activities as a path for culture change – the best friends approach david troxel, mph
TRANSCRIPT
![Page 1: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/1.jpg)
Activities as a Path for Culture Change – The Best Friends Approach
David Troxel, MPH
![Page 2: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/2.jpg)
Dr. Alzheimer
![Page 3: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/3.jpg)
• November 25, 1901, 51 years old
• Problems with every day tasks
• Jealousy, delusions
• Memory
• “I have lost myself”
Auguste Deter
![Page 4: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/4.jpg)
Be a Best Friend
![Page 5: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/5.jpg)
Being Person Centered
![Page 6: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/6.jpg)
Daphne Gormley, Santa Barbara
• Dx at 59. Credits dementia meds with helping.
• Uses water soluble crayons and felt tipped markers for my paintings. “Rather than limiting my artwork, my Alzheimer’s seems to have unleashed a whole new area of creativity for me.”
• Emphasizes process rather than outcome.
• Ambitious, motivated.
![Page 7: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/7.jpg)
• Daphne continues. . .
• “One of the benefits of my art for me is that it provides me a way of communicating without words. The colors I use are colors I find to be joyous. This is a way for me express my joy in painting and in my life. AD has really taught me to concentrate on the things I can do not on the things I can no longer do.”
![Page 8: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/8.jpg)
![Page 9: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/9.jpg)
![Page 10: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/10.jpg)
Develop “the Knack”
• Knack is the “art of doing difficult things with ease.”
• Or, “clever tricks and strategies!”
• Helps in unstructured moments.
![Page 11: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/11.jpg)
Knack
• Humor
• Flexibility
• Patience
• Respect
• Being in the moment
• Creative activities
![Page 12: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/12.jpg)
Moving Toward Quality Care
![Page 13: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/13.jpg)
We Know how to Create a Quality Dementia Care Program
Being outside
Learning & growth
Creative activitiesConversation
Purposeful chores
Animals
Using the Life StoryLaughter
Exercise
Music
![Page 14: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/14.jpg)
Skilled, Empathetic Staffwho Build Relationships
![Page 15: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/15.jpg)
Supporting Staff
• Knowing that we cannot treat staff badly and expect a badly treated staff to treat residents well.
• Showing appreciation
• Giving them the tools to succeed.
![Page 16: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/16.jpg)
Programs that Embrace the Life Story
![Page 17: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/17.jpg)
Tips
• Bullet Cards
• 1-100 Campaigns
• Monthly focus
• Shadow box beauty shows
• Resident Jeopardy
• Putting Life Story to work in activity creation.
• Name tags
![Page 18: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/18.jpg)
![Page 19: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/19.jpg)
Person Centered Activities
• Here are some principles of Activities from a Best Friends Approach
![Page 20: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/20.jpg)
It’s not in what is done, it’s in the doing
![Page 21: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/21.jpg)
Should be individualized and tap into past interests and skills
![Page 22: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/22.jpg)
Should be adult in nature
![Page 23: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/23.jpg)
Should recall a person’s work related life
![Page 24: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/24.jpg)
Should stimulate the senses
![Page 25: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/25.jpg)
Sometimes doing nothing is doing something
![Page 26: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/26.jpg)
Tap into remaining physical skills.
![Page 27: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/27.jpg)
Should be initiated by others.
![Page 28: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/28.jpg)
Should be voluntary
![Page 29: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/29.jpg)
Intergenerational activities work!
![Page 30: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/30.jpg)
![Page 31: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/31.jpg)
Personal care is an activity.
![Page 32: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/32.jpg)
Activities can be short
![Page 33: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/33.jpg)
Should fulfill religious & spiritual needs.
![Page 34: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/34.jpg)
Activities are everywhere.
![Page 35: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/35.jpg)
Remarkable programs create signature programs
“Hope is the thing with feathers, that perches in the soul, and sings the tune without words, and never stops at all.”
Emily Dickinson
![Page 36: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/36.jpg)
Collage
![Page 37: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/37.jpg)
Collage
![Page 38: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/38.jpg)
Music Fills the Room
![Page 39: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/39.jpg)
Exercise at Atria
![Page 40: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/40.jpg)
Longwharf Theater
![Page 41: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/41.jpg)
Ideas for your setting
• Signature activities
• Exercise
• Evenings & Weekends
• Just for Men
• Creating theme rooms – the beauty parlor or “Susie’s Salon?”
![Page 42: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/42.jpg)
Ideas for your setting
• Visiting:– Flower arranging
– Gift wrapping
– Mail order shopping
– Organizing
– Reminiscing
– Movie musicals
– “chit chat”
– Outdoor time.
• Make it Memorable!!
![Page 43: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/43.jpg)
Recommendations
• Create a Dementia Care Study Group/Team
• Consider a monthly or quarterly focus.
• Embrace Life Story work even for short stays
• Innovate in activities– Adult Learning– Music– Exercise– Spirituality
![Page 44: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/44.jpg)
Recommendations
• Embrace creative and effective training
– Monthly focus– Role plays– Mini 5 or 10 minute
in-services
• Follow up and model as a leadership team.
![Page 45: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/45.jpg)
Activities you think won’t work sometimes do
• Failure Free Activities???
• How many of us lead failure free lives?
• From failure comes growth and planned activities that go in a different direction are sometimes the most fun.
![Page 46: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/46.jpg)
Classroom ideas
• Apples
• The State of Indiana
![Page 47: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/47.jpg)
Activities as a path toward Culture Change
• Allow all staff to recast their work in light of activities
• Embrace 30 second activities
• Teach activities in your staff training programs
• What’s the cook doing in the activity room?
![Page 48: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/48.jpg)
30 Second Rule
Teaching staff (and families) that it only takes 30 seconds to be a little less task oriented and a little more person centered.
![Page 49: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/49.jpg)
The Impact of Best Friends
![Page 50: Activities as a Path for Culture Change – The Best Friends Approach David Troxel, MPH](https://reader036.vdocuments.us/reader036/viewer/2022062511/551559ce55034674578b4710/html5/thumbnails/50.jpg)
www.bestfriendsapproach.com