Best Practice: Creative Dementia Programs and Services:

The Whole Package

• The Orchards at Bartley Assisted Living

• Jackson, NJ• Presented by: Sandra Uphold, Executive Director and

Debbie Carswell, Dementia Program Coordinator

The Orchards at Bartley Assisted Living

•Community Description•History and Philosophy – Dementia Care

Memory Care Description•Location within the building•Design•Occupancy•Special Features

Memory Care Programs and Services

• Interdisciplinary Approach• Sample Programs• 1:1 Programming• Meal Service• Clinical Aspects

Determining Appropriateness

• Assessment• Required Diagnosis• Prospective Residents• Current Residents• Decision Making Process

Preparing Residents and Families for the Move•Care Management Meetings•Education•Setting Clear Expectations• Communication•Day Trial on Memory Care•Handling Resistance

Fee Structure for Memory Care

• All Inclusive Rate

Staff Education

• Who Gets Alzheimer’s Dementia Training?• Alzheimer’s Training Curriculum – DOHSS

Training Modules• Orientation• Online Education – Silverchair Learning System• Dementia Program Manager Involvement

Family Education• Highly Trained Staff Members –

Background• Education Begins During the Sales

Process• Care Management Meetings• Host Site for Monthly Support Group• Educational Programs• Resource Materials

Family Involvement• Newsletters• Special Events• Monthly Calendars – Explanation of

Purpose• Pictures• Open Door Policy

Managing Difficult Behaviors• Resident Centered Approach• Recognizing Behavior as a Form of

Communication (Pain, Unmet Needs, etc…)

• Reassurance Therapies and Diversion Activities

• Evaluation of Pharmacological Measure, When No Other Alternative is Therapeutic.

Involving the Community• Intergenerational Programs

Changes Made to Programming

• Analysis-Plan-Execute-Analysis: Approach• Elimination of our Sensory, “Snoozlin”

Room• Helping Families Understand Programming• Family Communication Book for Dining

Satisfaction• 1:1 Activity Programming• Care Management Program

Evaluation and Sustainability

•Actively Seek Resident, Family, and Staff Feedback•Results for Customer Satisfaction Showed 100% Rated Excellent/Good in 15 Categories in 2007 , and Showed 100% Rated Excellent/Good in 20 categories in 2008.

Determining Effectiveness

•Continuous Quality Improvement•Annual Customer Satisfaction

Survey Results•Resident Reactions to Programs•Family Feedback During Meetings

Resident Experience

•Sylvia's Story

Replication• Established Program• Resources• Barriers• Overcoming Barriers

Replication

•Suggestions: • Research and Education: Utilizing

Resources Available• Evaluate Your Population• Establish a Clear Vision and Mission • Appoint a Knowledgeable Experienced

Leader

Replication•Suggestions:• Caregivers• Be Adequately Capitalized• Solicit Feedback• Share Success Stories• Walk the Talk• Adapt the Program to Meet Resident

Needs