Advancements in Dementia Care Education and Resources

Explore the evolution of dementia care education, recent changes, and introduction of new resources. Delve into the importance of such education for residents, families, and staff, highlighting key findings on dementia in long-term care settings. Discover the impact of dementia care education on improving quality of life, reducing risks, enhancing staff confidence, and implementing practical strategies. Uncover key changes implemented in 2019, focusing on integrating knowledge into practice and enhancing professional staff sessions.

• Dementia Care
• Education
• Resources
• Long-Term Care
• Staff Training

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Uploaded on Apr 18, 2024 | 2 Views

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1. Dementia Care: Moving Forward

2. Purpose of Webinar Provide a brief history and overview of dementia care education to date Discuss recent changes and introduce new dementia care resources Acronym change from P.I.E.C.E.S. Behaviour Assessment (formerly the P.I.E.C.E.S. Quick Reference Guide (formerly the yellow laminate ) Responsive Behaviour Pathways Discuss implementation of the new dementia care resources to C.A.U.S.E. 3 Question Template)

3. Dementia in Long-Term Care LTC Resident Profile (2015-2016) 87% of residents had a form of cognitive impairment (dementia, stroke, trauma) 69% of residents had dementia % among residents with dementia Characteristics Severe cognitive impairment (Cognitive Performance Scale [CPS] 4) 40% Any responsive behaviours (Aggressive Behaviour Scale [ABS] 1) 50% 31% Signs of depression (Depression Rating Scale [DRS] 3) 82% Dependence in ADLs (Activities of Daily Living Hierarchy Scale 3) Wandered at least once in the last 7 days 21% CIHI: Dementia in long-term care

4. Why is Dementia Care Education important? Residents & Families Person-centred care and quality of life Reduce risks related to responsive behaviours Reduce risk related to resident- to-resident safety events Staff Build confidence, competence, and resiliency Increased job satisfaction and staff retention Reduce workplace injury to staff Resources Limited availability of specialized supports (e.g. SNU or SNBU beds, constant care)

5. Dementia Care Education Highlights Creation of: Senior leadership day Family education Resource Person Refresher Day Support Staff day

6. Key changes made in 2019 Professional staff session reduced to 2 days Increased attendance / greater opportunity for replacement of nurses Revised to support integrating knowledge into practice Used a more hands-on and interactive approach with focus on practical aspects of working with people living with dementia Content included communication approaches/techniques, teamwork, and a person-centred care focus Introduced the Sponsor requirement as part of the registration for Dementia Care Education for professional staff

7. During the Pandemic In-person education paused Providing Dementia Care During a Pandemic Tip sheets Security guard training Offered 1-day virtual session 2021-2023 Included both professional and support staff Missing the hands on practice No sponsor involvement

8. What prompted the current changes? P.I.E.C.E.S. no longer exists As a result, any trademarked acronyms, assessment tools and resources are no longer available for use A provincial working group updated the resources and education content to reflect the move away from the P.I.E.C.E.S. framework and replacing it with the new Behavioural Assessment using the C.A.U.S.E. acronym Canada revised their program & contract

9. Activities Starting in Fall 2023 Return of in-person sessions for: 1-day Support Staff 2-day Professional Staff Introduce and transition from P.I.E.C.E.S. acronym C.A.U.S.E. Incorporate new and revised dementia care resources Reintroduction of the sponsor role and evaluation Promote engagement of residents and families to new

10. New Dementia Care Resources Behaviour Assessment Quick Reference Guide Responsive Behaviour Pathway

12. 1. What has CHANGED?

13. What are the RISKS?

16. What are the possible C.A.U.S.E.s?

17. What are the possible C.A.U.S.E.s?

18. What are the possible C.A.U.S.E.s?

19. What are the possible C.A.U.S.E.s?

20. What are the possible C.A.U.S.E.s?

21. What are the possible C.A.U.S.E.s?

22. Other Tools

24. 4. Plan of Care

25. 4. Plan of Care

26. Supportive Resources Behavioural Assessment Completion Guide SAMPLE Behavioural Assessment

28. Responsive Behaviour Pathway Part 1: Interdisciplinary Assessment & Care Planning

33. Responsive Behaviour Pathway Part 2: Crisis Management

37. Responsive Behaviour Pathway Part 3: Prescriber Assessment and Medications

38. Dementia Care Quick Reference Guide Use of Medications for Behavioural and Psychological Symptoms of Dementia (BPSD)

39. Resident & Family Engagement 4 Infographics with video tips on topics to help caregivers understand dementia and caregiving strategies

40. Resident & Family Engagement Infographics are a resource for education Admission Care conferences Resident/family meetings to address specific issues Resident/Family Councils Family Education Sessions Family Information Bulletin Boards Raise awareness that dementia care education for staff is ongoing

41. Resident & Family Engagement

42. Resources for Sponsors Handouts Dementia Comparison Table Quick Resource Guide Language and Labels Table Behavioural Assessment and Completion Guide Sponsor Guideline Recorded Tutorial (30 min)

43. Implementation Educator Resources Template for Dementia Care Binder Suggested Use Document

44. Implementation Online access to the Dementia Care Resources: Resources for WRHA Long Term Care - WRHA Professionals Under a new Dementia Care heading

45. Existing Forms Some existing forms may reference P.I.E.C.E.S. be revised as they are reviewed in the future and will Basic Restraint Assessment & Documentation Tool Request for Overcost Funding for Constant Care GMHT PCH Referral

46. Implementation Timeline PCHs should plan to implement the new behavioural assessment and resources by March 31, 2024 As the new tools and resources are implemented and used in clinical practice, we are interested in your feedback regarding potential revisions Reassessment of resources will occur in 6 months (June 2024)

47. Dementia Care Education Sessions Jan-Mar 2024 (in-person) Three 2-day sessions for Professional Staff Four 1-day sessions for Support Staff Registration information coming soon Funding is available for staff who are replaced to attend the education sessions

48. Dementia Care Education Sessions Do staff who participated in the previous dementia education have to retake it? No, people do not have to retake the education in order to learn the new resources. The principles are the same, and the introduction of C.A.U.S.E. and pathways can be done at each PCH Will participants be given a textbook? No, textbooks haven t been given out for a number of years, and there is not a textbook that accompanies the current dementia care education

49. WRHA Continuing Care Dementia Care Working Group Primary contact: Sheila Smith 204-940-8558 or ssmith32@wrha.mb.ca