Best Practice: Creative Dementia Programs and Services: The Whole Package

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Best Practice Creative Dementia Programs and
ServicesThe Whole Package

• The Orchards at Bartley Assisted Living
• Jackson, NJ
• Presented by Sandra Uphold, Executive Director
  and Debbie Carswell, Dementia Program Coordinator

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The Orchards at Bartley Assisted Living

• Community Description
• History and Philosophy Dementia Care

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Memory Care Description

• Location within the building
• Design
• Occupancy
• Special Features

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Memory Care Programs and Services

• Interdisciplinary Approach
• Sample Programs
• 11 Programming
• Meal Service
• Clinical Aspects

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Determining Appropriateness

• Assessment
• Required Diagnosis
• Prospective Residents
• Current Residents
• Decision Making Process

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Preparing Residents and Families for the Move

• Care Management Meetings
• Education
• Setting Clear Expectations
• Communication
• Day Trial on Memory Care
• Handling Resistance

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Fee Structure for Memory Care

• All Inclusive Rate

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Staff Education

• Who Gets Alzheimers Dementia Training?
• Alzheimers Training Curriculum DOHSS Training
  Modules
• Orientation
• Online Education Silverchair Learning System
• Dementia Program Manager Involvement

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Family Education

• Highly Trained Staff Members Background
• Education Begins During the Sales Process
• Care Management Meetings
• Host Site for Monthly Support Group
• Educational Programs
• Resource Materials

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Family Involvement

• Newsletters
• Special Events
• Monthly Calendars Explanation of Purpose
• Pictures
• Open Door Policy

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Managing Difficult Behaviors

• Resident Centered Approach
• Recognizing Behavior as a Form of Communication
  (Pain, Unmet Needs, etc)
• Reassurance Therapies and Diversion Activities
• Evaluation of Pharmacological Measure, When No
  Other Alternative is Therapeutic.

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Involving the Community

• Intergenerational Programs

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Changes Made to Programming

• Analysis-Plan-Execute-Analysis Approach
• Elimination of our Sensory, Snoozlin Room
• Helping Families Understand Programming
• Family Communication Book for Dining Satisfaction
• 11 Activity Programming
• Care Management Program

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Evaluation and Sustainability

• Actively Seek Resident, Family, and Staff
  Feedback
• Results for Customer Satisfaction Showed 100
  Rated Excellent/Good in 15 Categories in 2007 ,
  and Showed 100 Rated Excellent/Good in 20
  categories in 2008.

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Determining Effectiveness

• Continuous Quality Improvement
• Annual Customer Satisfaction Survey Results
• Resident Reactions to Programs
• Family Feedback During Meetings

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Resident Experience

• Sylvia's Story

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Replication

• Established Program
• Resources
• Barriers
• Overcoming Barriers

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Replication

• Suggestions
• Research and Education Utilizing Resources
  Available
• Evaluate Your Population
• Establish a Clear Vision and Mission
• Appoint a Knowledgeable Experienced Leader

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Replication

• Suggestions
• Caregivers
• Be Adequately Capitalized
• Solicit Feedback
• Share Success Stories
• Walk the Talk
• Adapt the Program to Meet Resident Needs