Transcript Outstanding Activities For The Cognitively Impaired

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Outstanding
Activities For
The Cognitively
Impaired
Presented by Care and
Compliance Group, Inc.
Picture a
memorable
moment…
For many of our
residents who have
Alzheimer’s disease
or other cognitive
impairments, this
may be very difficult
if not impossible.
Imagine If…
Take a moment to test your skills on how much you
know about effective activity programming for
residents with cognitive impairments.
Imagine If…
Your resident enjoys engaging in art as a form of
self expression. You provide which of the
following:
a) Coloring pages you pulled out of a children’s
book.
b) Non toxic watercolors and a blank canvas.
c) Unattended table with decorative papers,
scissors, glue, etc.
d) Non toxic molding clay
Imagine If…
Your resident with early stages of dementia,
once loved to read. Which of the following
activities may best interest him/her?
a)
A weekly book club
b)
A Disney classics movie marathon
c)
Cookie decorating
d)
Visiting a local library
Imagine If…
Your resident had a stroke. What difficulties may
he/she encounter with activities?
a)
Unable to write or draw
b)
Vision or hearing deficit
c)
Inability to express verbal responses
d)
All of the above
Imagine If…
Your resident suffers from depression and tends to
self isolate. What would you do to provide support?
a)
Suggest he/she take more medication
b)
Take extra time throughout the day to sit and
talk with him/her, and encourage other
residents and staff to do the same
c)
Offer pet therapy
d)
Ignore the situation, he/she will eventually “get
over it”
Imagine If…
Your resident is now bedridden and nearing end
of life. Which of the following activities may
provide quality of care during this stage?
a)
Play soothing music in his/her room
b)
Offer hand and/or foot massages
c)
Offer to read his/her favorite book aloud
d)
Go through picture albums and reminisce with
resident
How did you do?
Sometimes there may
be several good
options to choose
from. Today we will
discuss techniques to
choosing the most
successful activities
when working with
residents who have
cognitive impairments.
Overview of Today’s
Activity Programming
Common programming misconceptions:
Everyone is a team player…
From the administrator or executive director to the
housekeeping and maintenance personnel.
Implementing meaningful activities for each
resident takes a team effort. Discover the strengths
and talents of your staff and residents in order to
offer opportunities for him/her to utilize these
through various creative activities. Allowing your
activities to serve a greater purpose…CULTIVATING
RELATIONSHIPS
Other Common Programming Misconceptions:
•All activities must take place in the “activity room”
Other Common Programming Misconceptions:
•
The sole
purpose for
activities is to
keep residents
busy and
occupied
throughout the
day.
Other Common Programming Misconceptions:
•
Doing art projects
with residents is
too childish
Another
programming
misconception:
People with
cognitive
impairments also
have emotional
impairments.
Enabling vs. Disabling
Use It Or Lose It!
What are some ways you are enabling
your residents to maintain his/her
independence?
Resident Driven
Programming
Our goal should be
to provide person
centered care for
each of our
residents.
Discover Who Your Resident Is
Learn who your residents are as
individuals: likes vs. dislikes, talents, past
careers, hobbies, etc.
Best Practices To
Encouraging Resident
Participation
Practicing Person Centered Care Through Activity
Planning.
PCC Activities
Provide activities that meet the individual
needs and desires of each resident while
producing meaning and purpose.
You Can’t Please Everyone…
What are some reasons residents are not
participating?
Responding to resident’s
abilities and interests.
Examples of resident centered
programming…
•
Activities that celebrate resident’s
cultural history
•
Activities that promote resident’s
strengths
•
Reminiscing activities
Living with Alzheimer’s Disease
Breaking Barriers
Assess the time and energy of the
individual you are working with. Work with
his/her strengths and keep it positive.
Birds of a feather…
Determine the individual’s social pattern.
Offer activities that play off his/her social
personality.
What’s the point?
Define the goals and objectives with the
resident. Breakdown the activity into
simple steps one at a time.
Residents Who Have
Had a Stroke
Things you need to know to provide quality
activities to residents who have had a
stroke.
Case Study
Mr. Wallace recently experienced a left
brain stroke. Both his right upper and
lower limbs are impaired. In smaller
groups, take a moment to come up with
an activity that would not require Mr.
Wallace to use his right side. Discuss these
ideas with the class.
Things You May Want to Know
The left side of the brain controls the right side of
the body and language:
•
Think
•
Analyze
•
Plan
•
Organize
•
Do Math
•
Solve Problems
A stroke on the left side of the brain
can cause challenges with:
•
Communication:
Receptive and
expressive language
impairment with
speech, writing and
gestures
•
Movement:
Paralysis or weakness
on the right side
Apraxia
Hand-eye
coordination
Too much muscle
tone or too little
A stroke on the left side of the brain
can cause challenges with:
•
Vision and Touch:
Increased sensitivity
to touch
Decreased or loss of
feeling on right side
Ignoring items on
right side
Tunnel vision
Double/blurred
vision
Uncontrolled eye
movements
Trouble judging
depth perception
A stroke on the left side of the brain
can cause challenges with:
•
Thinking:
Trouble with math
Difficulty telling left
from right
Disorganized
thoughts
Trouble reorganizing
objects/faces
Problems
planning/starting
tasks
•
Behavior:
Gets frustrated easy
Laughs/cries at wrong
times
Depressed
Lack of interest
Trouble
starting/completing
task
Underestimates ability
Cautious and slow
What Did You Come Up With?
