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Dementia: Individualized Care Techniques to Support Nourishment and Hydration, 3/16/2018 12:00:00 AM CDT, Digital Seminar More info »
Dementia: Individualized Care Techniques to Support Nourishment and Hydration, 3/16/2018 12:00:00 AM CDT, DVD More info »
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Digital Seminar

Dementia: Individualized Care Techniques to Support Nourishment and Hydration


Speaker:
Teepa L Snow, MS, OTR/L, FAOTA
Duration:
Full Day
Format:
Audio and Video
Copyright:
Dec 05, 2016
Product Code:
POS063235
Media Type:
Digital Seminar - Also available: Digital Seminar | DVD


Description

  • Visual, verbal and physical interaction skills to optimize engagement in meals and hydration programs
  • Interventions to support meals and drinks that provide pleasure and interest while minimizing risk and optimizing nourishment and hydration
  • Powerful ways to address concerns and reach consensus regarding late life care and end of life support when eating and drinking are becoming no longer safe or desired

Join world renowned dementia expert and author, Teepa L. Snow, MS, OTR/L, FAOTA, for this engaging workshop as you explore the depth and breadth of change that various forms of dementia have on the person’s interest in and ability to consume food and drink—for enjoyment and survival. During this highly interactive workshop, you will learn the skills necessary to design and implement programs that serve your client to optimize remaining abilities and capacities while respecting and acknowledging the limitations that this neurodegenerative condition ultimately has on the person.

Drawing on over 30 years of clinical experience and research with dementia, Teepa will teach you practical and useful strategies and techniques to maximize functional performance, engagement and safety. You will walk away with screening and assessment maneuvers, environmental and programming modifications, ability-based cueing and assistance from first symptoms to end of the life considerations, and will immediately be able to make a positive and valuable difference in the lives of people living with dementia whether—

  • guiding in food and drink preparation during early stage situations
  • fostering item selection and supported intake in mid-stages
  • offering moisture and tastes for sensory satisfaction only at life’s end

OUTLINE

Dementia’s Effect on Appetite, Nutrition, Hydration, Meal Preparation and Eating

  • Our relationship with food, drink, meal preparation and eating from multiple aspects:
    • Cultural
    • Spiritual
    • Social
    • Emotional
    • Individual
    • Physical
    • Sensory
    • Physiological
  • Value and meaning of food and drink that affect behaviors related to food and intake
  • Assessment tools to personalize behavioral interventions

Impact of Dementia on Changes in Brain Function

  • Screen for visual, auditory, sensory-motor, olfactory and gustatory sensory intake
  • Processing changes at various stages of dementia
  • Cognitive skill alterations that affect independence, interest and engagement:
    • Time awareness
    • Situational awareness
    • Problem solving
    • Sequencing
    • Memory
    • Language processing
    • Impulse control

Ability-based and Cognitive Disability Evaluation Tool – GEMS® Model

  • Provides common language and a framework to modify expectations and environments for:
    • Early Stage (Diamond)
    • Moderate Stage (Emerald)
    • Moderately Severe Stage (Amber)
    • Severe Stage (Rubies)
    • Extreme Stage (Pearls)

Techniques to Develop Skills that Optimize Successful Nourishment and Hydration

  • Structured initiating to promote active participation and limit refusals
  • Verbal statements to promote choice, self-direction and task initiation
  • Cueing sequences with graded options for each GEMS® state
  • Support attempts, focus attention, automatic reactions and reflexes
  • Minimize distractions and passive feeding behaviors

Strategies to Enhance Nourishment and Hydration in Early to Late Stage

  • Guide meal selection, settings and routines in combination with each GEMS® state
  • Limit refusals, negative reactions, over or under eating or drinking
  • Cues, routines, communication and interaction skills to optimize performance
  • Social, physical, and sensory environmental features that foster or impair optimal function
  • Environmental settings/situations to address probable areas of concern
  • Create individualized care programs to provide optimal support for you
  • Members of a support team: The role of each person/discipline

Life is Ending: The Role of Food and Drink

  • Physical, behavioral, and physiological changes that typically signal the ending of life
  • Interaction skills that support the exploration of:
    • Personal beliefs about life sustaining measures
    • Personal choice
    • Offer versus push
    • Value and meaning of food and drink
    • Eating by mouth versus artificial hydration and nourishment
  • Offering techniques that differentiate between lack of ability to make use of the nourishment and hydration vs. inability to understand the offer of food or drink
  • Techniques and strategies when nourishment and hydration is no longer the goal

