Monday, May 22, 2017

7:30 - 8:30 AM
Registration Open and Networking Breakfast
8:30 - 8:45 AM
Opening Remarks
8:45 - 9:45 AM
Opening Plenary Session
P01 - Trauma, PTS, and Dementia Behaviors in Long-Term Care: A Proactive Approach to Understanding and Caring For Those with PTS and Dementia​
 
2016 OPTIMA Award Winners
 
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
10:00  - 11:15 AM

Track: Administrative and Executive

E01 - Transformative Leadership Creating a Culture of CEOs: Out of the Box Thinking that Generates Real Progress

Samantha Hollister, CDP, President, CERTUS Senior Living

*This session has not been approved for ASWB credit

This session embraces a modern philosophy of empowerment wherein every associate thinks like the CEO.  When an organization develops a culture of personal investment for each associate, both the associate and the organization thrive.  This session addresses common misconceptions about leadership and describes the benefits of creating a Participatory Leadership model.  By exploring different leadership models, such as Authoritarian Leadership model; Democratic Leadership model; Laissez-faire Leadership model; and the newly developed Participatory Leadership model, we can better understand how the psychology of human behavior influences Key Performance Indicators and Metrics (KPIs & KPMs).  Come learn how an organization’s operational infrastructure has influenced the design, programming philosophy, and culture at CERTUS Senior Living.  Learn how to leverage resident, family, and associate engagement to assist with organizational operations within an assisted living residence.  Explore how to become a Transformative Leader through mindset, attitude, and ethic.  You will leave this session with tangible tools for thinking outside of the box, fostering a culture of CEOs, and putting a plan into action.
 
Learning Objectives:
  • Develop a better understanding of what Transformative Leadership is and how it can influence you and your team.
  • Explore the difference between Authoritarian Leadership, Democratic Leadership, Laissez-faire Leadership, and Participatory Leadership.
  • Learn how you can create a culture of CEOs wherein ever associate is a Participatory Leader.
  • Explore how to use the psychology of human behavior to your advantage.
  • Prepare to put your ideas into action through a better understanding of an exemplary organization’s infrastructure and how you can think as a CEO regardless of your career level within an organization.

Track: Clinical and DON
E02 - Practical Medication Management in the Patient with Dementia

Daniel Haimowitz, MD, FACP, CMD, Board certified Internal Medicine and Geriatric Medicine, Active staff member - Saint Mary Medical Center and Lower Bucks Hospital

The Centers for Medicare and Medicaid Services (CMS) mandate to limit use of pharmaceutical interventions in memory care is pushing care providers to go beyond simple medication management, to take on a philosophy of medication stewardship.

In this session, visit with award-winning, board-certified physician, Dr. Daniel Haimowitz, as he discussed practical strategies for medication management in patients with dementia.  Listen in as we understand, categorize, and outline straegies for medication reduction, family communication strategies, and how to approach these concepts throughout the interdisciplinary team.

Learning Objectives:

  •   Emphasize importance of prognostication and communication with family
  •   Review commonly unrecognized Adverse Drug Events in demented patients
  •   Present concepts of polypharmacy and medication reduction
  •   Discuss medication use in common medical conditions occurring with dementia
  •   Give practical medication reduction techniques for the Interdisciplinary Team
11:15 - 11:45 AM
Networking Break
11:45 AM - 12:45 PM
Track: Administrative / Executive - Experiential Session
E03 - Opening Minds through Art (OMA) and Arts for All: Meaningful Intergenerational Art Experiences for People with Dementia​
 
 
Research results prove that creative experiences improve quality of life and medical outcomes for older adults, but how do we ensure that our arts experiences for those living with dementia are truly meaningful and provide for genuine self-expression?  This session will provide an overview of the Opening Minds through Art, a successful intergenerational art program developed and researched at Scripps Gerontology Center and facilitated by both speakers in a range of care settings.  
 
In addition, learn about the popular Art for All program developed at the Michener Art Museum for community members living with dementia and their caregivers.  Learn how both programs support the specific needs of people with dementia while promoting independence, and social connections.  
 
