Fall Memory Care Forum Agenda

Thursday, September 14, 2017
8:15 AM - 8:20 AM
8:20 AM - 9:20 AM
Opening Keynote Presentation
 
Person-centered care begins and ends with the concepts of respect, dignity, and creating a meaningful life for individuals living with dementia.  Alzheimer’s disease and related dementias ultimately project symptoms centered around the four A’s of: Apathy, Anxiety, Agitation, and Aggression—which dramatically challenge the ability of care takers and residents to support a symbiotic relationship of meaning and purpose.
 
In this opening keynote session, visit with renowned international expert and author of the Hearthstone Memory Care concept, Dr. John Zeisel, as he reveals the cornerstone principles that support resident empowerment and self-worth at all touch points on the care continuum.  Take a deep dive with Dr. Zeisel, as he details the evidence-based principles of the Hearthstone approach, which has been featured in international Memory Care Centers of Excellence, including lauded Memory Care Center of Excellence, Abe’s Garden and other national leaders.
 
Learning Objectives:
  • Discuss top inherent challenges for Memory Care programs, focusing on Alzheimer’s and Related Dementias and their past associated interventions
  • Relate these challenges to core principles of the Hearthstone Memory Care approach—with a deep dive on evidence-based, person-centered, and programming based upon the “I’m Still Here” model
  • Explore practical staff training paradigms to make an impact on care quality and interactions with families and residents
  • Model long-term strategies for continuous improvement, providing a blueprint for observation and intervention
9:35 AM - 10:35 AM
Administrative / Executive Track
 
In the field of memory care, family involvement and engagement are two top influences and factors that dictate a resident’s quality of life—making their support especially paramount.  However, meeting the family where they are in their emotional process of coping with a loved one’s dementia diagnosis, and educating families can prove more difficult than expected.  Behavioral interventions are not simply practiced with residents, but are critical when tending to the needs of families and their educational process.
 
In this dynamic session, join the top educational expert from the Tampa-based University of South Florida Byrd Institute for Alzheimer’s, Eileen Poiley, as details best practices for educating families on care process to ultimately improve the quality of their visits, and help them connect more with their loved one regardless of their cognitive decline.  Listen in as Poiley reveals considerations around case management, education of end-of-life care principles, therapy methods borrowed from motiviational interviewing and cognitive behavioral therapy, as well as intervention education for families to create a support structure around the resident.
 
Learning Objectives:
  • List top areas of concern for families during a resident’s care process
  • Define a schedule and process for family education and intervention planning, with a focus on needs for person-centered care
  • Demonstrate therapeutic methods, including motivational interviewing and cognitive behavioral therapy for family education sessions
  • Outline process improvement methods to continuously create a positive and supportive environment for families and their loved ones
Clinical / DON Track
 
The physician undoubtedly plays an critically important role in the effective care planning for memory care, but more and more, clinical case management and social work is becoming a collaborative process.  Results and continuous evaluation from the Mini-Mental State Examination (MMSE), analysis of Activities of Daily Living (ADLs), and physician examinations all represent clinical educational opportunities for both staff and residents to adjust care plans appropriately—and the collaboration between social workers and physicians are the centerpiece of this process.
 
Join top researcher and geriatric physician, Dr. Ian Neel, and social worker team lead, Sarah Bieber, of the University of California San Diego’s geriatric care team as they reveal the team based approach they have found most successful to bringing together social workers and physicians as a clinical support structure around the resident.  This co-presentation will reveal effective clinical therapy techniques used by case managers to communicate details behind care and advocate for the resident’s quality of life.  In addition to this, will be the physician perspective on medication management, rehabilitation approaches, and other methods used in concert with case managers to elevate ADLs and better manage dementia-related symptoms.
 
Learning Objectives:
  • Discuss monitoring and analysis processes (MMSE, ADLs, etc.) from both the physician and social work perspectives
  • Evaluate how measures overlap between case managers and physicians, and communication processes that have proven successful in field case studies
  • List top clinical areas where physicians and case managers can share data relating to residents
  • Define UCSD's process for adjusting care plans according to clinical data captured
10:35 AM - 11:05 AM
11:05 AM - 12:05 PM
Administrative / Executive Track
 
Patterned carpets, furniture with rounded or uncomfortable edges, elevated door thresholds—each of these design concepts, while beautiful in the traditional sense, can represent a nightmare in the living environment for residents with dementia.  Even inappropriate lighting levels during certain hours of the day can dramatically affect sundowning, reduce responsiveness in certain ADL categories, and potentially put residents at risk.
 