OBJECTIVES

  1. Discuss the role of food, drink, meal preparation and dining in our lives from multiple aspects (cultural, social, emotional, spiritual, individual, physical, sensory, physiological).
  2. Recognize the cause/effect of various changes in neurological processing, both cortical and sub-cortical, that affect the person’s oral intake and hydration.
  3. Identify the changes in physiological function, perceptions, abilities, and interests that are caused by advancing dementia as they affect appetite, eating, drinking, intake and elimination.
  4. Utilize dynamic screening skills to determine state of cognitive abilities and functional capacities related to eating and drinking and what to do about it.
  5. Match common issues at diamond (early) and emerald (middle) stages of dementia to interventions that address meal timing, food and drink selection, meal preparation, dining options, nourishment and hydration, health and wellness concerns at these stages.
  6. Determine whether nutrition and eating support is being optimized at each level based on the person’s abilities, needs and disease status.
  7. Match common issues at Amber (middle), Ruby (late), and Pearl (ending of life) GEMS® states to effective and appropriate interventions that address pleasure, nourishment and hydration (timing, form, and amounts), item selection, meal item preparation and presentation, dining set-up and support options, and goals of food and drink offerings during this progression.

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to PESI, Inc., PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs

PESI would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 800-844-8260.

Credit


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact cepesi@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please statement above.  For speaker disclosures, please see the faculty biography.


* Credit Note - Ethics

This self-study activity includes 1.0 hours of GENERAL ethics instruction. Not all boards allow ethics credit for self-study products. If ethics is not specified within your licensing board’s approval statement below, please contact your board to determine the applicability and amount of ethics allowed.


Counselors - Counselors

This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from the activity and contact your state board or organization to determine specific filing requirements.


Counselors - Texas Counselors

PESI, Inc. has been approved as a continuing education sponsor through the Texas State Board of Examiners of Professional Counselors. Provider #: 2477. This self-study course qualifies for 6.0 continuing education credits.


Counselors - South Carolina Counselors, Marriage & Family Therapists and Psycho-Educational Specialists

This program has been approved for 6.0 continuing education hours by the South Carolina Board of Examiners for Licensure of Professional Counselors, Marriage and Family Therapists, and Psycho-Educational Specialists. Approval #4540.


Social Workers - Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.25 Clinical and 1.0 Ethics continuing education credits for completing this intermediate level self-study course. No more than 6.25 total CE hours may be awarded for this activity. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance.


Social Workers - Canadian Social Workers

PESI, Inc., #1062, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. PESI, Inc. maintains responsibility for the course. ACE provider approval period: January 27, 2017 - January 27, 2020. Social Workers completing this course receive 5.25 Clinical and 1.0 Ethics continuing education credits for completing this intermediate level self-study course. A certificate of attendance will be awarded at the end of the program to social workers who complete the program evaluation. Full attendance is required. No partial credit will be offered for partial attendance. Canadian provinces may accept activities approved by the ASWB for ongoing professional development.


Social Workers - Florida Social Workers, Marriage & Family Therapists, and Mental Health Counselors

CE Broker

PESI, Inc. is an approved provider with the Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling. Provider Number #50-399. This self-study course qualifies for 6.25 continuing education credits.


Social Workers - Illinois Social Workers

PESI, Inc. is an approved provider with the State of Illinois, Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 159-000154. Successful completion of this self-study activity qualifies for 6.0 contact hours.


Social Workers - Kansas Social Workers

PESI, Inc. is an approved provider with the Kansas Behavioral Sciences Regulatory Board. Provider #14-006. This self-study course has been approved for 6.0 continuing education hours.


Social Workers - Minnesota Social Workers

PESI, Inc. is an approved provider with the State of Minnesota, Board of Social Work. Provider #: CEP-140. This self-study package has been approved for 6.0 continuing education hours. This certificate has been issued upon successful completion of a post-test.


Social Workers - Ohio Social Workers, Counselors, and Marriage & Family Therapists

PESI, Inc. is an approved provider with the State of Ohio Counselor, Social Worker and Marriage & Family Therapist Board. Provider approval #: RCST071001. Successful completion of this self-study course meets the qualifications for 6.25 clock hours of continuing education credit.


