It is Possible to Live a Normal Life with Dementia in Assisted Living. Overall attitude of the employees 6/15/2017. Vision

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1 It is Possible to Live a Normal Life with Dementia in Assisted Living Re-imagine Life with Dementia June 27, 2017 Atlanta, GA Jayne Clairmont CEO, Owner & Consultant Vision Our vision at English Rose Suites and b home b Home Care is to change the landscape of memory and in-home care forever. We believe our residents, clients and staff will teach us, instruct us and lead us in surpassing all expectations for bringing remarkable, loving and compassionate care to our residents and clients. Creating A Philosophy of Care Selection Selection of Employees of Employees Overall attitude of the employees Are you exposing candidates to the milou? Are your residents interviewing or interacting with candidates? What are the qualifications/qualities you are looking for? Leadership support Onboarding of New Employees Three day new employee learning model (24 hours) of learning: Show Me Guide Me Follow Me Transfer Self Correction Leadership support Touch Points for Retooling What happens before retooling? Modeling Meet within 30 days to review performance and coach Work on issues An ever changing process of learning 1

2 Leadership Touch Points support for Retooling Investing Investing Your Employees in Your Employees Group different than individual Flows through training Ongoing for individual Personality Habits Philosophical Flows of Communication Everyone should be on the same page Pathways to Growth and Learning SM Definition: : Custom designed learning model for caregivers in the assisted living environment. Designed to incorporate innovative practices that impact quality of care and enhance the employment relationship between the organization and caregivers. Investing in Your Employees Gateway to Person-Centered Care Investing In Your Employees Gateway to Person-Centered Care Provide staff with opportunities to take a leadership role in developing interests, skills and knowledge Provide learning opportunities for staff to increase quality of care for residents while impacting job satisfaction and retention What Brings you Joy? Tool: What brings me joy? Teach Dementia Embed Learning Education Introductory Daily Informal Formal Video Vignettes Specialty Categories Retooling 2

3 Appreciating Appreciated Staff Staff Individualized Birthday Celebration Hand selected gift, beautifully packaged Special, customized note to highlight the person s special character and personality Resident Resident Case Study/Bathroom Braemar BHHills Incorporating Life History Into Daily Life Understanding Understanding... Who they were Celebrate who they are Who they are becoming Celebrate Me Celebrate Me Jewelry Make up Do it with taste Sincere compliments Hair care Clothing style 3

4 Communication Communication that Matters that Matters Addressing person by full name / Nickname first, middle, maiden, married name Being present Talking about real things Adjust language Mirroring Video Life Engagement There is a daily calendar of activities from after breakfast until after dinner with scheduled activity options per day. Activities that are failure free are offered on a parallel basis to engage residents at all functioning levels. 4

5 Approaches To Care Massage/Therapeutic Touch Music Therapy Physical Therapy Aromatherapy Pet Life Therapeutic Touch Therapeutic Touch Provide Opportunities for Success Provide Opportunities for Success Celebrate & Learn From Honest Celebrate Mistakes& Learn From Honest Mistakes Tips Tips & Reminders, & Cot d. Built in activities (such as bird watching, plant discussion) 5

6 Essential Oils Essential Oils Defining Defining Aroma Aroma Therapy Therapy A skillful and controlled use of pure essential oils obtained from aromatic plant materials. Defining Defining Aroma Aroma Therapy Therapy Aromatherapy is both an art and a science. Affects the individual on all levels: body, mind and spirit. Utilizing the psychotherapeutic use of scent in a holistic framework. Jodi Baglien Using Understanding our Sense our of Smell Sense the of Smell Olfactory the Olfactory System When inhaled The aromatic molecules pass receptor sites along the olfactory pathway Aromatic molecules are analyzed by the limbic system Once analyzed, will elicit an appropriate biochemical response initiating a physical biochemical change Example: The smell of smoke initiates the fight or flight response releasing stress hormones to help you physically take action Inhaling Inhaling Aroma Aroma Molecules Molecules Is the fastest route for getting molecules into the respiratory system, blood stream and the brains limbic system. Is the most direct method for stress and emotional support, sleep & respiratory conditions. Inhaling Inhaling Aroma Aroma Molecules Molecules Bypasses logical thinking and goes directly to emotional response helps us feel, and experience vs. think Presents the lowest level of risk to most people. (Tisserand Tisserand) 6

7 Aromatherapy Aromatherapy Master Master Aromatherapy Plan Plan Hand and body carrier oil/lotion Placed in foot and body spa baths Diffused into the air Spritzed from a spray bottle Put directly on washcloths, patches, tissues, cotton balls, boutonnieres, or floral necklaces What (Oil) Lavender Strength Calming Perk Up Serenity Why (used for) Healing for the skin, burns,wounds, good support during cold and flu season, harmonizing effect on nervous system, great for insomnia. Helps with giving courage, confidence, self-esteem, helps the body self-correct its balance and alignment giving relief from pain. Eases tension, created happiness, calms agitation, promotes relaxation, release, rest. Helps to clear grogginess, encourage deeper breathing, clear mental fatigue and groggyheads, while it opens the breath and chest with respiratory support. Softens tightly held tension, uplifts and releases weariness. Who (which resident) When (time of day) AM & PM AM & PM PM AM & PM AM & PM Essential Oils Carrier Supplies Lotion Lavender Essential Oil Improved Sleep in Residents of a Memory Care Assisted Living Facility Leah R Hanson PhD 1,2, Amanda Cagan BA 1,2, Katie Rinehimer 3, Logan Stuck MS 2, Thomas Flottemesch PhD 2, Jayne Clairmont 3, Linda Sackett-Lundeen 2, Erhard Haus, MD 2 1 HealthPartners Center for Memory and Aging, Saint Paul, MN, USA; 2 HealthPartners Institute for Education and Research, Minneapolis, MN, USA; 3 English Rose Suites, Wayzata, MN, USA Delivery Method: Tissue 1-2 Basin of Steaming Water Tabletop Diffuser # of Drops: Room Diffuser Lamp Ring Inhalations Felt Material drop/cup 5-10 w/ diffuser in close proximity 5-10 w/ small amount of water 7

8 Dilutions in Water Environment Delivery Method: # of Drops: Foot Bath 2-4 Bath 2-6 Agitate the water and/or put in a handful of shampoo, egg yolk, or cream, then pour into the bath and agitate the water. Spray Bottle ( 4 8 oz.) Spray Bottle (10 15 oz.) Updating Your Environment Update Your Environment Lighting Color Furniture selections Accessories Create comfort! Toileting Toileting Remove obstacles Provide visual cues Consistent schedule Monitor incontinence Be supportive Sing Residential Model Natural Cues Kitchen Resident Opportunities Laundry Area Resident Assists load and folding Social Opportunities Companionship Friendship Sisterhood Re-creation of Family Personal Area Privacy Bedroom Other Environment Environment Outdoors Water Feature Bird Feeders Programming Dining al Fresco 8

9 Love is a language, the blind can see and the deaf can hear, and a caregiver can feel. 9