This session takes a dive into the “dementia-friendly” environment with Memory Care Physician and resident safety expert, Dr. Hillary Glazer, as she delves into why your wallpaper selection might be impacting cognitive responsiveness among residents, or why organization’s might want to consider remodeling their bathrooms in favor of resident safety.  Dr. Glazer touts an extensive research-driven background,  and this session will further define the importance of color, lighting, floor slants, interior design, and how these elements can be positioned to work in favor of the organization and the resident.
 
Learning Objectives:
  • List top environment dangers associated with memory care environments
  • Outline practical changes that can be made immediately
  • Demonstrate clinical benefits of wall colors, lighting, floor specifications and other ancillary design factors
Clinical / DON Track
 
In the clinical realm of memory care, pharmacy and pharmacology have never been under greater scrutiny given new guidelines from the Centers for Medicare and Medicaid Services (CMS) to ensure appropriate medication use.  Organizations can be at great risk from both a regulatory and legal perspective from inappropriate medication therapy and their associated medication-related problems.  But, true medication management takes a team, and clinical team collaboration is undoubtedly at the center of success.
 
This session features the President of the American Society of Consultant Pharmacists (ASCP), Joseph G. Marek, as he defines a model for effective medication therapy management between physicians, the facility care team and pharmacists that ultimately will prevent or reduce potential legal risks, improve quality measures, improve clinical outcomes and reduce overall costs for both the skilled nursing and assisted living organizations.  Join Marek, as he reviews not only the top prescription medications used in memory care (Donepezil, Rivastigmine, Galantamine, Memantine, etc.), but also other non-memory care medications that can cause medication-related problems in residents with dementia —ultimately relating to how these can impact their overall quality of life.  Through a collaborative team approach an individual residents’ medication regimen can be effectively managed and optimized.
 
Learning Objectives:
  • Define the tenants of medication therapy management and medication-related problems in memory care.
  • Review the most common dementia-related medications and nondementia-related medications that can affect memory care
  • Outline a collaborative model of medication therapy management for clinical team members
  • Recommend intervention and care coordination strategies between pharmacists, physicians, and nursing staff for effective medication optimization.
 
Speaker appearing on behalf of:
12:05 PM - 1:25 PM
Networking Lunch and Presentation
 
All of us, regardless of age, strive to stay meaningfully engaged in life. We all get there in different ways, whether it’s through friend and family connections, spirituality, music, games, travel, etc. Engagement is how we stay relevant. Senior Living communities can find it difficult to provide meaningful engagement for residents undergoing physical and cognitive decline, particularly those living with dementia. Technology can provide an ideal solution.
 
Contrary to the preconceived notion of technology disrupting personal connections, technology-delivered recreational activities and therapies can mitigate the feelings of boredom and loneliness that older adults living with dementia experience all too often. As Senior Living leaders, and in particular Memory Care administrators, undergo a period of disruptive change that is giving rise to the implementation of a relationship-centered way of living, the integration of person-based technology into activity and therapy programming is gaining momentum. Person-based technology is improving quality of life by lessening isolation, increasing a sense empowerment and well-being, and in many cases, by alleviating behavior expressions resulting in the reduction of psychotropic drugs given to residents living with dementia.
 
Learn how organizations throughout the country have made the connection between technology and improved quality of life and have successfully integrated person-centered engagement technology into their memory care programing to lessen isolation, improve quality of care and in many cases, to alleviate behavioral and psychological symptoms of dementia (BPSD) in a non-pharmacological manner. In addition, we examine a variety of future technologies that will help people stay engaged and connected regardless of where they are in the wellness continuum. Today these experiences are considered innovative, tomorrow they will be demanded.
 