California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 6.0 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.


Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

CE Broker


Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 7.6 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.3 self-study continuing education credits.

CE Broker


California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.25 continuing competency hours.


Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.25 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.25 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.6 contact hours.


Speech-Language Pathologists & Audiologists

This course contains 6.0 hours of self-study continuing education. It was not offered for ASHA CEUs. Please retain your certificate of completion. If audited for ASHA Certification Maintenance, you can submit this certificate of completion at that time. For state licensure, teacher certification renewal, or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


California Speech-Language Pathologists & Audiologists

PESI, Inc. is an approved provider with the California Speech-Language Pathology and Audiology Board, #PDP 319. This course meets the qualifications for 6.0 hours of self-study continuing professional development credit for Speech-Language Pathologists or Audiologists, as required by the California Speech-Language Pathology and Audiology Board.


Kansas Speech-Language Pathologists

Approved for 7.5 self-study continuing education clock hours for Kansas licensed Speech-Language Pathologists by the Kansas Department for Aging and Disability Services.


Pennsylvania Social Workers, Counselors, and Marriage & Family Therapists

This intermediate activity is approved for 6.0 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please contact your licensing board to determine if they accept programs or providers approved by other national or state licensing boards. A certificate of attendance will be awarded at the end of the program to participants who are in full attendance and who complete the program evaluation.


California Social Workers, Counselors, Marriage & Family Therapists, and Licensed Educational Psychologists

The State of California, Board of Behavioral Sciences will recognize and accept continuing education programs that are sponsored by providers approved by the APA and the ASWB. Full participation in this self-study course will qualify for 6.0 hours of continuing education credit.


Other Professions

This self-study activity qualifies for 6.25 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Handouts/Brochure

Speaker

Teepa L Snow, MS, OTR/L, FAOTA's Profile

Teepa L Snow, MS, OTR/L, FAOTA Related seminars and products

Positive Approach, LLC


Teepa Snow, MS, OTR/L, FAOTA, is one of the world's leading advocates and educators for anyone living with dementia or other forms of brain change.

Teepa is an Occupational Therapist with over forty ears of rich and varied clinical and academic experience. Her philosophy is reflective of her education, work experience, medical research, and first-hand caregiving experiences. Her advocacy efforts led her to the development of the GEMS® State Model for understanding the progression of dementia and changes in abilities. She also created the Positive Approach to Care® training strategies, which are effective techniques for anyone seeking to optimize care and support for those living with brain change. As the Education Director of Eastern North Carolina's Alzheimer's Association, she also helped to create the nation's award-winning DVD entitled, Accepting the Challenge: Providing the Best Care for People with Dementia. Her user-friendly approaches provide guidance and leadership to national efforts to promote best practices in care.

Teepa's company, Positive Approach to Care (PAC), was founded in 2006 and is now collaborating to improve dementia care in over thirty countries worldwide. PAC provides online and in-person services, training, and products to professionals, family members, the lay public, and people living with brain change. Please visit teepasnow.com for educational video clips, DVDs, books, information on individual certifications, online support groups, virtual and onsite trainings, or to subscribe to a free monthly newsletter.

Teepa presents with extraordinary expertise and humor to audiences large and small throughout the world. Please join in her mission to improve the culture of dementia care, one mind at a time.

Speaker Disclosures:
Financial: Teepa Snow is the owner of Positive Approach, LLC. She has a consulting relationship with Duke University School of Nursing. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Teepa Snow is a member of Dementia Alliance International, the American Association of Geropsychiatry, The Society for Post Acute and Long Term Care Medicine, the NC Coalition for Long Term Care Enhancement, the American Occupational Therapy Association (AOTA), and the North Carolina Occupational Therapy Association (NCOTA). She serves on the advisory committee for the Alzheimer Foundation of America.


Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Target Audience

Occupational Therapists & Occupational Therapy Assistants, Social Workers, Speech-Language Pathologists, Physical Therapists/Physical Therapist Assistants, Counselors, Nurses, Nursing Home Administrators, and other Mental Health Professionals

Objectives

  1. Articulate dementia’s effect on appetite, nutrition, hydration, meal prep and eating as it relates to intervention planning.
  2. Recognize the cause/effect of various changes in neurological processing, both cortical and sub-cortical, that affect the client’s oral intake and hydration.
  3. Identify the changes in the client’s physiological function, perceptions, abilities, and interests that are caused by advancing dementia as they affect appetite, eating, drinking, intake and elimination.
  4. Utilize dynamic screening skills to determine client’s state of cognitive abilities and functional capacities related to eating or drinking.
  5. Connect common concerns at early, middle, late and end of life stages of dementia to intervention planning that address the client’s interest in and ability to consume food and drink at these stages.
  6. Assess whether nutrition and eating support is being optimized at each dementia level based on the client’s abilities, needs and disease.
  7. Utilize techniques and strategies when nourishment and hydration is no long the goal in end of life stage of dementia.

Outline

Dementia’s Effect on Appetite, Nutrition, Hydration, Meal Preparation and Eating

  • Our relationship with food, drink, meal preparation and eating from multiple aspects:
    • Cultural
    • Spiritual
    • Social
    • Emotional
    • Individual
    • Physical
    • Sensory
    • Physiological
  • Value and meaning of food and drink that affect behaviors related to food and intake
  • Assessment tools to personalize behavioral interventions

Impact of Dementia on Changes in Brain Function

  • Screen for visual, auditory, sensory-motor, olfactory and gustatory sensory intake
  • Processing changes at various stages of dementia
  • Cognitive skill alterations that affect independence, interest and engagement:
    • Time awareness
    • Situational awareness
    • Problem solving
    • Sequencing
    • Memory
    • Language processing
    • Impulse control

Ability-based and Cognitive Disability Evaluation Tool – GEMS® Model

  • Provides common language and a framework to modify expectations and environments for:
    • Early Stage (Diamond)
    • Moderate Stage (Emerald)
    • Moderately Severe Stage (Amber)
    • Severe Stage (Rubies)
    • Extreme Stage (Pearls)

Techniques to Develop Skills that Optimize Successful Nourishment and Hydration

  • Structured initiating to promote active participation and limit refusals
  • Verbal statements to promote choice, self-direction and task initiation
  • Cueing sequences with graded options for each GEMS® state
  • Support attempts, focus attention, automatic reactions and reflexes
  • Minimize distractions and passive feeding behaviors

Strategies to Enhance Nourishment and Hydration in Early to Late Stage

  • Guide meal selection, settings and routines in combination with each GEMS® state
  • Limit refusals, negative reactions, over or under eating or drinking
  • Cues, routines, communication and interaction skills to optimize performance
  • Social, physical, and sensory environmental features that foster or impair optimal function
  • Environmental settings/situations to address probable areas of concern
  • Create individualized care programs to provide optimal support for you
  • Members of a support team: The role of each person/discipline

Life is Ending: The Role of Food and Drink

  • Physical, behavioral, and physiological changes that typically signal the ending of life
  • Interaction skills that support the exploration of:
    • Personal beliefs about life sustaining measures
    • Personal choice
    • Offer versus push
    • Value and meaning of food and drink
    • Eating by mouth versus artificial hydration and nourishment
  • Offering techniques that differentiate between lack of ability to make use of the nourishment and hydration vs. inability to understand the offer of food or drink
  • Techniques and strategies when nourishment and hydration is no longer the goal

Reviews

5
4
3
2
1

Overall:      5

Total Reviews: 7

Comments

Sharon S

"Great Course, great examples. As an MFT, I can be more supportive of clients with aging, dementia family members and give additional insight into management of the person with dementia."

Erika S

"Great program that I really enjoyed! Teepa presents with such energy and does a wonderful job depicting patients and offering tips for support! "

Erin Y

"The presenter was so very dynamic. "

Heidi P

"This seminar was full of priceless tidbits for working with people. It would have been helpful for me to be taking it with someone else because of the amount of hands on and group work."

Janet J

"Excellent presentation"

Kim M

"Great CEU with vital information pertaining to my field of work."

Marsha M M

"I loved your use of movement, rhythm, and client centered focus! What a gift you are as a creative clinician. I have a degree in dance/movement therapy and use it in my social work practice as well. And...I love to make up songs so really appreciated your creativity! Plan to check out your website for more gems of which YOU are the main one!!!!!"

Satisfaction Guarantee
Your satisfaction is our goal and our guarantee. Concerns should be addressed to: PO Box 1000, Eau Claire, WI 54702-1000 or call 1-800-844-8260.

ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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