INNOVATIVE CARE AND SERVICE MODELS WEDNESDAY, APRIL 6 10:30 AM Heather Palmer Regional Director of Memory Care Services, Amica Mature Lifestyles/ Baybridge Senior Living Rev. Ingrid Loepp Thiesen MDiv. Chaplain, The Village at University Gates Erica Clarke Regional Director, Life Enrichment, Amica Mature Lifestyles/ Baybridge Senior Living
Cognitive Well-Being: Supporting Residents with Cognitive Challenges Heather Palmer, PhD Regional Director Memory Care Amica/BayBridge Senior Living April 6, 2016
How Do We Accomplish This? Basics/Fundamentals • Education and Awareness • Individualism Science/Evidence • Neuroplasticity • Simplicity • Multi dimensional • Cross population
Education and Awareness GOAL: 1. De-stigmatize what it means to have cognitive challenges caused by a disease process. 2. Create an environment of inclusivity. 3. Promote an age and dementia-friendly culture inside and outside our communities Who? • Team Members/Residents/Families/Healthcare Professionals/Public… Basics/Fundamentals What? • Education and Awareness • Cognitive aging, challenges and impairment • Individualism • Behaviour • Communication Science/Evidence • Neuroplasticity How? • • Simplicity Modules • Certification program • Multi dimensional • Interactive Sensitivity Training • Cross population
• Disco Individualism 1. Disease Individual 2. Discovery Basics/Fundamentals • Education and Awareness • Individualism Science/Evidence • Neuroplasticity 3. • Simplicity Cognitive Toolbox • Multi dimensional • Cross population
Neuroplasticity Basics/Fundamentals • Education and Awareness • Individualism Science/Evidence Neuroplasticity: • The brain’s ability to repair Neuroplasticity • existing, and develop new, Simplicity connections between brain • Multi dimensional regions • Cross population
Simplicity 80 % of Words 60 Recognized Basics/Fundamentals 40 • Education and Awareness • Individualism 20 Science/Evidence • Neuroplasticity 0 • Simplicity Letters Rhyme Sentence • Multi dimensional • Cross population
Multi-dimensional Cognitive Enhancement Strategies Basics/Fundamentals • Education and Awareness • Maximize Individualism Capacity Science/Evidence • Neuroplasticity • Simplicity • Multi-dimensional • Cross population
Cross Population GOAL : Draw knowledge across multiple populations such as: • Pediatrics • Brain injury Basics/Fundamentals • Education and • Stroke Awareness • • Cancer Individualism • Mental Health Science/Evidence • Etc. • Neuroplasticity • Simplicity • Multi dimensional • Cross population
Cognitive Well-Being Simplicity Cross Multi - Population dimensional Neuroplasticity Education & Awareness Individualism Maximum Capacity
Providing Quality End of Life Care at Schlegel Villages
The Core of Schlegel Villages Our mission is to provide holistic health care in a home environment, located within an internal neighbourhood design that promotes a caring community with an emphasis on maintaining and promoting optimum quality of life for all residents.
End of Life Care and Support • For our resident’s with palliative and/or end of life needs, comfort rather than a cure, is our focus. • All care and support respects the resident’s individual wishes. • The resident and/or Power of Attorney (POA) has the right to accept or decline treatment or our support. “ You matter because you are you. You matter up to the last moment of your life, and we will do all we can, not only to help you die peacefully, but also to live until you die” - Dame Cicely Saunders, pioneer of the modern Hospice movement (2005)
Terminology • ‘ Palliative Care ’ may be used to describe care for a resident who is unlikely to live beyond a 12 month period of time. • ‘ End of Life Care ’ may be used to describe care for a resident who is unlikely to live beyond a 3 month period of time.
Goals of End of Life Care • To promote comfort and dignity during Palliative/End of Life care. • To provide comfort without implementing acute care measures. • To alleviate the fear of dying by providing resident-centered holistic care with a multi-disciplinary approach. • To involve the resident, family, or significant others in the process of planning care which incorporates their preferences and needs, assessment and decision-making.
Palliative Care • Multi-disciplinary team approach • Programming • Assessing • Educating • Palliative Care Committee Butterfly: • symbolizes a transformation that cannot be reversed • a butterfly magnet on the door frame indicates a resident is palliative • a butterfly sticker may be used on the resident’s chart
End of Life Care • Multi-disciplinary team approach • Palliative cart • Roll away bed • Privacy banner • Written resources for family • Multi-faith resources • Outside resources as needed Privacy Banner
After Resident’s Passing • Support for the family, residents and team members • Dignity Walk and Honour Guard • Table setting in honour of resident • Bedside blessing service and hand blessing • Memorial Service
Our Tradition – Dignity Blanket • The Dignity Blanket is draped over the deceased resident as they are taken by the funeral directors to the waiting car • It is the last act of respect & comfort - brings great comfort to grieving family members, team Residents and team members, and other members create the Dignity Blanket together residents
Dignity Blanket - continued • The Dignity blanket is kept where it is always accessible to team members – day and night (Chapel). • Unless family request otherwise, resident’s are always escorted through the front entrance doors by the funeral directors, the team members, and other residents.
Dying with Dignity, Peace, & Comfort – At Home
Physiotherapy and Lif ife Enrichment Collaborative Approach Erica Clarke Regional Director of Life Enrichment Amica/Baybridge Senior Living April 6, 2016
Overview • Our fitness programming • What is the Physiotherapists role • How we work together • Keys to Success
Our Programs • Individualized & Group strength, mobility, balance plus cardio as well as flexibility exercise options for those in the Daily or independent user stream. • Functional Fitness Assessment & Quarterly Reassessment completed by a PT • Various programming options • Facilitated by our Coordinators & Directed by Physiotherapist
Our Programs mPower Fitness • Small group fitness class • Focus is fall prevention • Lead by our team and PT mPower Active • Personalized Fitness programs • Focus is on strength, balance and mobility
Our Programs mPower Circuit • Small group fitness circuit • Personalized exercise programs • Lead by our team mPower Daily • Independent fitness program • Focus on strength, balance, mobility, cardio and flexibility
Role of Physiotherapy The PT: • Conducts an initial assessment • Re assesses quarterly • PT recommends appropriate stream and/or other appropriate fitness offerings • Prescribes exercises • Facilitates some of the Fitness classes
Value of Physiotherapy • Assessment helps provide Resident and team a baseline • Personalized approach based on Resident goals and health status • When health status changes Reassessment can help determine what is appropriate • Quarterly Reassessment helps provide quantitative information on progression
How we work together • Coordinators and PT collaborate to design Circuit stream • Schedules Assessments and Reassessments and work with PT • Coordinators schedule program time in calendars
Keys to Success • Structured approach • Marketing/advertising of program • Open communication between the team and PT • Collaborative approach
Question Period Heather Palmer Regional Director of Memory Care Services, Amica Mature Lifestyles/ Baybridge Senior Living Rev. Ingrid Loepp Thiesen MDiv. Chaplain, The Village at University Gates Erica Clarke Regional Director, Life Enrichment, Amica Mature Lifestyles/ Baybridge Senior Living
Thank you for attending the session!
Recommend
More recommend
