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Person Centered Dementia Approaches
Dr. Margaret Kimbell V.P. Community Living VAHQ 38th Annual Education Conference November 2015
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Erickson Living
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Integrated Health and Wellness
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Person-Centered Approach
“Caring enough to understand the individual and customizing our approach to recognize the person’s gifts, their needs, their preferences, and their goals”
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Person-Centered Approach
Self- Actua lizatio n Esteem Love & Belonging Safety Physiological Quality of Care
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Person-Centered Approach
Self- Actua lizatio n Esteem Love & Belonging Safety Physiological Quality of Life
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Dementia
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Disease/Condition = Dementia Syndrome
Memory/Remembering Paying attention Speaking and under- standing language Problem solving Orienting to day, year, season Orienting to where they are Orienting to who they are Alzheimer’s Parkinson’s Stroke Infection of Brain Thyroid Deficiency Vitamin Deficiency
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The Four “A”s of Dementia & the Brain
Agnosia Apraxia Amnesia Aphasia
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How Would You Feel If:
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Triggers to Actions/Expressions
Emotions Actions
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Explore the need expressed through Actions and Expressions
Self- Actua lizatio n Esteem Love & Belonging Safety Physiological
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Explore the need expressed through Actions and Expressions
Self- Actua lizatio n Esteem Love & Belonging Safety Physiological
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Think Comfort! The 5 W’s Who What When Where And … Why? Unmet need ?
PCA Approach to Service Plan Approaches Evaluate the Approaches
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Examples in action George 90 year old gentleman with dementia
Married with children and retired from a highly successful career – college educated Actions and Expressions Does everything briskly Has reverted back to his native language Has struck out at staff and other residents Often refuses care (ADL) Does not like to be told what to do Does have the ability to self sooth
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Think Comfort! The 5 W’s Who What When Where And … Why? Unmet need ?
PCA Approach to Service Plan Approaches
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Examples in action Faye 74 year old woman with dementia
Widowed and remarried with one step son; college educated Actions and Expressions Often stays to herself in her room – thinks the other people are “crazy” Paranoid and accuses staff of taking things she cannot find Does not like to be told what to do Aware that something is not “right with my mind” Often self-loathing
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Think Comfort! The 5 W’s Who What When Where And … Why? Unmet need ?
PCA Approach to Service Plan Approaches
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Faye
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PCA Quality Outcomes Quality of Care- Clinical
Falls Antipsychotics Weight loss Pressure Ulcers Resident to resident/staff altercations Quality of Life - Observation Are you seeing purposeful engagement? Are you hearing conversations and laughter? Do the residents look happy and engaged? Are the families relaxed and communicate well with the staff?
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Questions?
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