INNOVATIVE CARE AND SERVICE MODELS WEDNESDAY, APRIL 6 10:30 AM - - PowerPoint PPT Presentation

INNOVATIVE CARE AND SERVICE MODELS

Heather Palmer

Regional Director of Memory Care Services, Amica Mature Lifestyles/ Baybridge Senior Living

• Rev. Ingrid Loepp Thiesen MDiv.

Chaplain, The Village at University Gates

Erica Clarke

Regional Director, Life Enrichment, Amica Mature Lifestyles/ Baybridge Senior Living WEDNESDAY, APRIL 6 10:30 AM

Cognitive Well-Being: Supporting Residents with Cognitive Challenges

Heather Palmer, PhD Regional Director Memory Care Amica/BayBridge Senior Living April 6, 2016

How Do We Accomplish This?

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi dimensional
• Cross population

Basics/Fundamentals

• Education and Awareness
• Individualism

Education and Awareness

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi dimensional
• Cross population

Basics/Fundamentals

• Education and

Awareness

• Individualism

GOAL:

• 1. De-stigmatize what it means to have cognitive challenges caused by a disease process.
• 2. Create an environment of inclusivity.
• 3. Promote an age and dementia-friendly culture inside and outside our communities

Who?

• Team Members/Residents/Families/Healthcare Professionals/Public…

What?

• Cognitive aging, challenges and impairment
• Behaviour
• Communication

How?

• Modules
• Certification program
• Interactive Sensitivity Training

Individualism

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi dimensional
• Cross population

Basics/Fundamentals

• Education and

Awareness

• Individualism
• Disco

Disease 1. 2. 3. Discovery Individual Cognitive Toolbox

Neuroplasticity

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi dimensional
• Cross population

Basics/Fundamentals

• Education and

Awareness

• Individualism

Neuroplasticity:

The brain’s ability to repair existing, and develop new, connections between brain regions

Simplicity

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi dimensional
• Cross population

Basics/Fundamentals

• Education and

Awareness

• Individualism

20 40 60 80

% of Words Recognized

Letters Rhyme Sentence

Multi-dimensional

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi-dimensional
• Cross population

Basics/Fundamentals

• Education and

Awareness

• Individualism

Maximize Capacity

Cognitive Enhancement Strategies

Cross Population

Science/Evidence

• Neuroplasticity
• Simplicity
• Multi dimensional
• Cross population

Basics/Fundamentals

• Education and

Awareness

• Individualism

GOAL: Draw knowledge across multiple populations such as:

• Pediatrics
• Brain injury
• Stroke
• Cancer
• Mental Health
• Etc.

Cognitive Well-Being

Maximum Capacity

Individualism Neuroplasticity Education & Awareness Multi - dimensional Simplicity Cross Population

Providing Quality End of Life Care at Schlegel Villages

Our mission is to provide holistic health care in a home environment, located within an internal neighbourhood design that promotes a caring community with an emphasis on maintaining and promoting optimum quality of life for all residents.

The Core of Schlegel Villages

• For our resident’s with palliative and/or end of life needs, comfort

rather than a cure, is our focus.

• All care and support respects the resident’s individual wishes.
• The resident and/or Power of Attorney (POA) has the right to

accept or decline treatment or our support.

End of Life Care and Support

“You matter because you are you. You matter up to the last moment of your life, and we will do all we can, not only to help you die peacefully, but also to live until you die”

• Dame Cicely Saunders, pioneer of the modern

Hospice movement (2005)

• ‘Palliative Care’ may be used to describe care for a resident

who is unlikely to live beyond a 12 month period of time.

• ‘End of Life Care’ may be used to describe care for a resident

who is unlikely to live beyond a 3 month period of time.

Terminology

• To promote comfort and dignity during

Palliative/End of Life care.

• To provide comfort without implementing

acute care measures.

• To alleviate the fear of dying by providing

resident-centered holistic care with a multi-disciplinary approach.

• To involve the resident, family, or

significant others in the process of planning care which incorporates their preferences and needs, assessment and decision-making.

Goals of End of Life Care

Palliative Care

• Multi-disciplinary team

approach

• Programming
• Assessing
• Educating
• Palliative Care Committee

Butterfly:

• symbolizes a transformation that cannot be reversed
• a butterfly magnet on the door frame indicates a resident is palliative
• a butterfly sticker may be used on the resident’s chart

End of Life Care

• Multi-disciplinary team approach
• Palliative cart
• Roll away bed
• Privacy banner
• Written resources for family
• Multi-faith resources
• Outside resources as needed

Privacy Banner

After Resident’s Passing

• Support for the family, residents and team members
• Dignity Walk and Honour Guard
• Table setting in honour of resident
• Bedside blessing service and hand blessing
• Memorial Service

Our Tradition – Dignity Blanket

• The Dignity Blanket is

draped over the deceased resident as they are taken by the funeral directors to the waiting car

• It is the last act of

respect & comfort - brings great comfort to grieving family members, team members, and other residents

Residents and team members create the Dignity Blanket together

Dignity Blanket - continued

• The Dignity blanket is kept where it

is always accessible to team members – day and night (Chapel).

• Unless family request otherwise,

resident’s are always escorted through the front entrance doors by the funeral directors, the team members, and other residents.

Dying with Dignity, Peace, & Comfort – At Home

Physiotherapy and Lif ife Enrichment Collaborative Approach

Erica Clarke Regional Director of Life Enrichment Amica/Baybridge Senior Living April 6, 2016

Overview

• Our fitness programming
• What is the Physiotherapists role
• How we work together
• Keys to Success

Our Programs

• Individualized & Group strength, mobility, balance plus

cardio as well as flexibility exercise options for those in the Daily or independent user stream.

• Functional Fitness Assessment & Quarterly

Reassessment completed by a PT

• Various programming options
• Facilitated by our Coordinators & Directed by

Physiotherapist

Our Programs

mPower Fitness

• Small group fitness class
• Focus is fall prevention
• Lead by our team and PT

mPower Active

• Personalized Fitness programs
• Focus is on strength, balance and mobility

Our Programs

mPower Circuit

• Small group fitness circuit
• Personalized exercise programs
• Lead by our team

mPower Daily

• Independent fitness program
• Focus on strength, balance, mobility, cardio and

flexibility

Role of Physiotherapy

The PT:

• Conducts an initial assessment
• Re assesses quarterly
• PT recommends appropriate stream and/or other

appropriate fitness offerings

• Prescribes exercises
• Facilitates some of the Fitness classes

Value of Physiotherapy

• Assessment helps provide Resident and team a

baseline

• Personalized approach based on Resident goals and

health status

• When health status changes Reassessment can

help determine what is appropriate

• Quarterly Reassessment helps provide quantitative

information on progression

How we work together

• Coordinators and PT collaborate to design Circuit

stream

• Schedules Assessments and Reassessments and

work with PT

• Coordinators schedule program time in calendars

Keys to Success

• Structured approach
• Marketing/advertising of program
• Open communication between the team and PT
• Collaborative approach

Question Period

Heather Palmer

Regional Director of Memory Care Services, Amica Mature Lifestyles/ Baybridge Senior Living

• Rev. Ingrid Loepp Thiesen MDiv.

Chaplain, The Village at University Gates

Erica Clarke

Regional Director, Life Enrichment, Amica Mature Lifestyles/ Baybridge Senior Living

Thank you for attending the session!