Accreditation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: AMDA – The Society for Post-Acute and Long-Term Care Medicine designates this Internet Enduring Material for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
ABPLM Designation Statement: This Internet Enduring Material has been pre-approved by the American Board of Post-Acute and Long-Term Care Medicine (ABPLM) for a total of 3.5 management hours toward certification as a Certified Medical Director (CMD) in post-acute and long-term care medicine. The CMD program is administered by the ABPLM. Each physician should claim only those hours of credit actually spent on the activity.
Session Description: Dementia care is challenging. The purpose of these sessions is to recognize that individuals living with dementia are seeking to meet needs, find value and meaning, and live life in the context of ever-changing abilities while living in demanding settings programmed for adults with intact capacities. Teepa Snow, a nationally recognized dementia care and education specialist, and her colleagues will demonstrate how to step away from the 'fix the person' bio-medical model which promotes medications and interventions to treat behavior problems in dementia. Session I of this full-day symposium will deconstruct and reframe the neurophysiologic basis of dementia-related behaviors as expressions that communicate unmet needs and cope with environmental demands. Detecting risk factors and addressing root causes of challenging behaviors will be emphasized. Partnered activities will promote the development of a connection and the rehearsal of skills needed to effectively communicate with persons living with dementia. Lastly, Session I will train the audience to use a person-centered strategy to classify different behavioral manifestations or personalities of dementia according to retained strengths and abilities as opposed to a less useful, disease-centered understanding of dementia that emphasizes degree of functional loss and severity of illness. By the end of this session, audience members will better appreciate and understand the perspective of the person living with dementia.
Describe the neurophysiologic basis for dementia-related behavior expressions
Demonstrate how to use the Positive Physical Approach with a person living with dementia
Use a person-centered approach to identify retained abilities and strengths of persons living with dementia
Speaker(s): Rollin Wright, MD, MPH, MS Peg Chabala Teepa Snow, MS, OT Beth A. Nolan, PhD
Reference(s): 1. Bayles, KA, et al. (2006) Evidence-based practice recommendations for working with individuals with dementia: Simulated Presence Therapy. Journal of Medical Speech-Language Pathology, 14(3): xiii-xxi. 2. Bonner, (2013) CMS presentation, accessed http://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2013-01-31-Dementia-Care-presentation.pdf accessed July 15, 2013. 3. Dementia Initiative, (2013). Dementia Care: The Quality Chasm (white paper), CCAL - Advancing Person Centered Living. July 8, 2013, http://www.ccal.org/national-dementia-initiative/white-paper/ 4. O'Connell, B., Gardner, A., et al. (2007) Clinical usefulness and feasibility of using reality orientation with patients who have dementia in acute care settings. International Journal of Nursing Practice.13: 182-192. 5. Zhong, KX, et al. (2007) Quetiapine to Treat Agitation in Dementia: A Randomized, Double-Blind, Placebo-Controlled Study. Current Alzheimer Research. 4: 81-93.
Director of Partnership Development,
Artis Senior Living of South Hills