1. Adapting Adult Day Programs for an Aging Population with Dementia Presented by: Bev LaPorte, Sue Murphy, Christine Schroeder Hubert, Jan Severloh, Laurie Young

2. What is an Adult Day Program? A community-based resource that provides group programs offering health, support and therapeutic recreational services to adults who may be isolated, physically frail, or living with a chronic condition. Adult Day Programs also provide respite and support to caregivers. The Winnipeg Regional Health Authority funds Adult Day Programs.

3. Intake Criteria Participants in an Adult Day Program: Have been assessed by the Continuing Care team. Are registered with the Home Care Program. Are referred by a Continuing Care Case Coordinator. Function within the limits defined by the sponsor.

4. Lions Adult Day Programs The Lions Club of Winnipeg Housing Centres currently sponsors four programs. The Lions Place, Charleswood, and Concordia Adult Day Programs offer a generic approach to therapeutic recreational activities.

5. Lions Adult Day Programs The Pacesetter Program at Manor Adult Day Club, and the Friday program at Charleswood and Concordia Adult Day Clubs are designed to meet the needs of those individuals experiencing mild to moderate cognitive impairment as a result of Alzheimer Disease or other causes. To function optimally in the Day Club setting, those being referred will need to have certain functional abilities.

6. Behavioural/Cognitive Functioning Lions Adult Day Programs are based on all participants having the following functional abilities: Follow a simple, single stage command. Be oriented in at least one sphere of: person, time or place. Have some attention span, even if for a very short period of time, to participate in group programs.

7. Behavioural/Cognitive Functioning Have some residual concept of socially appropriate / acceptable behaviours. Appropriately respond to physical barriers erected to ensure safety. Be able to either verbally or non-verbally communicate their basic needs or secure the attention of Day Program staff.

8. Physical Functioning Only limited assistance will be available for activities of daily living, therefore participants must have the following abilities: Be able to move around the room with or without assistance, including mechanical aides or one other person. Be able to feed themselves, i.e. cueing, plate guards.

9. Physical Functioning Have bowel and bladder functions managed by a toileting routine Have some ability to dress self, given verbal or physical prompts. Be able to physically tolerate being active for a day without extreme fatigue or exhaustion.

10. Home Visits The purpose of a home visit prior to admission to an Adult Day Program is to: Develop a rapport with the potential member / family member. Obtain a baseline assessment of the cognitive function of potential members in a familiar environment.

11. How We Adapt Teamwork Design Programs Daily Schedule

12. Teamwork Transportation Communication between the ADC staff and the member’s caregiver, family, and case coordinator Volunteer Orientation

13. Design Open-area concept Open-area concept with adaptations Secure area concept

14. Programs The Use of Quarterly & Weekly Themes Reason for doing a theme Resources used in choosing a theme Theme examples

15. Programs Outings Mailed invitations to primary caregivers. Checklist

16. Programs Quarterly Newsletter Music Therapist

17. Daily Schedule The ADC program is designed to allow members to pace themselves during the day, choose activities they enjoy, and have fun. Following is a schedule that allows this to happen.

18. Lions Place ADC Pacesetter ADC 9:00-9:45 Pick-Up 10:00 Arrival 10:00-10:45 Morningside 10:45-12:00 Exercises 12:00-1:00 Mental Fitness 1:00-2:00 Lunch 2:00-2:30 Rest & Relaxation 2:30-3:15 Recreation 3:15-3:30 Sharing Circle 3:30-3:45 Transit & Depart 8:30-10:00 Pick-Up 10:15-11:00 Arrival/Morningside 11:00-11:30 Theme Intro News & Views 11:30-12:00 Mental Fitness 12:00-12:30 Exercises 12:30-1:30 Lunch 1:30-2:00 Recreation 2:00-2:15 Theme & MF game 2:15-2:45 Sing-a-long 2:45-3:00 Snack & Washroom break 3:00 Depart