engaging behaviors one moment at a time

5/7/2017

Copyright Azura Living 2017 1

Engaging Behaviors One

Moment at a Time

Paula Gibson CDP, CVDTT, CCBT Regional Director of Communications and Engagement 715-491-0880 www.azuramemory.com [email protected]

Azura’s 5 Core Values

1. We treat our guests and coworkers with the utmost RESPECT.

2. We help people to RECOVER physically, mentally and spiritually.

3. We encourage INNOVATION and creativity

4. We hire and RETAIN the finest people.

5. Be EXCEPTIONAL!

MOSAIC =

• Memory care professionals

• Offering

• Support through

• Advances and

• Innovation in

• Care

5/7/2017


Common Behavior Expressions Anger/Agitation

Anxiety

Rummaging/looking for

things

Hallucinations

Delusions (false beliefs)

Wandering/seeking

Repetitive Actions, words

“Sundowning” – increased

energy in late afternoons

Aggression/striking out

Disrobing

Yelling/Crying Out

Withdrawal

Paranoia

Crying

5/7/2017


What if it were

YOU?

This is their home…

we have the honor and privilege

of working in it.

5/7/2017


“The greatest form of RESPECT we can give

is to walk in someone else’s shoes.”

~ P.K. Beville

Virtual Dementia Tours

All Behavior is Communication

It is the disease finding a way to “speak” to us.

Your job is to…LISTEN, investigate the

cause, and meet their needs!

https://www.youtube.com/watch?v=hLB3C7ZnE5E

5/7/2017


Core Psychological Needs of Persons with Dementia

To Give and

Receive LOVE

To Still Care For

Self and Others

(nurture)

To Have Self

Esteem

Boosted

To Be Needed

Useful

To Experience

Joy and Laughter

To have the

Power to Choose

Our Approach This is the only thing in dementia care

that WE have 100% control over.

Proper Dementia Approach

• From the Front

• At or Below Eye Level

• Focused on them

• Use their Body Memory

• Away from Distractions

• TV OFF

• Your Back to the Wall

5/7/2017


MOSAIC Intervention Guidelines

Meet Basic Physical/Health Needs

Decrease Environmental Stressors

Increase Activities Quality and Quantity

Balance Inner Retreat with Activeness

Adapt and Simplify Tasks/Approach

Five W’s of Investigation

80% of Behaviors are Preventable




MOSAIC’s Five W’s Investigation What?

What behavior is being exhibited?

When? When is the behavior occurring?

Where? Where is the behavior occurring and is the location a factor?

5/7/2017


MOSAIC’s Five W’s Investigation

Who? Is there a specific person or persons regularly experiencing

the behavior and are they inadvertently contributing?

Why? Use their past history of likes, dislikes, habits and other personal

information to narrow down what is causing the behavior.

“Research shows that when a person

with dementia is engaged one-to-one in

an activity that is meaningful to them,

at least ten minutes two times a day,

their behavior stabilizes.” -

-Christine Kovach, Researcher Serial Trial Method

What is their Moment of Joy?

A Visit from

Santa?

A Fun Hat on a

Sunny Day?

5/7/2017


Exploring and Focused (Formerly: Wandering and Exit Seeking)

Underlying Causes

• Stress due to environment

(i.e. noise, clutter or exit cues)

• Lost (searching for familiar)

• Bored

• Medication side effect

• Habit

• Need to void

Typical Expression

• Pacing

• Exit Seeking

• Yelling/Crying Out

• Anxious

• Aggression/Agitation

MOSAIC Approach, Technique & Engagement

Exploring and Focused • Walk with the person using a non-directed conversation

• Assess times of day and environment

• Involve the person in an activity prior to expression starts

• Involve the person in personalized activities that mirror expression

• Involve the person in physical or movement activities

Chore Therapy – sweeping floor or get mail and deliver

Creative Therapy – roaming choir or drum circle

Case Study Use the MOSAIC 5 W’s

Top Tips for Me

Mirror, Mirror on the Wall… who is the biggest Explorer of them all?

5/7/2017











Engage Your

M-Factor One joyful moment at a time!

5/7/2017


MOSAIC Active Therapy

How do we engage them ACTIVELY?

MOSAIC Creative Therapy

How do we engage them CREATIVELY?

MOSAIC Cognitive Therapy

How do we engage them COGNITIVELY?

5/7/2017


MOSAIC Music Therapy

How do we engage them MUSICALLY?

MOSAIC Chore Therapy

How do we engage them in CHORES?

MOSAIC Reminiscence Therapy

How can we engage them in REMINISCENCE?

5/7/2017


What if it were

YOU? Know You, Adapt to You, Try Again, Try Again, and

Be Patient!

“To love a person is to learn the song

that is in their heart, and to sing it to

them when they have forgotten.” ~L. Decker

Create opportunities for M&M’s = MOSAIC Moments

Aggression, Determined & Sundowning (Formerly: Agitation)

Underlying Causes

• Discomfort or pain

• Physical illness

• Fatigue

• Over stimulation

• Mirroring of others

• Inability to succeed at tasks

• Inability to answer questions

• Medication side effect

Typical Expression • Yelling/Crying Out • Anxious • Aggression/Agitated • Wandering • Repetitive Actions • Rummaging • Destruction of Property

5/7/2017


Medication Approach

If not a normal medication pass

(PRN), why are we giving it?

Have we done the

MOSAIC

5 W’s of Investigation?

MOSAIC Approach, Technique & Engagement

Aggression, Determined and Sundowning • Approach calmly

• Use their name and look directly at them until you get acknowledgement

• Speak in a soft voice so they have to strain to hear you

• Discreetly mirror the person’s body language and guide to calm

• Tell the person that you can see they are upset, listen to their response,

validate their feelings, reassure them and give them control of something

• Decrease stimuli in the environment and give them space

• Give them something safe, personal, non-breakable to hold

• Good guy, bad guy technique

Case Study Use the MOSAIC 5 W’s

Top Tips for Me

Mirror, Mirror on the Wall… who is the most Aggressive of them all?

5/7/2017











Engage Your

M-Factor One joyful moment at a time!

5/7/2017


Top Tips and Supportive Therapies Too!

Active Therapy

Creative Therapy

Cognitive Therapy

Chore Therapy

Music Therapy

Reminiscence Therapy

What if it were

YOU? Know You, Adapt to You, Try Again, Try Again, and

Be Patient!

Common Behavior Expressions Anger/Agitation

Anxiety

Rummaging/looking for

things

Hallucinations

Delusions (false beliefs)

Wandering/seeking

Repetitive Actions, words

“Sundowning” – increased

energy in late afternoons

Aggression/striking out

Disrobing

Yelling/Crying Out

Withdrawal

Paranoia

Crying

5/7/2017



Meet Basic Physical/Health Needs

Decrease Environmental Stressors

Increase Activities Quality and Quantity

Balance Inner Retreat with Activeness

Adapt and Simplify Tasks/Approach



Resident Snapshot Book Engagement Resource Guide

Proactive Expression Intervention Plan

48

Engage with Azura Online!

www.azuramemory.com

5/7/2017


Let them…

GOLF!!

Let them… Graduate!

5/7/2017


Thank You for All that You Do!

Let them…

LIVE!!

engaging behaviors one moment at a time

Documents