Learning Objectives:
  • Understand how specific types of interactive technologies can be adapted for individuals with dementia
  • Acquire practical strategies to integrate person-centered, technology-delivered recreational programs that have been designed for individuals experiencing cognitive and physical decline
  • Assess research that is validating the benefits of integrating person-centered engagement technology as part of person-centered initiatives and programs
1:40 PM - 2:40 PM
Administrative / Executive Track
 
A Center of Excellence is a specialty program and approach to care and quality of life supported by validation, in the form of data, academic research and partnerships, such as Broadmead's relationship with Johns Hopkins Medicine, achieving a high level of quality and innovation.  A Center of Excellence involves consideration and dedication of physical space design influenced by specialized programming.  The Center of Excellence for Dementia Care includes support for those afflicted by the condition of dementia, as well as family and caregiver that support them.  This presentation will provide an overview of the journey to create and implement a Center of Excellence.
 
Learning Objectives:
  • The learner will be able to define a Center of Excellence
  • The learner will be able to identify evidence based dementia care programs, centered around research developed in partnership with Johns Hopkins Medicine
  • The learner will understand the process for developing a Center for Excellence, highlighting key lessons learned and best practices from Broadmead, Inc.
Clinical / DON Track
 
Effective person-centered memory care creates a host of notable clinical challenges around skin care and hygiene.  The diversity of dementia types, the various stage of the associated dementia, and a person's past medical history can heavily influence interventions and potential options for care.  Certain residents can experience notable impacts to their hygiene from an ADLs perspective around incontinence, sleeping issues related to incontinence, skin sores and infection risks, all of which can amplify symptoms and impact quality of life for residents.  
 
In this session, we'll explore the common issues related to resident hygiene and skin care, identifying the top clinical practices that a practical and effective to manage these issues and improve quality.  We will also identify the influence hygiene management can have on ADLs, and how these improvements can assist in behavioral interventions, and other aspects of resident care.
 
Learning Objectives: 
  • List top hygiene-related risk areas for residents in memory care
  • Define ancillary risks to hygiene-related issues in memory care, including skin sores, rashes, and bacterial infection
  • Demonstrate practical best practices and evidence-based clinical interventions to better manage resident hygiene
 
Session sponsored by:
2:40 PM - 3:10 PM
3:10 PM - 4:10 PM
Administrative / Executive Track
 
Description: Twenty-nine (29) states and the District of Columbia have legalized medical marijuana. Thus, more than half of the U.S. population lives in jurisdictions where medical marijuana is legal. However, under the Federal regulatory scheme, marijuana remains a Schedule I drug, meaning that it is illegal and has no medically accepted uses. Nursing homes, assisted living facilities as well as home health agencies and hospices are on the horns of a dilemma when one of their patients/residents want to use medical marijuana since it violates Federal law, even if legal in their state.
 
This session will examine the thorny issues of how providers can navigate in the inconsistent regulatory climate. We will examine actual cases and pending legislation that is likely to further change the legal landscape.
 
Learning Objectives:
 
  • Attendees will appreciate the fact that although medical marijuana may be legal in their states; the growth, distribution, use or possession of marijuana remains a felony under Federal law
  • Attendees will learn of some of the most commonly accepted medical conditions state laws require in order for a physician to prescribe or recommend medical marijuana.
  • Attendees will be able to outline strategies for responding to requests by patients/residents to use medical marijuana
  • Attendees will review recent cases to better understand how the federal and state courts are dealing with the issue of medical marijuana
  • Attendees will explore the implication of employees who may use medical marijuana as prescribed off-premises and while not at work and whether they can be fired for such medically-approved use.
 
Clinical / DON Track
 
“In the senior living arena, many people design their dining programs around what’s convenient for the staff”, said Jenny Overly, Unidine’s Director of Senior Health Nutrition and Wellness, in an I Advance Senior Care exclusive article covering dementia-friendly dining—but the revolution is well underway to bring person-centered dining to the fore, and leading that charge is long-term care supergiant Brookdale Senior Living.
 
Brookdale’s dining experience has been lauded nationally for their person-centered, abilities-driven approach that has made meal time a joy for both residents and their visiting families.  By focusing on the resident’s individual ability level, finger foods, high-technology, and inventive preparation techniques, Brookdale has revolutionized the way their residents and facilities approach memory care specialized dining across the country.
 
In this session, join national director for memory care and programs with Brookdale, Juliet Holt Klinger, as she takes us into the kitchens and dining rooms of Brookdale to revisit the dining experience within memory care.  Hear about Brookdale’s practical yet inventive approach to bringing back the joy of tasty and healthy meals, while maintaining safety and comfort for the resident.
 