Learning Objectives:
 
  • Engage in a collaborative art experience designed for people with dementia
  • Learn about strength-based visual arts and museum visit programs built on genuine intergenerational connections
  • Understand current research regarding the quality of life benefits for older adults
  • Take home actionable next steps to initiate new arts programming for people with dementia
Track: Clinical / DON
E04 - An Update on Neurocognitive Disorders
 
 
The variability and range of different types of dementia represent a unique challenge for caregivers, staff, and medical professionals alike.  The manifestation of symptoms associated with Alzheimer's Disease, Lewy Body Dementia, Frontotemporal Dementia, Vascular Dementia, and others all represent a very unique host of care challenges.  
 
In this presentation, join Dr. Nicole Absar, Medical Director of Copper Ridge Memory Clinic, as she will discuss the various types of dementia, symptoms associated with each unique disease, recommended treatment paths,  and the various types of diagnostic tests available.
 
Learning Objectives:
 
  • List signs and symptoms associated with various dementias
  • Explain how to diagnose the various types of dementia and different kinds of diagnostic tests.
  • Outline the latest up-to-date treatments for the various types of dementia
  • Examine diagnostic testing protocols for dementia, emphasizing a focus on meaningful data and results
12:45 - 2:30 PM
Networking Luncheon and Experiential Session
E05 - "A Walk in Their Shoes" Luncheon - Practical Experiential Training for Staff and Personnel at All Care Levels​
 
Joshua J. Freitas, M.Ed, CADDCT, CAEd, Vice President, Program Development, CERTUS Senior Living, LLC
 
What does it truly mean to have dementia? The only way to know, is to experience it.
 
In this luncheon, attendees will experience the cognitive challenges that accompany dementia--compromised vision, hearing loss, and limited dexterity.  In this hands-on "train-the-trainer" session, participants will discuss best practices, programming tools, and lifestyle interventions being studied at renowned national training institutes--The Center for Alzheimer's Research, Treatment at Brigham and Women's Hospital, and Harvard Medical School.
 
Learning Objectives:
  • Demonstrate the impact of arthritis and neuropathy on persons with dementia and how they impact quality of life
  • Examine the challenges hearing loss creates for residents who experience memory impairment
  • Illustrate visual impairment's influence on seeing color contrasts and how general darkening of eyesight can create barriers for certain activities
  • Explore and discuss behavioral patterns common in those with dementia, such as hoarding, and what processes in the brain create these behaviors
2:45 - 4:00 PM

Track: Administrative and Executive

E06 - Dementia Design: Experiential & Environmental Research Supporting Safer Living Spaces

How much do we really know and understand about living with dementia and how we can better design physical environments for residents with dementia?  A team of senior living experts tackled this issue head on by living in memory care residences in a variety of different communities across the country, using equipment to simulate the behaviors of a person with mid-level cognitive decline. 
Speakers Amy Carpenter and Melissa Pritchard came as close as possible to “walking in the resident’s shoes.”  They will share their real-life experiences and explain how the environment and operations affect elders with dementia. Attendees will hear why sometimes what we typically call “negative behaviors” aren’t really what they seem.
 
Learn from this unusual research project and explore the perceptions and findings of these brave designers. They will discuss how the design of the environment can support or challenge the resident and provide practical advice on what facility owners can do to improve an existing community or include in a future design project.
 

Learning Objectives:

  • Summarize ways environmental and operational factors can affect dementia residents
  • Discuss design elements that can be incorporated into a new or existing facility
  • Explain why "negative behaviors" aren't really what they seem
  • List practical takeaways for applying these design principles to future projects

Track: Clinical and DON

E07 - Behavioral Interventions: Supporting Residents and Team Members Through Challenging Interactions

 
The hallmark of effective memory care are carefully strategized behavioral interventions to foster positive resident-staff interactions, and ultimately identify unmet needs.  Redirection, activities with a person-centric approach, understanding interventions both non-pharmalogical and pharma-supported, all of these concepts are critical to providing a higher quality of care.   This concept begins and ends with open lines of communication between staff leadership and front line associates to drive a culture change.
 
