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