Learning Objectives:
  • List the most critical considerations and characteristics of person-centered dining
  • Demonstrate the importance of meal preparation in dining safety, with an emphasis on alternative meal preparation techniques for traditional favorites
  • Model the Brookdale Senior Living approach to dining with a focus on practical, evidence-based practices
4:20 PM - 4:30 PM
Award Ceremony
Join the Institute for the Advancement of Senior Care (IASC) and I Advance Senior Care to recognize the top programs and initiatives in Long-Term Care and Memory Care, as we award our winning teams with the 2017 OPTIMA Awards.
 
Sponsored by:
4:30 PM - 5:30 PM
Plenary Session - 2016 OPTIMA Award-Winning Team
 
Managing trauma and stress in the context of a dementia diagnosis can be a moving target for many providers.  According to a recent study through the Stress, Health, and Aging Research Program (SHARP) published through the US Department of Veterans Affiars, 70% to 90% of adults 65 or older in the general population have been exposed to at least one potentially traumatic event in their lifetime--with combat veterans presenting a far greater risk.   Thankfully though, post-Traumatic Stress (PTS) is an injury to the soul that can be managed and even healed late in life. 
 
In this session, hear the unique story of the 2016 OPTIMA Award-Winning Texas Land Board team of Kathy Johanns and Sara Rodriguez, as they explore how to work with residents who experience PTS and behaviors that are caused by PTS and Dementia.
 
Learning Objectives:
  • Define Post Traumatic Stress, how it impacts dementia, and behaviors that manifest as a result
  • Describe triggers in detail, for both staff members and residents
  • Outline a plan for supporting and communicating with the resident
  • Highlight the most commonly used medications for PTS, and the military and medical history that must be considered
Friday, September 15, 2017
8:15 AM - 8:30 AM
8:30 AM - 9:30 AM
Keynote Presentation
This session will address industry-wide challenges related to environmental design, training, associate empowerment, and organizational culture. By exploring behavioral psychology and neuroscience, attendees will experience participatory learning and learn how to deploy interventions that influence behavioral cognitive domains (BCDs), thus, fostering an engaged culture. In this session, attendees will develop a better understanding of the correlation between approach (our behavior) and effect (resident, associate, and family member behavior), as well as how clinical and non-clinical interventions work together. This session will also briefly examine a 21st century approach to design known as The CERTUS MAPS™ program. Attendees will leave with practical tools and interventions to improve the quality of life for those living with memory loss.
 
Learning Objectives:
  • Develop a better understanding of how the design of a memory care environment influences cognitive function and behavior.
  • Learn the difference between practice-based, research-based, and evidence-based memory care approaches, interventions, and programs.
  • Learn how to create a participatory environment that includes residents, family members, associates and professionals.
  • Learn about some of the neurological benefits of building a sense of community and belonging by providing meaning, propose, and successful outcomes.
  • Learn how to use behavioral psychology and neuroscience to your advantage in leadership and community engagement initiatives.
  • Become aware of the influences of life engagement on the brain and body.
9:45 AM - 11:00 AM
Administrative / Executive Track

This seminar will discuss how an award-winning, internationally recognized older-adult program for Whole Brain Fitness and Memory Enrichment was created by translating ground-breaking research into programs and activities, and how it was continually modified and improved through the use of an evidence-based, program evaluation protocol. 

Learning Objectives:

  • Genesis of memory care product: built program for MCI (Mild Cognitive Impairment) with Vanderbilt University research 
  • Importance of data and research in building measurable, impactful, and sustainable programs 
  • Continuous process to evaluate and improve programming, both through resident assessment and customer satisfaction feedback 
Clinical / DON Track
 
The current number of Americans diagnosed with AD is expected to rise from 5.4 million today to 13.5 million by 2050. With the increased need for memory care construction we are currently being inundated with innovative programs and products in the memory care space. But how are we adopting these innovative ideas and concepts and using clinical and programming data to measuring their success? This presentation is designed to be interactive including discussion as well as polling for the audience to give real time feedback. 
 
Join memory care expert, nurse, blogger, Rita Altman, as she takes us through a decision making process for organizations faced with making decisions about new products and programmatic offerings. We’ll explore some ways to improve efficiencies, measure programmatic outcomes as we strive to provide a higher level of quality of life for residents living with Alzheimer’s and related forms of memory loss.