In this engaging session, Kelly McCarthy, author and Corporate Director of Memory Care and Resident Engagement with LCB Senior Living, outlines a strategic plan to infuse person-centered and evidence-based staff communication plans to further training initiatives, and drive organization culture change from the memory care unit up.
 
Learning Objectives:
  • Discuss how to create a behavior intervention process to assist teams in uncovering and understandings the why behind the behavior
  • Demonstrate the tools to set up intervention protocols in place with a behavior map
  • Outline the reentry process into the community after a person has had a Geripsych stay.
  • Illustrate what teams can do to support the reentry process. We will review what do we need from the Geripsych hospital and what they need from us to establish a solid return back to our community.
4:00 - 4:30 PM
Networking Break
4:30 - 5:30 PM
Experiential Session
K01 - Moved to Remember: A Dance/Movement Therapy and Sensory Approach to Dementia Care
*This session has not been approved for APA or ASWB credit
 
Natasha Goldstein-Levitas, MA, BC-DMT, Board-Certified Dance/Movement Therapist, Moving Peace
 

This lecture and interactive session aims to explore how sensory stimulation techniques within the Dance/Movement Therapy (DMT) session function as a catalyst for promoting wellness, improved cognition, and quality of life for individuals with a dementia diagnosis. The learning objectives listed below, aim to provide the caregiver, administrator or professional with not only the informed knowledge of “why”, but also the practical knowledge of “how.” 

During the interactive portion, participants will be guided through some movement sequences and verbal processing, as well as introduced to sensory items that are used within DMT sessions. Various applications for this work as a complementary modality for this population (within both healthcare and community settings) will be discussed and explored.

Learning Objectives:

  • To define Dance/movement therapy (DMT) and its use with the dementia population (overview of the structure of a DMT session with this population; frequently asked questions; goals of DMT session)
  • To review the neurophysiology of DMT (what happens physiologically during a DMT session) and dance/movement’s implications on the brain and memory
  • Theoretical implications of DMT (review how modality is informed)
  • Therapeutic value of DMT (review of the positive outcomes of this modality; share therapeutic techniques used with this population)
  • To experience how DMT and Sensory Stimulation effectively promote mind and body connection, thus improving physical, cognitive and emotional wellness- as well as,  experience how DMT influences the physical, emotional, and cognitive areas of function through engagement of the sensory systems 
  • Explore body language & nonverbal communication’s role in initiation of  & prevention of residents emotional states
  • Experiential (participants will be guided through some movement sequences and verbal processing, as well as introduced to sensory items used within DMT sessions)

Tuesday, May 23, 2017

7:30 - 8:30 AM
Networking Breakfast
8:00 - 8:45 AM
Experiential Session
 
K02 - Brain Disorders and Yoga
 
While dementia can impact motor skills and mobility, yoga can actually still be a viable therapeutic technique for providers to control anxiety, regulate breathing and heart rate, and to effectively stretch tendors, manage joint pain, and serve as safe exercise for residents at a variety of skill levels.
 
Join Medical Director and certified yoga instructor, Dr. Nicole Absar of the Copper Ridge Memory Clinic, for breakfast and an instructional session, where she will discuss structure and function of the brain and the various types of brain disorders-- and explain the application of yoga for those with brain disorders and discuss various techniques that can be safely used to improve quality of life.
 
  • List variations of dementia, highlighting the top symptoms of concern related to mobility and motor skills
  • Outline health benefits associated with yoga on residents living with dementia
  • Model a modified yoga techniques and regiments to safely engage residents
  • Define impact of yoga on therapy on overall quality of life
8:45 - 9;45 AM

Morning Keynote Presentation

P02 - Treatment by Design: Creating Meaning, Purpose, and Success​

Joshua J. Freitas, M.Ed, CADDCT, CAEd, Vice President, Program Development, CERTUS Senior Living, LLC
 

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 - 10:15 AM
Networking Break
10:15 - 11:15 AM
Plenary Session

