Depression in Dementia A DVD-Based Curriculum

Improve recognition and management of depression co-occurring with dementia in nursing home residents. Goal of the Curriculum

Audience Primarily long-term care nurses (LPNs and RNs) Examples of others who will benefit –Social workers –Activity Therapists –Students from a variety of disciplines

Benefits of using this DVD in your facility 1.Provide better care 2.Reduce risk of liability 3.Protect resident health Benefits to your facility

Increasing number of residents with dementia Estimates of dementia and depression occurring together are as high as 87% Prevalence of the Problem

Residents with both dementia and depression: - have the highest care requirements - have the highest rates of hospitalization - have the greatest number of co-morbidities Significance of the Problem

Decreased Quality of Life Depression in residents with dementia is associated with –increased disability –more functional and behavioral problems –greater prevalence of pain

“Consensus Statement on Improving the Quality of Mental Health Care in US Nursing Homes” American Geriatrics Society and American Association for Geriatric Psychiatry (2003) Consensus Statement

Screen residents with dementia Refer to mental health professionals “Best Practice” Nonpharmacological interventions & Antidepressants Communication Recommendations

Research Opportunities Your facility can become a PICS Research Partner Benefits of participation Ways to participate

Regulations and Requirements Centers for Medicare and Medicaid Services reports : –Facility-specific rates of depressed or anxious worsening as one of the 10 long-stay quality measures for nursing home residents.

Preliminary data Focus group data –Nurses from 2 nursing homes Liked enactment of every day situations Improved awareness and knowledge about depression in dementia

Will assist nurses to achieve 3 competencies: (1) Recognize depression in residents with dementia; (2) Manage depression in dementia; and (3) Communicate effectively regarding depression in dementia. Competencies

prevalence and significance of the problem mood-related terminology differentiate between depression, dementia and depression in dementia Learning Objectives for Competency 1 Recognition

Learning Objectives for Competency 2 Manage Depression in Dementia Data collection, reporting, documenting Identify behavior positive/negative affect and mood. Take action to improve care

Learning Objectives for Competency 3 Communicate Effectively re: Depression in Dementia Communicate with interdisciplinary team Communicate with resident Communicate with family

Learner Guide Description of the DVD Curriculum Overview Outlines of modules Care studies Glossary of terms Feedback form

Facilitator Guide Purpose, Goals, and Objectives Procedures for Implementation Case Studies with Discussion Questions Competencies and Methods of Assessment

Demonstration of DVD Camptasia

Evaluation/Feedback Pre and Post Tests –Evaluation of knowledge of Depression in Dementia content Case studies and discussion questions –Evaluation of application of knowledge and achievement of competencies

Take-Away Message Use of this module –Improves Staff knowledge about residents psychosocial needs Care provided Resident quality of life –Meets training requirements