Jane Yakel – PESI – Promoting Function & Maintaining Independence in the Face of Dementia

Description

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Jane Yakel – PESI – Promoting Function & Maintaining Independence in the Face of Dementia

Sooner or later, it will touch us all: our patients, family members or someone else close to us is diagnosed with dementia. With our population aging, we are continually being swept into a flurry of daunting tasks to teach the demented patient skills that are hard to come by, including; locking wheelchair brakes for safety; drinking liquid to prevent dehydration; increase functional independence in toileting, and most importantly, assisting with training the caregiver. As we enter the world of dementia and see the paradigm of service delivery shift to the caregiver, it is increasingly important to increase our knowledge and skill levels, not only for our patients but also for our ability to train caregivers and family members.

Knowing how the diseases of dementia unfold is an invaluable tool for success. Knowing how, when, and what to do for the patient depends on understanding that our professional, and ethical, responsibility is to assist the patient to achieve and maintain their highest level of functioning; therefore, we must know what they need – and this knowing begins with the ability to accurately “stage” a patient’s dementia. Once a patient is staged, the needs of the patient can be more easily seen.

This innovative recording presents staging tools that clearly outline, at each distinct stage, the patient’s remaining abilities and the patient’s lost abilities; this is the insight that drives intervention. Discuss and demonstrate the top evidence-based communication techniques in the field for dementia via role play. Complete this dynamic and collaborative recording with the confidence and skills to develop structured, systematic, and highly individualized therapy programs, and with the abilities to justify their practice.

Speaker
Jane Yakel, M.S. CCC-SLP, is a certified and licensed (VA #2202005215) Speech- Language Pathologist with over 40 years of experience in the care of persons suffering from neuropathology disorders. Jane is currently a private contractor and consultant in Virginia and has worked in a variety of settings including acute care, outpatient clinics, home health agencies, skilled nursing homes, independent and assisted living facilities, hospitals and schools. She has taught at the University of Wyoming, Utah State University and DeVry University (Phoenix). She has been a regional clinical specialist and a national trainer for rehabilitation program directors and has served as a director of a community re-entry program for traumatic brain injury survivors. She has shared her expertise as an author and presenter at national and state board continuing education courses on various topics including, Prospective Payment System; Medicare Documentation; Ethics and Professionalism; Comprehensive Assessment of the Adult Patient; Quality Indicators: QA / QI; Customer Service; Nursing Documentation; Managing Dysphagia as well as Cognitive Communication Disorders in the Neurological Impaired; Cognitive Rehabilitation and Dementia.

Jane is the author of two comprehensive manuals and informative guides in the field of Dysphagia and Cognitive Rehabilitation. Jane’s book on Dementia: Interventions for Severe Cognitive Impairments gives detailed intervention strategies for professionals working with patients who suffer from significantly decrease cognitive status. The book is tailored for multiple disciplines within the healthcare field as well as caregivers.

Jane is a member of the American Speech-Language-Hearing Association, served as a representative for the People to People Ambassador Program for America Speech and Hearing Association and is a prior member of the Wyoming Board of Examiners for Speech-Language Pathology and Audiology. She completed her undergraduate and graduate studies at the University of Wyoming, specializing in neuropathology. Jane currently owns ProStar Communications, LLC, a professional communications company, and Yakel Educations, LLC, a professional publishing company.

Speaker Disclosures:

Financial: Jane Yakel is the owner of ProStar Communications, LLC and Yakel Educations, LLC. She receives a speaking honorarium from PESI, Inc.

Non-financial: Jane Yakel is a member of the American Speech-Language-Hearing Association.

Objectives

1. Accurately stage the patient with dementia or other cognitive impairments
2. Utilize patient staging levels to design appropriate treatment interventions
3. Demonstrate successful intervention of Errorless Learning Techniques, Spaced Retrieval, Montessori-Based Dementia Programming, Reminiscence Therapy, and The Ability-Based Approach
4. Implement Validation Therapy, Reflective Listening, and Re-Direction to increase communication between you, the patient, and the caregiver
5. Document patient-centered goals, measure progress, and justify necessity through utilizing Medicare documentation guidelines
6. Distinguish the differential diagnosis of degenerative neurological diseases and detect how dementia symptoms vary among the diseases

Outline

DEMENTIA AND DISEASES

• Differential diagnosis of degenerative neurological diseases
  Detect how dementia symptoms vary among the diseases

ASSESSING OR STAGING? WHAT DO THEY TELL US AND WHICH DO WE DO?

• Standardized assessments
• Patient-centered assessments
• “Staging Tools”
• What patient skills to expect at each stage
• Chronological ages that go with the stages

DOCUMENTING DEMENTIA SKILLED INTERVENTIONS

• Write patient-centered goals
• Measure progress and justify medical necessity
• Making daily documentation “skilled”
• Key words that reflect functional outcomes in dementia therapy

APPROACHES TO THE MEMORY SYSTEM

• Memory system to use for new learning/conscious memory
• Memory system for procedural learning unconscious memory
• Documenting memory systems per medical diagnosis

EVIDENCE-BASED THERAPEUTIC INTERVENTIONS

• Errorless Learning
  Error vs. Errorless learning
  Directions for successful use of errorless learning
  Interactive lab/case discussion
• Spaced Retrieval
  Specific timing and directions of spaced retrieval for the dementia population
  Designing a “prompt question”
  Discipline-specific demonstrations using Spaced
  Retrieval
  Written goals and skilled documentation
• Montessori-based Dementia Programming
  Translate Montessori teaching into successful therapy intervention
  Retrogenesis: Understanding First In – Last Out Theory
  Create structured stimulating activities appropriate to individual cognitive levels
  Written goals & skilled documentation specific for
  Montessori techniques
• Ability-Based Approach
  Design successful therapeutic interventions according to patient abilities
  Determine the patients best ability to function
  Written goals & skilled documentation specific for ability-based techniques
  Examples and case studies provided
• Reminiscence Therapy
  Powerful use of the “senses” designed to awaken the soul
  Know the patient is “alive inside”
  Design individual and/or group Reminiscing Therapy sessions
  Select activities and create reminiscing themes and kits
  Written goals and skilled documentation
• Memory Books/Aids
  Proven methods in presenting functional & factual information in written & picture format
  Idea suggestions for individual stages of life/ “stages” of dementia

COMMUNCATION SKILLS: THE KEYS TO BEHAVIOR

• Reflective Listening
  Listening from a position of empathy & emotional intelligence
  Practice multiple verbal formulas proven for success
  Client-centered communication – Reflection of Feeling
  Avoiding pitfalls all listeners fall into
  Interactive lab/case examples and discussion
• Validation Therapy: A Powerful Communication Tool
  Principles and pointers for dismantling power struggles and resolving arguments
  Accepting values, beliefs, and reality regardless of accuracy
  Handling hallucination, delusions, hoarding, blamers, and accusers
  Interactive lab/case examples and discussion
• Re-direction
  Learn the key to “agree” with what the patients wants/needs through conversation
  Case study for safety, ambulation, hallucinations, and delusions
  Interactive lab/case examples and discussion

Target Audience

• Speech-Language Pathologists
• Occupational Therapists
• Occupational Therapy Assistants
• Physical Therapists
• Physical Therapist Assistants
• Directors of Nursing
• Nursing Home Administrators
• Registered Nurses
• Rehabilitation Nurses
• Certified Nursing Assistants
• Long Term Care Staff
• Activity Directors/Professionals

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