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: Session II builds on concepts learned and skills practiced in Session I. This session will engage members of the audience to envision moving from a community of “dementia knowledge and awareness” to a “dementia competent” community with the vast majority of staff, families, and consultants sharing new habit practices in a changed culture of support and care. In Session II, Teepa Snow and her colleagues will introduce a framework for building a dementia-competent community. They will highlight the neurophysiologic basis for habit change. The focus will be on deconstructing and reframing our traditional strategy of 'train and hope' to one of supportive coaching and guided development. It promotes advancing new, more effective skills into automatic behaviors while overriding less useful but deeply ingrained habitual behaviors. The panel will present person-centered methods for bringing staff members and family members on-board. The goal is to support “new” neuronal synaptic connections and help long-term care leadership and staff to develop system-wide training and coaching programs that focus on the retained abilities of each person in the community living with dementia and person-centeredness skills of staff and care partners in an interactive session. Audience members will practice using the Gem Level System to structure an individualized dementia care plan with meaningful activities and a sense of purpose for each person in their long-term care communities living with dementia. Lastly, the group will facilitate an interactive brainstorming session with the audience to envision implementation, accountability, and sustainability of a culture of dementia-competency in their long-term care communities.
Formulate short-term and long-term plans to bring dementia awareness and competency to their long-term care communities
Discuss the framework for building a dementia-competent community
Use the Gem Level System to structure an individualized dementia care plan
Speaker(s): Rollin Wright, MD, MPH, MS Peg Chabala Teepa Snow, MS, OT Beth A. Nolan, PhD
Disclosure(s): Ms. Chabala is a paid consultant for Teepa Snow Dr. Nolan has consulted for the Positive Approach, LLC and Teepa Snow
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. Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. M. & Wallace, F. (2005). Implementation Research: A Synthesis of the Literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231). 5. Kotter, J and Rathegebar, H. Our Iceberg is Melting: Changing and Succeeding Under Any Conditions, (2005), New York: St. Martins Press. 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. 6. Zhong, KX, et al. (2007) Quetiapine to Treat Agitation in Dementia: A Randomized, Double-Blind, Placebo-Controlled Study. Current Alzheimer Research. 4: 81-93.