Learning objectives: 
At the completion of this presentation the participants will be able to:
  • Demonstrate at least two existing tried-and-true, noteworthy person-centered approaches
  • Discuss strategies for successfully vetting and piloting new products
  • Discuss ways to measure the success of innovative programmatic interventions
  • Describe how the integration of EHR with programming data can provide a more holistic view of the resident’s quality of life
 
11:00 AM - 11:30 AM
11:30 AM - 12:30 PM
Administrative / Executive Track
 
You are what you eat, and in the context of caring for individuals and residents living with a dementia diagnosis, diet and nutrition can make a dramatic impact on quality of life.  Combatting the dementia-related symptoms of weight loss, pain, and the management of co-mobidities or chronic conditions can all be managed through effective and evidence-based dietary planning.
 
In this special lunch session at the Memory Care Forums, we talk about lunch, over lunch—more specifically about the difference healthy eating options make in the clinical setting.  The differences between salmon or beef, kale or romaine, and spaghetti or mashed potatoes has a profound impact on a resident’s response.  Join Memory Care Director Brooke Smith, and a top dietician from a southern California memory care organization as they outline dietary planning and recommendations for diverse meal planning that facilitates and mirrors person-centered care planning.
 
Learning Objectives:
  • Discuss basic nutrition and dietary planning principles within the context of memory care
  • Identify “power foods” that are associated with brain health and activity, that ultimately can help prevent and manage dementia-related symptoms
  • Outline multiple options and methods for providing choices and incorporating these foods into daily activities
Clinical / DON Track

 

This workshop will aim to highlight the importance of understanding the impact dementia and related illness has on a person's ability to communicate.   As a result, care partners and care professionals may need to shift their communication and gain insight into the variety of ways individuals living with dementia may communicate.  

Through this workshop, we will look to reframe typical “problem behaviors” sometimes exhibited by individuals living with dementia as expressions of need and explore the myriad ways individuals with dementia commonly communicate their needs, especially as the illness progresses. Participants will explore strategies to proactively meet needs, as well as develop tools to de-escalate and diffuse situations if they arise.

Learning Objectives:

  • Understand the ways in which dementia can impact a person's ability to communicate.
  • Assess how “behaviors” exhibited by individuals with dementia are a method of communication and expressions of need
  • Consider the range of physical and emotional needs individuals have and how dementia effects individuals’ abilities to express these needs
12:30 PM - 2:00 PM
Lunch Presentation and Forum
 
Join SAGE for an interactive training focused on the unique needs and concerns of lesbian, gay, bisexual and transgender (LGBT) older adults. Designed with residential providers in mind, this training covers information on rights and protections, key terminology, tips for responding to bias behavior between roommates or neighbors, and SAGE’s best practices to help create a supportive environment for current and future older LGBT residents.
 
Learning Objectives:
  • Explain and use appropriate terms lesbian, gay, bisexual, and transgender residents
  • Identify unique needs of LGBT older adults
  • Detail the various rights and protections extended to LGBT residents
  • List best practices for creating communities welcoming to LGBT older adults, their loved ones, and caregivers.
2:00 PM - 3:00 PM
Closing Keynote Session
 
Given dementia’s affect on the brain to take an individual “back in time”, making them believe they are 19 years old again, the “Dementia Village” concept was originally piloted in European countries as a therapeutic method to provide a safe and secure environment for residents to live meaningful lives without the feel of an institutional facility.  After numerous research studies of the dementia village concept, residents living in these environments showed improved cognitive response rates, fewer pharmaceutical interventions needed, and improved overall quality of life. 
 
In this closing keynote session, join Scott Tarde, CEO of the George G. Glenner Alzheimer’s Family Centers- a San Diego-based center which is the first functioning Dementia Village concept in the United States.  Tarde, who has been featured as an international speaker and through Forbes and other nationally recognized publications, will demonstrate some of the therapeutic techniques used in this unique environment, why the dementia village approach works, and how the Glenner Centers staff and train personnel specifically for this care paradigm. 
 
Learning Objectives:
  • Describe the specific touch points of the dementia village concept from design, to employee training techniques
  • Outline the vision for the construction of, administrative, and clinical leadership at the George G. Glenner Alzheimer’s Family Centers
  • Illustrate the power of person-centered intervention techniques through live demonstration and hands-on training approaches
  • Recommend multiple practical steps for bring the Dementia Village approach to your residents