 

E08 - The Lantern at Madison's Approach: SVAYUS - A Revelation to a Unique World

 
Your environment can have a massive impact on the way you feel, and your response to certain therapeutic approaches-- and at the Lantern at Madison, reality is a vision of the past.  The Lantern at Madison is a memory-care specific care center, which carries with it, a unique approach to both it's design and it's therapy approaches.  The environment is that of a neighborhood street in the 1930s and 40s, with resident rooms being small "homes".  A digital sky replaces old ceiling panels, which changes based upon the time of day, to assist residents in regulating their biological clocks.  Aroma therapy, sound therapy, and a customized environment combined with the "Svayus" therapy philosophy is creating an environment for residents to maintain or improve their levels of cognitive function.
 
In this special session, hear from CEO and one of Next Avenue's 2016 Influencers in Aging, Jean Makesh, as he takes us behind the scenes of his unique Memory Care center and therapeutic philosophy of "SVAYUS".  Find out how The Lantern has positioned the function of its clients through wellness, nutrition, non-pharmalogical therapies, and a modern built environment inspired by memories of the past.
 
Learning Objectives:
  • Outline a functional understanding and knowledge of Alzheimer’s disease and other forms of dementia
  • Review the principles of SVAYUS design at the Lantern, and next generation environmental design for Alzheimer’s and other forms of dementia
  • Identify key components of SVAYUS functional assessment 
  • List SVAYUS functional outcomes related to Alzheimer’s disease and related dementias
  • Discuss the foundation of SVAYUS personality-centric therapeutic care
  • Explain SVAYUS Rehabilitation and treatment methodologies to facilitate basic ADL and cognitive functions
11:30 AM - 12:30 PM
Track: Administrative and Executive 
 
E10 - 50 Shades of Consent: Sexuality, Dementia, and the Case Studies Behind Memory Care and Understanding Decision Making Capacity
 
 

The world of memory care and memory loss is rarely outlined clearly in black and white, but is instead a constant gray area when it comes to consent and decision making.  When a resident is experiencing escalating cognitive impairment and loss of function, there is a clear and definitive difference between competency and decision making capacity (DMC)--and in the eyes of the law this can truly make all of the difference in care.

In this session, join national long-term care legal expert Alan Horowitz, who has represented both the Centers for Medicare and Medicaid Services (CMS) and a host of care providers, as he explores the case studies that have set a precedent for modern memory care programs.  In this fast-paced plenary session, we explore the top assessments for determining DMC, the nuances of dementias that impact DMC, the top case studies that have defined these issues, and what organizations need to know in order to avoid future legal proceedings.

Learning Objectives:

  • Recognize the potential legal risks associated with cognitively impaired residents who are sexually active
  • Outline effective strategies geared at protecting residents’ rights while ensuring resident safety
  • Review lessons learned from recent civil and criminal cases involving sexuality and dementia
  • Illustrate the importance of developing and implementing appropriate policies and procedures
  • Examine the use of “informed consent” and other alternatives in the context of sexuality and dementia
  • Recognize the importance of performing ongoing assessments as decision-making capacity (DMC) waxes and wanes in care
Track: Clinical and DON

E09 - Understanding Communication in Dementia Care

 

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
Appearing on behalf of:
12:30 - 2:00 PM
Luncheon and Town Hall Discussion
E12 - “Nothing About Us, Without Us” Luncheon: The Rights, Needs, and Wants of People Living With Dementia 
 
Session Facilitator: Mary L. Radnofsky, Ph.D. Author, Educator, Self-Advocate,  Dementia Action Alliance (DAA)
 
Assisted by: Pamela Tabar, Editor-in-Chief, I Advance Senior Care Magazine
 
People living with a dementia diagnosis have the same human rights as you: to participate as fully in society as we are able, to make decisions (perhaps with facilitation), to remain valued members of society, and more. We all deserve meaningful lives at any age, whatever our disability, and strive for this in countless ways. But sometimes we need support. And that’s different from “care.”
 
