Full Course Description
Solve Challenging Dementia Behaviors: Support Family Connections and Losses as Root Causes
- Differentiate Alzheimer’s disease and other forms of dementia using a strengths-based, functional abilities model.
- Demonstrate mindfulness interventions and techniques to use for people living with dementia.
- Analyze attachment theory as it relates to people living with dementia, including attachment loss, separation distress, and challenging behaviors.
- Evaluate the 5 Love Language framework as a “toolkit” to build the emotional love connection with those affected by Alzheimer’s and other dementias.
- Choose non-medication-based strategies to manage challenging behavioral expressions in people living with dementia.
- Determine new frustration-ending alternatives to manage agitation, aggression, and other challenging behaviors.
When the Medical Model Doesn’t Work
Mindfulness & Dementia
- The medical model reimagined focusing on abilities, strengths, and resilience rather than disabilities, weaknesses, and neuropsychiatric symptoms
- 5 cognitive functions (attention/concentration, memory, executive function, language, visuospatial function)
- Alzheimer’s disease and other forms of dementia
- Transform how you think about and problem-solve common challenges in Alzheimer’s disease and the other dementia types
Attachment Theory & Dementia
- Mindfulness reimagined in the setting of dementia
- How mindfulness affects the autonomic nervous system
- Associative vs. dissociative experiences through the lens of mindfulness
- Embodied, sensory-based mindfulness strategies to use with people living with dementia
Strengthening Relationships: The 5 Love Languages and Dementia
- Attachment theory reimagined in the setting of older adults
- Dementia as the ultimate attachment loss
- Separation distress responses in the person with dementia
- The seeking response: Agitation, aggression, “going home,” wandering, resisting care
- The withdrawing response: Depression, apathy, anhedonia
- Affirm, acknowledge, redirect: A simple, powerful attachment-based approach for challenging behavioral expressions of dementia
- Love reimagined in the context of dementia
- 5 Love Languages in practice – physical touch, quality time, words of affirmation, acts of service, and gifts
- Dementia as an erosion of the “emotional glue” that bonds people together
- Skills to foster emotional love connections and attachment bonds
Challenging Geriatric Behavior
Normal Aging, Dementia, Depression or Delirium
- Normal aging changes of the mind
- Depression, dementia, and delirium
- Alzheimer’s disease and other dementias
- Diagnose, differentiate, and develop a plan of care
- Getting a diagnosis
- Behavioral issues of early diagnosis
- Management and interventions
- Pharmacological treatments
Driving with Dementia
- Driving safety
- Legal issues
- Assess driving abilities
- How to take the keys away
- Reasons why cognitively impaired individuals wander
- Is wandering a bad thing?
- Issues to consider
- Manage a wanderer’s behavior
- Identify the cause of aggression
- Loss of impulse control
- Regression of the mind/child-like mind
- Manage the problem
Inappropriate Sexual Behaviors
- Normal sexual drive or inappropriate behavior
- Cognitively impaired individuals
- Medication management
- Ethical considerations
Refusing to Eat/Forgetting to Eat
- Reasons why geriatric patients slow or stop eating
- Nutritional needs in a geriatric patient
- Improve nutritional status
- Malnutrition and dehydration
- Alternatives to eating
- Sundowning and behavioral problems in the evening
- Why does sundowning occur?
- Environmental interventions to decrease aggressive behaviors
- Medication management when it becomes problematic
- Physical, psychological, and emotional stress
- Identify caregiver burnout and ways to help
- Assist the caregiver
- Ways to identify potential falls and prevent injury
- Causes for orthostatic hypotension
- Ways to avoid using restraints
Case Studies: Learning from Experience and Mistakes
- How to manage sundowners
- Strategies to improve hygiene
- Reassurance and redirection
- Develop strategies to manage difficult behaviors in seniors who have an altered perception of reality.
- Differentiate between appropriate and inappropriate sexual behaviors in individuals with dementia.
- Distinguish between normal sleeping patterns and bedtime issues which could lead to increased health problems.
- Analyze the physical and psychological changes that affect an elder’s desire and ability to eat including the changes in nutritional requirements.
- Apply current research findings to prevent and slow progression of Alzheimer’s disease.
- Determine environmental and behavioral triggers of agitation.
- Develop strategies to minimize or redirect wandering behavior.
Geriatric Pharmacology: Maximizing Safety & Effectiveness
- Determine preventative techniques and individual monitoring plans to minimize adverse drug events and drug-drug interactions.
- Apply the principles of polypharmacy to the patient with cognitive impairment.
- Analyze the effects of aging on pharmacokinetics.
- Evaluate major causes, mechanism and early symptoms of drug-induced toxicity.
- Assess tools used to safely taper and discontinue medications.
- Apply prescribing strategies for the geriatric patient.
- Integrate age-sensitive principles for medication dosing and management to clinical scenarios.
Aging and Pharmacodynamics
- Effects of Aging on Drug Therapy
- Variations in Drug Half-life and Clearance
- Drug Dosing in Chronic Kidney Disease
- Common Inappropriate & Over-prescribed Drugs
- Identifying Subtle Clues to Prevent an Adverse Drug Reaction
- The P450 System
- The Magic Drug Number in the Elderly
- The Top 10 Medications to Avoid
- The Top 10 Drug-drug Interactions
- Drugs Associated with Weight Loss
Strategies to Avoid Adverse Drug Events
- Identifying Subtle Clues to Prevent an Adverse Drug Reaction
- Individualizing a Monitoring Plan
- Mandatory Gradual Dose Reduction (GDR)
- The Garfinkel Method for Drug Discontinuation
The "BEERS Criteria"
- What are the Experts Saying?
- Follow the Criteria OR go with your Instincts?
- When Inappropriate Drugs are OK
STOPP and START
- New Recommendations
- Guidelines by Body System
- Putting it all Together - Still a Puzzle?
Controversial Vitamins & Herbal Supplements
- Is your Multivitamin killing you?
- After 19 years, the Research is in
- Advising your Patients Appropriately
- The Vitamins that Help & the Ones that Hurt
- Selecting the Right Medication
- Challenges in LTC
- Black Box WARNINGS
Dementia, Depression & Delirium
- The 3 "Ds" in Geriatrics
- Drugs that Cause Cognitive Impairment
Prescribing Challenges & Solutions
- Digoxin, Amiodarone & the Risk of Orthostatsis
- The New Anti-Hypertensive Guidelines
- The Risk of "Sleepers": Zolpidem, Eszopiclone, Zaleplon
- "Doc I've got a Low 'T'"
- Eliminating Sliding Scales
- Risks of Proton-pump-inhibitors (PPIs)
- Best Antiemetic Choices
- Associated Psychosis
- Increased Anxiety and Agitation
- Is Aspirin Still Recommended?
- Antibiotic Stewardship
- Drug Resistance Concerns
- Major Contributors to Cdiff
- Pain Meds
- Newest Guidelines for Opioid Discontinuance
- Alternatives to Opioids