dementia, dining dignity at the dinner table · dementia impacts dining. here are a few of the...

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Dementia, Dining & Dignity at the Dinner Table © 2012. Gemini Consulting & GLE Institute for Dementia Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org Presented for : Morningside Ministries San Antonio, TX www.mmlearn.org Presented by: Erin Bonitto, MS, ADC - Founder & Lead Coach Gemini Consulting & GLE Institute for Dementia Cold Spring, MN www.Gemini-Consulting.org

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Page 1: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Dementia, Dining & Dignity at the Dinner Table

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Presented for :

Morningside

Ministries San Antonio, TX

www.mmlearn.org

Presented by:

Erin Bonitto, MS, ADC - Founder & Lead Coach

Gemini Consulting &

GLE Institute for Dementia Cold Spring, MN

www.Gemini-Consulting.org

Page 2: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Too often, aging services providers find that

caregivers have not mastered the art & science of

dementia communication, resulting in disheartening,

undignified and even dangerous situations,

especially during meals. When they should be

experiencing the comfort of a familiar routine,

persons with dementia are instead experiencing

confusion, frustration, and anxiety.

The Situation

Page 3: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Standing

over

No

interaction

Not describing

food

Dignity?

Page 4: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Talking over or

around the person as if

they are not even

there

Dignity?

Page 5: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Task Talk

No Talk

Person Talk & Dementia Cuing

Staff Talk

We have get you cleaned-up now.

Interaction is wordless.

Are you going on break pretty soon?

Helen, I think you will like this! Green beans with bacon!

I I I I I I I I I I I I I I I I I I I I

I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I

I I I I I I

I I I I I

I I I I I I I

I I I I I I I I I I I I I I I I I I I I I I I I

I I I I I I I

I I

Doing a Quick Check

Page 6: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 7: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 8: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 9: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Dementia Communication Coaching for Dining

Page 10: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Dementia impacts dining. Here are a few of the things caregivers need to know.

Remembering what was ordered

Remembering why we are in this room

Remembering which meal this is

Remembering when the food will be coming

Initiating Eating

Adding Things: Sugar, Cream, Butter

Switching Between Eating & Drinking

Understanding what to do next.

Initiating Conversations

Communicating Preferences

© 2012. Gemini Consulting & GLE Institute for Dementia Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 11: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

• Significant Decrease in Taste Buds

• Dry Mouth

• Decreased Ability to Smell

• Age-Related Hearing Impairment

• Dentures reduce taste

• Blurring & Dulling of Vision – Food Colors Less Vibrant

• Special preparations – such as Pureed & Ground – take away familiar, recognizable textures

Aging impacts meal-time enjoyment. Here are a few of the things caregivers need to know.

© 2012. Gemini Consulting & GLE Institute for Dementia Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 12: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Guiding to the Dining Room

Good Morning Jane, I’m Kelly.

It’s time for breakfast.

I’m going to turn you around.

I’ll take you to the dining room.

We’re having oatmeal with brown sugar

today!

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 13: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Cuing Friendship

Gladys, I want you to meet a real cracker jack!

Helen, meet the one and only Estelle!

You are the two best-looking

women at the table!

I think you two go a long way back.

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 14: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Presenting the Meal

Below eye level

Eye contact first

Sparkling face

Simple Statements

Low pitch. No up-talking

Hot out of the oven!

I made it just for you!

Green beans with bacon!

Broasted chicken today!

Mashed potatoes with extra butter!

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 15: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Coaching for Cuing. . .

Food Cuing – for appetite & pleasure

Reminiscing Cuing

Friendship Cuing

Describing what is coming next

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 16: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Cuing instead of Doing

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 17: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Getting it Right.

© 2012. Gemini Consulting & GLE Institute for Dementia • Cold Spring, MN • 612-749-1220 • www.gemini-consulting.org

Page 18: Dementia, Dining Dignity at the Dinner Table · Dementia impacts dining. Here are a few of the things caregivers need to know. Remembering what was ordered Remembering why we are

Erin Bonitto - Founder & Lead Coach

Gemini Consulting &

GLE Institute for Dementia

612-749-1220

www.Gemini-Consulting.org

For more information about Dignity & Dementia Coaching