This unique panel of people living with dementia will discuss how they strive to have meaningful lives, and what support they’ve needed. More importantly, they’ll show you how to understand what your own residents with dementia want (whether or not they can speak), so that any staff member can learn to provide support and care that will make those people’s lives meaningful and sweet, too. Bonus: These strategies transfer well from professional interactions to daily living, improving everyone’s quality of life.
 
Learning Objectives:
  • Create a live dialogue representing those living with dementia, creating an understanding, relationship, and empathy among caregivers and supporters
  • Illustrate the difference between the concepts of support and care
  • Identify the rights of individuals living with dementia, and the ethical considerations around communications and interactions
  • Identify interactions and areas of opportunity to improve quality of relationships and life
  • Demonstrate the importance of effective communication with individuals impacted by dementia
2:00 - 2:30 PM
Networking Break
2:30 - 3:30 PM
Track: Administrative and Executive
E13 - Evidence Based Teaching, Observation, and Delivery in a Memory Support Community
 
 
Abe’s Garden, located in Nashville, TN, has established a model of residential and day/evening care programs for individuals with Alzheimer’s disease and related disorders.  Equally important, it is a site of research and training, serving as an incubator for the study and dissemination of best practices in dementia care.   The Abe’s Garden training and evaluation model is based on methods developed and researched by the Vanderbilt Center for Quality Aging.  Attendees will learn how to use this model so they can accurately evaluate the quality of care in their communities and develop an effective training approach that takes place on the floor and not in a classroom.  
 
Learning Objectives:
  • Planning and implementing effective huddles (10 minute, on the floor trainings of a specific skill)
  • Three crucial methods to take into account when conducting observations and gathering reliable data
  • Identifying with management effective indicators that data will support and define
  • Strategies for implementation of data-driven decision making for leadership
Track: Clinical and DON
E11 - "I Hate the Shower!": Hygiene & Cognitive Challenges
 
Denise Scruggs, MA, MS, CADDCT, Director, Beard Center on Aging, Lynchburg College
 
Personal hygiene is one of the most difficult tasks for caregivers to accomplish with a resident who has dementia.
 
The act of bathing comes with a variety of unique situational challenges.  Oftentimes there can be a gap in communication, as residents with dementia can often be overt or nonverbal, which could be missed or ignored by caregivers.  Additionally, some cases could lead to verbal resistance, hostile response toward caregivers, and other interactions that place stress on both staff and the resident.
 
Learn about the factors that impact the bathing experience, alternative person-centered bathing techniques, and strategies for creating a positive experience that prevents and defuses resident resistance to bathing.
 
Learning Objectives:
 
  • Identify alternative person-centered methods for bathing a person diagnosed with dementia
  • Distinguish factors negatively and positively impacting the bathing experience
  • Demonstrate techniques for setting the stage and executing a positive bathing experience that maintains dignity and promotes independence
  • Discover bathing strategies for preventing and defusing resident resistance to bathing
3:45 - 4:45 PM

Closing Keynote Presentation - Experiential Session

P03 - Sound Medicine: The Neurology of Singing and Its Impact on Well-Being

Linda Maguire, MHS, MA-CBN, BMus, Opera Singer, Musician, Neurologist, Researcher, Author

Among the brain networks for those living with a dementia diagnosis, music has a clear and undeniable impact -- and combining the stimulation of engagement with music presents an even greater clinical value.  Singing, specifically singing certain songs selected for their therapeutic value, can have a profound impact on battling depression, cognition, providing a sense of power to the resident.  

In this engaging presentation, prepare your own concierto with Linda Maguire, renowned Opera Singer and performer, turned behavioral neuroscientist, as she shares the concepts of vocal resonnance, her team's latest field research, and a few singing lessons to take home.

Learning Objectives:

  • Define breathing techniques, vocal resonance, and therapeutic aspects of singing
  • Outline neurological value to singing music, with an emphasis on cognition and wellness
  • Demonstrate singing exercises and songs that open neural pathways and stimulate memories
Who is Linda Maguire?  Click the video below to find out more.