Advancements in Dementia Care Education and Resources

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December 2023 Webinar
WRHA Continuing Care
Dementia Care Working Group
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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.™ to C.A.U.S.E.
Behaviour Assessment 
(formerly the P.I.E.C.E.S.™ 3 Question Template)
Quick Reference Guide 
(formerly the “yellow laminate”)
Responsive Behaviour Pathways
Discuss implementation of the new dementia care resources
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LTC Resident Profile (2015-2016)
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CIHI: Dementia in long-term care
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Creation of:
Senior leadership day
Family education
Resource Person
Refresher Day
Support Staff day
Dementia Care
Education
Highlights
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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
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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
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P.I.E.C.E.S.™ Canada revised their program & contract
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
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Return of in-person sessions for:
1-day Support Staff
2-day Professional Staff
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Incorporate new and revised dementia care resources
Reintroduction of the sponsor role and evaluation
Promote engagement of residents and families
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Responsive Behaviour Pathway
Behaviour Assessment
Quick Reference Guide
1. What
has
CHANGED?
What are
the RISKS?
What are
the possible
C.A.U.S.E.s?
What are
the possible
C.A.U.S.E.s?
What are
the possible
C.A.U.S.E.s?
What are
the possible
C.A.U.S.E.s?
What are
the possible
C.A.U.S.E.s?
What are
the possible
C.A.U.S.E.s?
Other
Tools
4. Plan
of Care
4. Plan
of Care
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Behavioural Assessment Completion Guide
 
SAMPLE Behavioural Assessment
Responsive
Behaviour Pathway
Part 1:
Interdisciplinary
Assessment & Care
Planning
Responsive
Behaviour Pathway
Part 2: Crisis
Management
Responsive
Behaviour Pathway
Part 3:
Prescriber
Assessment and
Medications
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Use of Medications for
Behavioural and
Psychological Symptoms of
Dementia (BPSD)
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4 Infographics with video tips on topics to help caregivers understand
dementia and caregiving strategies
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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
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Handouts
Dementia Comparison Table
Quick Resource Guide
Language and Labels Table
Behavioural Assessment and Completion Guide
Sponsor Guideline
Recorded Tutorial (30 min)
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Suggested Use Document
Template for Dementia Care Binder
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Online access to the
Dementia Care Resources:
Resources for WRHA
Long Term Care - WRHA
Professionals
Under a new “Dementia
Care” heading
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Some existing forms may reference P.I.E.C.E.S.™ and will
be revised as they are reviewed in the future
Basic Restraint Assessment
& Documentation Tool
Request for Overcost
Funding for Constant Care
GMHT PCH Referral
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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)
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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
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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
WRHA Continuing Care Dementia Care Working Group
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Slide Note

Good afternoon everyone. Thank you for taking the time to join us today to talk about some of the upcoming changes with our dementia care education and resources.

Please note we are recording the presentation portion of the webinar, and the recording will be accessible on the long term care resources webpage.

The TARGET AUDIENCE for today is any team member who would be a resource who staff who reach out to when needing some assistance related to behavioral situations that arise. As well it is intended for anyone who will be rolling out or supporting the changes being discussed today. This primarily may be EDUCATORS, DOCS, MANAGERS, and SWs but certainly not limited to those roles.

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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.


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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

  11. 1. What has CHANGED?

  12. What are the RISKS?

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

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

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

  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. Other Tools

  20. 4. Plan of Care

  21. 4. Plan of Care

  22. Supportive Resources Behavioural Assessment Completion Guide SAMPLE Behavioural Assessment

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

  24. Responsive Behaviour Pathway Part 2: Crisis Management

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

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

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

  28. 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

  29. Resident & Family Engagement

  30. 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)

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

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

  33. 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

  34. 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)

  35. 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

  36. 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

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

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