanding Understanding BehavioursBehaviours
Refusal, agitation, and aggression Refusal, agitation, and aggression always has a cause/trigger:always has a cause/trigger: Protecting oneselfProtecting oneself Unmet needsUnmet needs Broken brainBroken brain
When cognition and communication are When cognition and communication are impaired it is the way in which people with impaired it is the way in which people with dementia tell us that something is wrongdementia tell us that something is wrong
Very often starts with anxietyVery often starts with anxiety Has a patternHas a pattern
![Page 41: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/41.jpg)
Tools to Describe Tools to Describe Behaviours:Behaviours:
1.1. Identify the behaviour: Identify the behaviour: • Identification of Behaviours and Identification of Behaviours and
Guidelines for Intervention*Guidelines for Intervention*
2.2. Document the Behaviour: Document the Behaviour: • Behaviour Pattern Record*Behaviour Pattern Record*
3.3. Care Planning: Care Planning: • Behaviour Assessment Tool (BAT)Behaviour Assessment Tool (BAT)
* Cohen-Mansfield, 2004
![Page 42: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/42.jpg)
Tool to help with describing behaviour and
classify types of behaviour
IDENTIFICATIONOF BEHAVIOURS & GUIDELINES
FOR INTERVENTIONSCohen-Mansfield
![Page 43: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/43.jpg)
Behaviour Pattern Behaviour Pattern RecordRecord
![Page 44: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/44.jpg)
Care StrategiesCare Strategies
![Page 45: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/45.jpg)
![Page 46: Understanding The GPEP Model](https://reader031.vdocument.in/reader031/viewer/2022012404/56812b82550346895d8f9f9f/html5/thumbnails/46.jpg)
Goals of Care StrategiesGoals of Care Strategies The resident will:The resident will:
feel safefeel safe feel physically feel physically
comfortablecomfortable experience a sense experience a sense
of controlof control experience optimal experience optimal
stressstress experience meaning experience meaning
and pleasureand pleasure