Identify the capabilities and interests.
•
What is Mr. Wallace capable of doing?
•
What does Mr. Wallace enjoy doing?
Determine Life Goals
•
What may be some life goals of our
example resident, Mr. Wallace?
Setting Objectives and Training Staff
Once you define the goal you wish to
obtain, what is your objective? Training
the care staff is an essential aspect of
reaching your desired goals and
objectives.
Put It Into
Practice…
Suggested activities
that would be
appropriate within
the resident’s
limitations.
Station One:
Creating cue cards
and expression
booklets.
Station Two:
Memory blocks…sort into matching pairs.
Station Three:
Kings In The Corner Game
Exercise Assessment
Check for understanding…
•
From these activities, what could work
and what may you want to avoid?
•
What purpose can you discover
through these activities?
Depression Distractions
Finding techniques to reach your residents who
experience depression.
Case Study
Ella Joe is a 85 year old resident with
dementia and also shows signs of
depression. Her daughter has expressed
concern about potential suicide. What
can you do?
How Effective Activities Can Help
Expanding the resident’s interests and
options for engagement within programs.
Five Common Stages
Understand the ebb and flow of
transitioning through grief and loss.
Team Effort
Who is the resident currently interacting
with in the community?
What ways can you encourage positive
engagement with other residents and
care staff?
Support During
Bedridden Status
Encouraging the resident who may feel isolated and
lonely.
First step is to assess the resident’s
capabilities and interests.
•
What are resident’s strengths (keeping
focus on the positives)
•
What does the resident enjoy? (music
preference, reading materials, simple
crafts, etc.)
•
Set goals for engagement
Facing Rejection..
Prepare for residents who are reluctant to
change. A resident may resist to
participate for various reasons. Often
times the behavior and emotions are a
form of communication. Fear and
uncertainty may hinder the resident’s
level of participation.
Setting The Bar For Success
Be sure to create activities that plan for
the resident to be successful.
Can Hardly Stand The Wait…
Create excitement and anticipation.
When developing activity calendar, keep
each of these aspects in mind to offer
activities that residents look forward to
each day/week.
Provide Purpose
Most everyone wants to feel needed.
Provide activities that express the need
for each individual resident in the care
community.
Friends and Family
Creating a welcoming and inviting atmosphere that
encourages resident’s friends and family to get
involved.
You’re All Invited!!
How are you currently
inviting resident’s family and
friends to participate in the
care community?
Ideas may include…
•
Social events and special meals
•
Friends and Family Music and Movie
night
•
Holiday craft fair
•
Community outings
•
Training and educational courses
Learning Exercise
1.
Come up with an activity that
encourages family and friends
involvement. (How will it work?)
2.
Share how you will invite resident’s
family and friends to join your activity.
(What can you do to draw them to
come?)
Traditions
A significant way
to encourage
participation from
resident’s family
and friends may
be through
incorporating
culture and
traditions.
Take-Aways
•
Which of the activities did you find most
valuable and why?
•
What worked and what didn’t?
•
How can you personally improve the
involvement of activities in your assisted
living or memory care community?
Check For
Understanding
Final Exam
Final Quiz
1.
(True/False) Only Activity
Leaders are responsible to
provide activities for residents.
Final Quiz
2.
(True/False) Art can be a great
tool to allow resident’s personal
expression.
Final Quiz
3.
(True/False) Residents with late
stages of dementia or other
cognitive impairments, no
longer have emotional needs.
Final Quiz
4.
Where should activities take
place in your assisted
living/residential care
community?
Final Quiz
5.
Why is it necessary to
encourage the resident to do as
much as safely possible on
his/her own?
Final Quiz
6.
(True/False) Activities should be
based around the needs and
desires of the care staff and
management.
Final Quiz
7.
(True/False) You can’t please
everyone so there is no reason
to try.
Final Quiz
8.
Which of the following is not a
result of a left brain stroke?
a.
Paralysis or weakness on the right side of
the body
b.
Thinking is usually not affected if
consciousness is never lost
c.
Gets frustrated easily
d.
Trouble with math and organizational skills
Final Quiz
9.
_________________ can be one of the
greatest assets and resources to
providing quality care to each of your
residents.
a.
Resident’s family and friends
b.
Other residents and staff
c.
Resident social assessments
d.
None of the above
e.
All of the above
Final Quiz
10.
Religion plays an important role in many
cultures and traditions. When looking at
the spiritual needs of the resident with
dementia, it is necessary to understand:
a.
People with dementia are no longer religious
b.
All people with dementia should attend bible study
c.
People with dementia get more confused
discussing religion
d.
None of the above
Thank you for choosing Care and Compliance
Group, Inc. for your educational needs!
For any additional information please feel free
to call us or visit our website at:
www.careandcompliance.com
(800) 321-1727
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